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2019 MIPS Performance Feedback and Final Score Now Available

Attention MIPS Eligible Providers: CMS released the 2019 Merit-based Incentive Payment System (MIPS) performance feedback and final scores. If you submitted data for the 2019 performance period, you can view your MIPS performance feedback and final score on the Quality Payment Program website. Login to the QPP Website using your HCQIS Access Roles and Profile (HARP) system credentials; these are the same credentials that allowed you to submit your 2019 MIPS data. To learn more about the…
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Federal Black Lung Program – New Central Mailroom Address

Effective immediately, the Division of Coal Mine Workers’ Compensation (DCMWC), also known as the Federal Black Lung Program, has moved central mailroom operations to London, Kentucky. We encourage our stakeholders to utilize our C.O.A.L. Mine portal for electronic document submission; however, if you need to mail physical documents associated with a Black Lung claim, please begin using the following mailing addresses immediately: Purpose Mailing Address Provider Enrollment U.S. Department of Labor OWCP/DCMWCP.O. Box 8312London, KY  40742-8312 General…
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Trump Administration Proposes Expansion of Telehealth Benefits Permanently for Medicare Beneficiaries

In an announcement released Monday: “The Centers for Medicare & Medicaid Services (CMS) is proposing changes to expand telehealth permanently, consistent with the Executive Order on Improving Rural and Telehealth Access that President Trump signed today. The Executive Order and proposed rule advance our efforts to improve access and convenience of care for Medicare beneficiaries, particularly those living in rural areas. Additionally, the proposed rule implements a multi-year effort to reduce clinician burden under our…
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National Immunization Month

August is National Immunization Awareness Month. National Immunization Awareness Month is meant to help raise awareness of the importance of vaccinations. MediSYS offers many tools to help practices stay on top of their patient’s immunizations, such as immunizations inventory, automated patient recalls and reminders, and others.

United Health Care (UHC) Phasing Out Paper Checks

Attention United Health Care Providers, In 2020, United Health Care (UHC) is phasing out paper checks. They are encouraging providers to sign up for ACH/direct deposit. What you need to know: The UHC preferred method of payment is ACH/Direct Deposit. For those who do not sign up, payments will be through a virtual card. Merchant card processing fees may apply to virtual cards. For more information and to enroll in UHC ACH/Direct Deposit, please see…
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RHC COVID-19 Updates

Attention Rural Health Clinics: Per CMS Publication 100-02, Chapter 13 (PDF, 400 KB), Section 80.4, productivity standards require 4,200 visits per physician and 2,100 visits per practitioner. If you are having difficulty meeting productivity standards as a result of COVID-19 PHE, you may request an exception to the productivity standards. The following information is required: Visit count that you are requesting as an exception to the standard of 4,200 for physicians and 2,100 for mid-level practitioners Documentation…
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Telehealth SAVED Our Practice!

  Telehealth is undoubtedly saving practices across the country and in your own town. Practices should adopt telehealth, where possible, in order to return lost revenue and give the patient more choices and better quality care. Blue Cross and Blue Shield of Alabama has seen this shift and has expanded Telehealth coverage during the Covid pandemic. MediSYS offers a standalone telehealth solution that will fit into any practice. MediSYS can implement telehealth in your practice…
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Outpatient Hospital Department (OPD) Prior Authorization (PA) Fax Number

Please note that the correct fax number for Outpatient Hospital Department (OPD) Prior Authorization (PA) is (803) 462-7313. If you are using fax to submit your PA request, please use this fax number immediately. Applies to:JJ Part A//GeneralJJ Part B//GeneralJM Part A//GeneralJM Part B//Genera Information obtained from: https://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/BR5J867725?opendocument

AL Medicaid Alert – Changes to Body Mass Index (BMI) Requirement

View the full alert details on the Alabama Medicaid website here: https://medicaid.alabama.gov/alert_detail.aspx?ID=13945 Beginning June 9, 2020, PCPs, NPs/ PAs (collaborating with a PCP), PCP groups/ individual PCPs participating with an ACHN, FQHCs, RHCs, Public Health Departments, Teaching Facilities, and OB/GYNs that bill procedure codes 99201-99205, 99211-99215, and 99241-99245 are no longer required to include a BMI diagnosis on each claim billed. Beginning June 9, 2020, a BMI will only be required on an annual basis…
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Medicare COVID-19 Advance Payments *Update

Medicare COVID-19 Accelerated/Advance Payment (AAP) Repayment FAQ CMS created the following FAQ document in the link below to help providers understand the process and options of repaying Medicare accelerated/advance payments (AAPs) issued for COVID-19. We strongly encourage Medicare providers to thoroughly review the link here: https://www.palmettogba.com/palmetto/providers.nsf/ls/JJ%20Part%20A~BR2N620650. Here are some key questions and answers we wanted to highlight: 6. Question: How will offset amounts appear on my Medicare Remittance Advice? Answer: Part B Providers – Any…
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BCBS of AL – COVID-19 Advance Payment

Review Your COVID-19 Advance Payment We want to make sure physicians and practice managers review the advance payment that BCBS of AL is offering to providers participating in one of their Select Programs (Primary Care, OB-GYN, Pediatrics and Endocrinology) to help with the financial disruption caused by the COVID-19 pandemic. Providers must opt in by June 30, 2020, to receive the advance payment. To see the amount you’re eligible to receive and view the terms…
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Integrated BCBS of AL Patient Health Snapshot

Attention: MediSYS ClientsNew System EnhancementsBlue Cross and Blue Shield of Alabama and MediSYS, an independent company, have worked together to integrate the Patient Health Snapshot (PHS) into the MediSYS system. By using this feature, MediSYS clients will experience increased efficiency in viewing and printing the PHS to assist in closing gaps in care. This could make a significant difference in value-based earnings for primary care and Blue Advantage® providers. For more information, refer to the…
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