Medication Reconciliation Post-Discharge

Posted on October 29, 2024

As a reminder, the Medication Reconciliation Post-Discharge measure is displayed for Primary Care Select providers. This measure looks at the percent of members 18 and older with an inpatient admission during the measurement year for whom medications were reconciled from the date of discharge through 30 days after discharge (31 total days) from the first qualified admission during the measurement year by a prescribing practitioner, clinical pharmacist or registered nurse. Patients who used hospice services…
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Industry Updates – in case you missed them!

Posted on October 3, 2024

Blue Cross: Star Score Preview Coming Soon to Provider InsightsDuring the fourth quarter of 2024, Provider Insights will begin displaying a prospective star score for Quality. There will be a preview period through 2025 and become effective for scoring in the first quarter of 2026. This prospective star score will be used to determine the value-based payment for meeting Quality thresholds. This impacts primary care providers, including pediatricians as the shift to star score methodology…
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Blue Cross Gaps in Care Can Be Closed with Patient Recorded Blood Pressure Measurements

Posted on September 19, 2024

Practices can use patient-reported blood pressure measurements to help in closing gaps in care, as well as assist with telehealth encounters. See the tips below as to best practices. If you have questions or would like additional information, you can go to the Patient-Reported Blood Pressure Measurement FAQs and Resources webpage via Blue Cross Provider Access.

Annual Wellness Visits

Posted on May 10, 2018

By Carrie Gulledge RHIA, Director of Electronic Health Records and Jennifer Woodward, Director of Operations with MediSYS As today’s healthcare drive pushes practices even further down the path of pay for performance versus the older models of pay for volume, administrators and executives throughout healthcare are researching and implementing ideas to provide an overall better experience for patients. Medicare’s Annual Wellness Visits have become one way CMS has encouraged better patient care and follow-up….
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Keeping Collections Current

Posted on August 21, 2014

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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MediSYS PM Releases Tools to Reduce Non-Specified Codes

Posted on June 23, 2014

To assist practices with the Blue Cross Blue Shield of Alabama (BCBS) ‘Complete Picture of Health Documentation and Coding Improvement Initiative‘, MediSYS PM M2 has released new tools to help reduce the number of non-specific diagnosis codes. In addition, tools to more easily include co-existing, chronic conditions to consider including on the claim are also available. Major carriers including BCBS are encouraging providers to file up to 12 diagnosis codes using diagnosis codes that are…
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Tag: BCBS