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
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 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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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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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 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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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
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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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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Pass-Through Billing No Longer Permitted for Laboratory Tests Effective September 1, 2015, pass-through billing will no longer be permitted by Blue Cross and Blue Shield of Alabama. Pass-through billing occurs when an ordering provider (i.e., physician or laboratory) requests and bills for laboratory tests, but the tests are not actually performed by the ordering provider. The performing provider should bill for these services directly. This requirement is applicable to all in network providers. Pass-through billing…
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Montgomery, AL – MedConnect, Inc. continues to integrate its newest results interface with leading Alabama healthcare institutions. The interface into MediSYS’ EHR, MedConnect v2.3 has now been adopted by two hospital systems in Birmingham, Alabama: St. Vincent’s Hospital and Brookwood Hospital. Providing transmission of laboratory, radiology and other transcribed documents in real time, the interface to MediSYS’ electronic health record (EHR) product suite streamlines processes. Healthcare workers can now eliminate manual paperwork while achieving faster…
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Important Changes coming to EFT and 835 electronic remittance advices (ERAs) Effective beginning July 24th, 2015, Medicaid will no longer offer immediate ERA 835 access. 835 ERAs will now be released within 3 business days of the release of the EFTs. Example from Medicaid BEGINNING ON JULY 24th, 2015: Check write is on Friday 7/24/15 EFTs released on Monday 8/3/15 835 ERAs available from Monday 8/3/15 – Thursday 8/6/15 For more information please view the…
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