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CMS: 21% decrease in MPFS payments starting April 15th, 2015

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Important Information Regarding the 2015 Medicare Physician Fee Schedule 21% decrease for MPFS payments beginning April 15th for claims starting with DOS April 1, 2015 On April 1, 2015, the Medicare Physician Fee Schedule (MPFS) was updated using the Sustainable Growth Rate (SGR) methodology as required by current law. The SGR methodology required a 21% decrease in all MPFS payments beginning April 1, 2015. CMS held claims paid under the MPFS with dates of service…
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Medicare EHR Attestation Deadline Extended until March 20

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  CMS has extended the EHR Attestation Deadline until 11:59 pm ET on March 20, 2015 for EPs attesting to meaningful use for the Medicare EHR Incentive Program 2014 reporting year. This deadline extension is to allow EPs more time to submit meaningful use data. CMS, as well as MediSYS, urges you to begin your 2014 Medicare meaningful use reporting period attestation as soon as possible. Please Note: This deadline extension only affects the Medicare…
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United Healthcare Lock In Your Doc Program

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In 2015, UnitedHealthCare will launch Lock In Your Doc to encourage members to establish an ongoing relationship with their primary care physician (PCP). If you are a PCP, the program requires you to only provide services to members assigned to you or your medical group/tax ID number (TIN). Starting August 1, 2015, UnitedHealthCare Community Plan may not pay for services rendered by a care provider not assigned to that member. To help you prepare for…
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MediSYS EHR Providers Seamlessly Connect To Alabama’s One Health Record

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Montgomery, AL, November 25, 2014 One Health Record®’s mission is to electronically exchange health information between Alabama’s healthcare providers and as a result, improve the quality and efficiency of the healthcare received by Alabama’s citizens.   To help facilitate this mission, MedConnect has joined forces with One Health Record to allow MediSYS EHR providers to connect seamlessly with Alabama One Health Record.   Bill Mixon, Executive Director, Alabama One Health Record® states, “Congratulations to MedConnect, the…
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CMS Rural Health Changes – HCPCS codes G0101 and Q0091

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Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill Under the All-Inclusive Rate (AIR) System CMS has determined that HCPCS codes G0101 and Q0091 are billable visits when furnished by a RHC or FQHC practitioner to a RHC or FQHC patient. *Effective for dates of service on or after January 1, 2014 CMS has indicated that Provider Action is Needed. CMS will not search for claims…
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Blue Cross 2014 Patient Health Snapshot Deadline

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Blue Cross Blue Shield of Alabama is paying an incentive to eligible providers for referring to the Patient Health Snapshot (PHS) every time a Blue Advantage member comes into their office to identify: • New gaps in care and gaps that may change from open to closed. • New diagnosis on recent claims submitted by another provider. Access to Blue Advantage patient PHS is available when checking eligibility from a patient’s account within MediSYS PM…
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BCBS AL – Refund and Medical Records Payments to Be Made Electronically

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November 2014 Blue Cross and Blue Shield of Alabama will transition refunds and medical records payments from paper checks to electronic funds transfer (EFT) beginning December 1, 2014. This will provide you with less frequent payments in larger lump sums. Please notify your medical records copy service vendor, if applicable. If you are currently not participating in EFT, be sure to submit an Electronic Funds Transfer Authorization Agreement to Blue Cross.   Mailed remittances will…
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Meaningful Use 2014 Stage 1 First-Year Participants Deadlines

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ATTN: Meaningful Use 2014 Stage 1 First-Year Participants YOU may still qualify for MU incentive money after October 1, 2014!! Read below to learn how! If you are a Meaningful Use (MU) Eligible Professional and have not yet participated in MU, the CMS deadlines are as follows: To AVOID PENALTY in 2015 – Last day to Attest to MU is Oct. 1, 2014 using a 90 day reporting period To potentially EARN an Incentive, last…
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2014 PQRS Reporting: Avoid the 2% Penalty

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Eligible professional or group practices must satisfactorily report or satisfactorily participate submitting data on PQRS quality measures in 2014 to avoid the 2% payment adjustment will will be applied in 2016. The payment adjustment applies to covered professional services furnished by an eligible professional or group practice during 2016. Also, an additional 2% penalty will be applied to group practices of 10+ eligible professionals under the value-based payment modifier. This is again based on the…
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October 2014 – BCBS Discontinuing Paper Remittances

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 MediSYS Clients Submit More Electronic Claims to BCBS than any other vendor and clearinghouse. BCBS Discontinuing Paper Remittances Beginning October 1, ALL claims must be submitted electronically. BCBS will no longer accept paper primary, secondary and corrected professional and institutional claims. In addition, BCBS will discontinue mailing paper remittances for Alabama Providers starting October 2, 2014. If you have any questions regarding this new policy please contact BCBS EDI Services at 205-220-6899 or Ask-EDI@bcbsal.org. If…
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CMS Finalizes New Rule for 2014 CEHRT

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On August 29th, CMS released the final rule for providers who are unable to fully implement 2014 Edition CEHRT for an EHR reporting period in 2014 due to delays in 2014 CEHRT availability, to allow them to use the 2011 Edition of certified electronic health record technology (CEHRT) for calendar and fiscal year 2014. Providers may now use EHRs that have been certified under the 2011 Edition, a combination of the 2011 and 2014 Editions,…
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Keeping Collections Current

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Keeping Collections Current   Part 1: Keeping Collections Current Keeping collections current is vital to clinics in today’s medical industry. Managing the cash flow of your clinic can be an overwhelming and daunting task if you don’t have some procedures and office protocols in place to help keep cash flowing, bills paid, salaries met, and the like. Below is the first of several helpful ideas to keep your clinic maintaining a consistent cash flow and…
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