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Author: Lauren Brown

First-time Medicare Meaningful Use Attestation Deadline is October 1

Attestation Deadlines for 2016 MEDICARE Meaningful Use Are you a NEW, first-year meaningful use provider for 2016? Do you want to AVOID the payment adjustments for BOTH 2017 AND 2018? If both answers are YES, then you must successfully attest for 2016 meaningful use by October 1st, 2016. The EHR reporting period for 2016 first-time participants is any continuous 90-day period. What happens if I miss the October 1 deadline? You MUST successfully attest for 2016 meaningful use by…
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Alabama Medicaid RCO Update

September 14, 2016 –  Alabama Medicaid Agency has notified the Centers for Medicare and Medicaid Services (CMS) that it will ask to postpone the start date for the proposed Regional Care Organizations until July 1, 2017. The request is subject to CMS approval. RCO Program Public Forum is set for Montgomery on September 21, 2016. Information obtained from the September 14th  Medicaid Matters – Online Newsletter. You can view the newsletter here: http://www.medicaid.alabama.gov/CONTENT/2.0_newsroom/2.3_Publications.aspx

ICD-10 grace period ending October 1, 2016

October 1, 2016 will mark the end of a one year ‘grace period’ that allowed the use of unspecified ICD-10 codes. The grace period was created to help ease the ICD-10 transition. With the end of the grace period, this could mean a possible increase in claims rejections and lower reimbursement. Take steps now to make sure you are coding correctly! MediSYS EHR offers excellent tools to drill-down quickly to the most specific ICD-10 code, called…
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Alabama Medicaid State Level Registry Open

The new Alabama State Level Registry (SLR) system is now open to process Medicaid Meaningful Use attestations for Program Year 2015 and will remain open until October 31st, 2016 at midnight CST. Alabama Medicaid will be processing both Adopt-Implement-Update (AIU) and Meaningful Use (MU) attestations for participation year 2015. The link to access the new Alabama SLR is: https://alslr.thinkhts.com/. For providers who see Medicaid AND Medicare patients, who could be subject to a Medicare payment…
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MIPS: What you need to know now!

The Medicare Access and CHIP Reauthorization Act (MACRA) Quality Payment Program’s Goal is paying for value and better care. The QPP has 2 paths: Merit-Based Incentive Payment System (MIPS) and Alternative Payment Models (APMs). We will focus on the Merit-Based Incentive Payment System (MIPS) path. Please Note: A final rule is expected from CMS by November 2016. Starting in 2017, all of the current programs (PQRS, Meaningful Use, Value Modifier) will be combined into ONE…
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Meaningful Use New Log-In Process for Alabama Medicaid

Attention AL Medicaid providers: If you are planning to attest to Medicaid Meaningful Use for 2016, there will be a new process for logging into the provider’s account. Once the State Level Registry (SLR) becomes available, instead of using a username and password you will now be required to enter the provider’s individual NPI and the a CMS Registration ID. The CMS registration ID can be obtained by calling the CMS Help Desk (866.484.8049, option #1 or…
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End of Medicaid Enhanced “Bump” Rates

For dates of service on or after August 1, 2016, Alabama Medicaid will end enhanced payments to primary care physicians. This cut is due to budget constraints at Medicaid. Payments for certain primary care services and for vaccine administration services under the Vaccines for Children (VFC) Program will be affected. To view the current fee schedule with non-enhanced rates visit the Alabama Medicaid Agency’s website here: http://medicaid.alabama.gov/CONTENT/6.0_Providers/6.6_Fee_Schedules.aspx. For more information, please contact Beverly Churchwell, Associate Director,…
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ImmPRINT and MediSYS EHR

Important News for Pediatric Practices  Pediatric Practices with BCBS of Alabama patients are encouraged to submit all immunization data into ImmPRINT. For MediSYS EHR clients, when you order an immunization within the EHR, this information will automatically be sent to ImmPRINT if you are using the ADPH interface. This will ensure that your overall performance is accurate for immunization measures in the Physician Performance Assessment (PPA) Tool. For further questions, please contact your Provider Networks…
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MediSYS partners with CLAIM.MD

July 7, 2016 – MediSYS, a regional leader in Practice Management and Electronic Health Record solutions, has partnered with CLAIM.MD, a leading Internet-based electronic claim processing company serving the medical community to provide MediSYS clients with greater claims processing capabilities. CLAIM.MD products and services are designed with the provider in mind. Meeting collection goals is key to a successful practice. Claim.MD is affordable and powerful — a system of tools to send clean claims the…
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90-Day Meaningful Use reporting period in 2016 proposed by CMS

CMS proposes 90-Day Meaningful Use reporting period in 2016  The Centers for Medicare & Medicaid Services (CMS) has proposed having a shorter Meaningful Use reporting period for all eligible professionals for the 2016 reporting year. This shorter reporting period would be any continuous 90-day period between Jan. 1 and Dec. 31, 2016. CMS included this provision in the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule.  The OPPS…
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AL Medicaid RCO Update

Below area few updates from AL Medicaid regarding RCOs: Alabama Medicaid’s Regional Care Organizations (RCO’s) Regional Care Organizations are locally led managed care organizations that will ultimately provide healthcare services to most Alabama Medicaid recipients at an established cost under the supervision and approval of the Alabama Medicaid Agency.  Once certified, RCO’s will assume the risk of managing the full cost of covered Medicaid services and care coordination for most Medicaid recipients. Covered Populations (Recipients) …
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Medicare EHR Hardship Application Deadline is July 1

The 2015 Medicare EHR Incentive Program Hardship Exception Application deadline is July 1, 2016. This is the last day that eligible professionals (EPs) can submit a 2015 Meaningful Use hardship exception application. This deadline was extended by CMS earlier this year to allow more time for EPs to continue submit applications. CMS made several concessions for the 2015 hardship exception application process, including an expedited approval process, as well as a shortened form that requires…
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