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Pilot Programs with Surescripts and MedConnect, MediSYS EHR

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Blue Cross and Blue Shield (BCBS) of Alabama is piloting an Electronic Health Record (EHR) Clinical Messaging and ePrescribing Program with Surescripts through the Alabama-based EHR vendor, MediSYS EHR – MedConnect v2.3.   The EHR Clinical Messaging Program delivers STARs-related, patient-specific messages to providers at the point of care. The goals of the program that went live in December 2015 are as follows: Deliver patient-specific messages/alerts to providers in near real time, while providers are…
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2016 PQRS GPRO Registration is Now Open

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The majority of MediSYS clients participate in individual PQRS with MediSYS EHR ‘no charge’ Data Submission  which does not require registration. However, if you do participate in the Group Reporting Option (GPRO) for PQRS, registration is now open to participate in the 2016 PQRS GPRO via the Physician Value – Physician Quality Reporting Registration System. This option is available to GROUPS with 2 or more EPs and groups must meet the satisfactory reporting criteria through the PQRS GPRO in order…
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Last Year to BEGIN Medicaid Meaningful Use and qualify for $21,250

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Attention Medicaid providers: For program year 2015, CMS has stated that Medicaid EPs no longer have to attest to Meaningful Use on or before the end date for the CMS Medicare attestation period, which was 3/11/16, in order to avoid 2016 or 2017 Medicare payment adjustments. Medicaid EPs may wait until their respective Medicaid States can accept attestations, and then attest to Medicaid MU for PY 2015 through their Medicaid State EHR Incentive program. Alabama…
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Rural Health Care HCPCS codes deadline April 1st

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Beginning on April 1, 2016, Rural Health Clinics (RHCs) are required to report the appropriate HCPCS code for each service line along with a revenue code on their Medicare claims. Services furnished through March 31, 2016, should be billed without a HCPCS code under the previous guidelines. To read the full Medicare notification visit: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM9269.pdf

Medicare EHR Hardship Application Deadline has been extended!

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The Medicare EHR Incentive Program Hardship Exemption Application deadline has been extended to July 1, 2016. The new deadline includes Eligible Professionals, Eligible Hospitals and Critical Access Hospitals. For more information and instructions on the hardship exemption process please visit: https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/paymentadj_hardship.html

Medicare Revalidations – Missing the deadline can cost you money this year!

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Medicare Providers: During the revalidation process if a provider fails to meet the revalidation deadline they will be deactivated without the ability to bill retroactively for the services while they are deactivated. Providers should get a notice of the due date for revalidation BUT if you do not get the notice from your MAC to revalidate, you are encouraged to go ahead and submit your revalidation application if you are within 2 months of the…
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NEW CCM Services for RHCs and FQHCs beginning 2016

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Beginning on January 1, 2016, RHCs and FQHCs may receive an additional payment for the costs of CCM services that are not already captured in the RHC AIR or the FQHC PPS for CCM services to Medicare beneficiaries having multiple (two or more) chronic conditions that are expected to last at least 12 months (or until the death of the patient), and place the patient at significant risk of death, acute exacerbation/decompensation, or functional decline….
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Blue Advantage® (PPO) – Claim Filing Requirement Update

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Update for 2016: Effective January 1, 2016, CPT code 83037 (Hemoglobin A1c Home Device) will also require a line item with the result using a CPT II procedure code.   For more information about the claim filing requirements, contact your Provider Networks Consultant at 1-866-904-4130.    

MediSYS is now a Member of MGMA of Mississippi

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MediSYS is pleased to announce its membership with the Mississippi chapter of MGMA, Medical Group Management Association. This partnership will help foster a growing relationship with the healthcare community in Mississippi and help us better serve our clients in Mississippi. MediSYS knows what it takes to be a successful practice in today’s healthcare market and our dedication to medical clinics spans over 30 years.  MediSYS is client-focused, providing superior services and support including client-specific on-site…
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BCBS AL Filing Guidelines for Surgical Procedures and MAC

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Effective December 28, 2015: when moderate (conscious) sedation is administered a single surgical procedure code should be billed and modifier 47 should be used to indicate anesthesia by the su8rgeon when moderate (conscious) sedation is required in order to receive payment for both services. For more information please visit: https://www.bcbsal.org/providers/publications/providerFacts/2015-034.pdf

Medicaid enhanced “Bump” rates effective through September 30, 2016

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To qualify, Medicaid-enrolled primary care physicians must accurately self-attest by completing required paperwork as outlined below. Necessary steps for Provider eligibility to receive the Primary Care Enhanced Physician Rates: Visit medicaid.alabama.gov Select Provider Enrollment from the drop-down menu under “Providers” Complete a self-attestation form Attach proof of board certification, if applicable Mail original self-attestation form to the address specified For more information on which providers qualify for the “bump” rate please visit the Medicaid AL…
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PQRS – Informal Review Process for 2016 Negative Payment Adj

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ATTN PQRS REPORTERS: If you DID NOT satisfactorily report PQRS in 2014, then CMS will apply a NEGATIVE payment adjustment to qualifying providers & groups during the calendar year 2016. September 9, 2015 through December 16, 2015 – PQRS Informal Review Process  (NOTE: DEADLINE EXTENDED) Qualifying providers/groups that believe they were incorrectly assessed during the 2014 reporting period for the 2016 negative payment adjustment may submit an informal review now until 11:59 p.m. EST on Dec….
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