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Phase I Underway: Editing the Ordering/Referring Provider in DMEPOS Claims

Phase 1 of the DMEPOS Claims Edits is now underway.  Phase 1 will provide warning messages to prompt providers to take action prior to Phase 2 which will result in rejections beginning January 4, 2010.  Phase 1 (October 5, 2009 through January 3, 2010), DMEPOS suppliers who report ordering/referring providers who do not pass both edits will receive an informational message on their remittance. (Paper billers will not receive an informational message.) The claims will be paid. Phase 2 (January…
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Ordering/Referring Provider Case Sensitive Edits

National Government Services, one of the largest Medicare contractors in the country, released the following information to avoid unnecessary claim rejections.  They will reject claims when lower case characters are submitted in the ordering/referring provider field.  See their notice below for details: Ordering/Referring Provider Case Sensitive Edits CEDI has front end edits in place to validate the data submitted conforms to HIPAA and Medicare requirements.  As part of these edits, the Common Electronic Data Interchange (CEDI) utilizes external code sources…
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3rd Annual Cardiovascular Update Conference

MediSYS will be participating in the 3rd Annual Cardiovascular Update on November 7, 2009.  The 2009 Cardiovascular Update is being offered through The CVA Medical Education Foundation.  This continuing medical education meeting is designed to provide physicians and other healthcare staff with an overview of important developments in the care of patients with cardiovascular disease. The conference will be held in Birmingham at The Cahaba Grand Conference Center.  For more information or to register go to…
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CMS ePrescribe Incentives

Below is a recent publication from Surescripts regarding CMS e-Prescribing / MIPPA Incentive Program. For 2010, the incentive is slated to be 2% of the total allowed charges for covered professional services (Part B charges).  If you are interested in an on-line demonstration of MediSYS ePrescribe (which typically takes less than 30 minutes), please contact us at

BCBS to Adopt New Payment Methodology Dec. 1, 2009

For PMD doctors, Blue Cross of Alabama will adopt a new payment methodology effective December 1, 2009.  They will implement the Resource Based Relative Value Scale (RBRVS) which is being used by the majority of payers across the nation.  The BCBS transition to RBRVS will occur over several years. In addition, BCBS will replace their fragmented coding edits with the National Correct Coding Initiative (NCCI) standards. These changes will increase payment on some CPT codes and…
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Pickens County Medical Center (PCMC) EHR Interface

A busy family medicine practice in Reform, Alabama has joined the many practices now connected to Pickens County Medical Center (PCMC) through MediSYS EHR.  Beginning today, for this practice, radiology results from PCMC are automatically directed to the provider’s in-box and associated with the patient’s electronic health record.  This gives the provider faster access to review the radiology results and take action. Similar functionality is available to other hospitals including Druid City Hospital-Tuscaloosa, AL, Huntsville Hospital, Baptist Hospital – Montgomery, AL, Jackson Hospital…
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Medicaid Together for Quality Integration to MediSYS EHR Nears Completion

MediSYS EHR is nearing completion of the Alabama Medicaid Agency’s Together For Quality (TFQ) integration.  The TFQ and MediSYS EHR integration will allow practices to query the State of Alabama’s central database for patient medications, problem list, allergies/reactions, immunizations, lab results, procedure history, providers of care, and even limited personal history.  The release of this integration is expected in the next couple of weeks.

New HCPCS for the Administration of the Influenza A (H1N1) Virus Vaccine

For dates of service on after September 1, 2009, Medicare has created two new HCPC codes for billing for the administration of the H1N1 Virus Vaccine.  G9141 – Influenza A (H1N1) immunization administration (includes the physician counseling the patient/family) G9142 – Influenza A (H1N1) vaccine, any route of administration Since the vaccine is being made available to providers at no cost, Medicare will not pay providers for the vaccine.  Please refer to CMS MLN Matters…
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MediSYS ePrescribe Handheld Access

MediSYS ePrescribe Handheld Access Birmingham, AL (August 21, 2009) – MediSYS announced today the addition of a handheld mobile application for the growing number of providers now using electronic prescribing.  This mobile application will allow physicians to securely prescribe medications and electronically route prescriptions using a handheld device to SureScripts, the country's largest national electronic prescribing network.  "With the surge in the adoption of ePrescribe in 2009, adding access from a Smartphone or other handheld…
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MediSYS EHR 1.0 CCHIT Certification MediSYS for Physicians, Inc. MediSYS EHR 1.0 Certification Requirements The Certification Commission for Healthcare Information Technology (CCHIT) confirms that this product is a CCHIT Certified 08 Ambulatory EHR. CCHIT confirms that the product has passed 100% of the Ambulatory EHR 08 test script, ensuring it fulfills the following criteria: Functionality – setting features and functions to meet a basic set of requirements. (For additional details, see the CCHIT Functionality Criteria for 08.) Interoperability – enabling…
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