2024 Healthcare Leaders Association of Alabama Summer Conference

2024 Healthcare Leaders Association of Alabama Summer Conference July 29-31, 2024 The Lodge at Gulf State Park, A Hilton Hotel Gulf Shores, AL  

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Tag: Medicaid

AL and MS Medicaid Program Attestation for 2018

Alabama Medicaid – Medicaid has changed the name of the Medicaid EHR Incentive Program to Promoting Interoperability (PI) Program. Alabama Medicaid is now accepting PY 2018 attestations and the deadline to submit your data is March 31, 2019. The link to Alabama’s State Level Registry (SLR) is For more information, please refer to AL Medicaid’s Promoting Interoperability (PI) website:   Mississippi Medicaid – Medicaid has changed the name of the Medicaid EHR Incentive Program…
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Attestation for MIPS 2018

MIPS 2018 Attestation Deadline is fast approaching! The attestation deadline is April 2, 2019. CMS Web Interface users need to report their Quality performance category data by March 22, 2019. Clinicians who reported Quality measures via Medicare Part B claims throughout the 2018 performance year, CMS will receive your quality data from claims processed by your Medicare Administrative Contractor, and claims for services furnished during 2018 must be processed within 60 days after the end…
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MIPS Promoting Interoperability hardship exception now available

MIPS Promoting Interoperability hardship exception now available – Submit today, don’t wait! For 2018 MIPS, eligible clinicians can submit a QPP Hardship Exception Application to have the Promoting Interoperability (PI) performance category (formerly ACI) reweighted to 0 percent citing one of the following reasons: Small practices (15 or fewer clinicians) NEW for 2018 Using decertified EHR technology NEW for 2018 Insufficient Internet connectivity Extreme and uncontrollable circumstances Lack of control over the availability of CEHRT Application…
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MACRA Minute – Request your MIPS Targeted Review Today

Helping you put the MIPS pieces together each week! October 1 is the deadline to request a MIPS Targeted Review – But Don’t Wait! A targeted review is a process where MIPS ECs can request CMS review their 2017 MIPS participation year calculations. If you suspect there are errors or data quality issues with your 2019 payment adjustment then don’t delay! Confirm you have an Enterprise Identity Management (EIDM) account today and log in to…
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Annual Wellness Visits

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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Palmetto GBA Incorrect Claim Rejections- Group NPI and Rendering Provider NPI Do Not Match

Issue Identified 3/19/2018 Palmetto GBA is aware that certain Jurisdiction J Part B claims rejected incorrectly when the billing (group NPI) and rendering provider (individual NPI) combination were submitted correctly. Affected claims incorrectly rejected with: Claim Adjustment Reason Code CO-16 (Claim/service lacks information or has submission/billing error(s) and Remittance Advice Remark Code N290 (Missing/incomplete/invalid rendering provider primary identifier) While Palmetto GBA continues to research the issue, a temporary workaround has been implemented to prevent claims…
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Medicaid Enhanced “Bump” Rates Deadline

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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End of Medicaid Enhanced “Bump” Rates

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: For more information, please contact Beverly Churchwell, Associate Director,…
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Reminder about Upcoming Industry Deadlines

Meaningful Use Hardship Exemption – Deadline is July 1 Medicare eligible professionals who did not successfully meet Meaningful Use in 2014 have until July 1st, 2015 to file a 2016 hardship exemption to avoid the 2016 payment adjustment. The 2016 hardship exemption application and instructions can be found here: In order to file a hardship exemption, eligible professionals must show proof of a circumstance beyond their control and clearly outline how those circumstances greatly impaired their ability to…
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MediSYS EHR Providers Seamlessly Connect To Alabama’s One Health Record

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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EHR Meaningful Use – Start in 2013!

First Year of Meaningful Use Maximum Possible Medicare Incentive 2013 $39,000 2014 $24,000* *$15,000 LOSS in possible incentives if you WAIT till 2014 BOTTOM LINE: START THIS YEAR Waiting till 2014 to begin means you could forfeit $15,000 of potential incentive money. To avoid this, start TODAY in 2013 and attest for 90 days of ‘meaningful use’. Don’t leave this money on the table. NEW: CMS EHR Participation Timeline CMS has posted a new interactive…
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Stage 1 Meaningful Use Changes for 2013

December 13, Montgomery, AL The Centers for Medicare and Medicaid Services (CMS) has modified the current Stage 1 requirements for Meaningful Use effective beginning January 1, 2013. In an effort to keep clinics aware of upcoming changes and the most recent changes, MediSYS for Physicians will be offering intense training classes targeted toward clinics that are participating, will be participating and are considering participation in the Meaningful Use Incentive programs for Medicare and Medicaid in…
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