RHCs HCPCS Code Billing – New Modifier For dates of service that began on April 1, 2016 until September 30, 2016, CMS required RHCs to report the appropriate HCPCS code for each service line along with revenue code on their Medicare claims. To receive an all-inclusive rate (AIR) payment, RHCs had to report a visit from the CMS Qualifying Visit List. Visits that contained only HCPCS listed in this document in red italics, RHCs were…
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AL Medicaid Enhanced “Bump” Rates Deadline For dates of service on or after October 1, 2016, Alabama Medicaid will resume enhanced payments for the Primary Care Enhanced Rates “Bump” Program. In order to receive this rate retroactive to October 1, 2016, eligible providers must have a self-attestation form on file at HPE by October 31, 2016. If providers do not have a self-attestation on file starting November 1, 2016, then they will receive the enhanced…
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Learn more about potential changes to Chronic Care Management that could increase your revenues and position your clinic to meet portions of the new CMS requirements more effectively and easier than ever before! “Explore CareSync resources now available to help your practice meet the clinical and documentation requirements for the Medicare’s Chronic Care Management.” Benefits to your practice (typically for Family or Internal Medicine clinics with a high Medicare patient volume): Additional revenues (depending on…
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Join us on October 6th for a FREE online MediSYS webinar! “Explore CareSync resources now available to help your practice meet the clinical and documentation requirements for the Medicare’s Chronic Care Management.” Benefits to your practice (typically for Family or Internal Medicine clinics with a high Medicare patient volume): Additional revenues (depending on the Final Rule in November, these revenues could increase in January with new codes for reimbursement on the horizon) Better patient care with…
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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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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
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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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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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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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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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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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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