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Tag: medical billing al

Annual Wellness Visits

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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

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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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End of Medicaid Enhanced “Bump” Rates

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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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MediSYS partners with CLAIM.MD

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July 7, 2016 – MediSYS, a regional leader in Practice Management and Electronic Health Record solutions, has partnered with CLAIM.MD, a leading Internet-based electronic claim processing company serving the medical community to provide MediSYS clients with greater claims processing capabilities. CLAIM.MD products and services are designed with the provider in mind. Meeting collection goals is key to a successful practice. Claim.MD is affordable and powerful — a system of tools to send clean claims the…
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MediSYS offering Bi-Directional Interface with Clearwave Self-Service, Patient Kiosk

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MediSYS offering Bi-Directional Interface with Clearwave Self-Service, Patient Kiosk Birmingham, AL – April 25, 2016, MediSYS for Physicians, Inc. is proud to announce that they have partnered with Clearwave to provide a bi-directional streamlined integration between MediSYS Practice Management software and Clearwave’s self-service, patient kiosk. MediSYS strives to offer the latest technology for medical practice management through interoperability partners who are the leader in their field. With Clearwave, clients are receiving state-of-the-art self-service patient registration…
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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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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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Bill is passed that delays ICD10 implementation until 2015

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*Update* On April 1, 2014, the “Protecting Access to Medicare Act of 2014” bill was signed into law. This legislation delayed ICD-10 implementation which may not occur prior to October 1, 2015 as well as continuing the 0.5% update to Medicare physician payments through Dec. 31, 2014 and providing a 0% freeze to payments Jan. 1-March 31, 2015. ___________________________________________________________ On March 31, 2014, the US Senate passed a bill to delay the planned ICD-10 implementation…
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MediSYS becomes MASA ‘Preferred Partner’

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Via MASA article:  http://www.masalink.org/membercenter.aspx?id=4664 MASA is pleased to announce its Preferred Partnership with MediSYS, an Alabama-based provider of medical practice management software. MediSYS has been serving and partnering with healthcare providers throughout the state of Alabama for more than 28 years. In 2005, MediSYS expanded its applications to include electronic prescribing and electronic health records (EHR). MediSYS recognizes the importance of three key elements for today’s providers as they partner with a vendor for technology…
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Why MediSYS Works Best for Hospital-Owned Practices

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Montgomery, AL, March 27, 2013 – MediSYS for Physicians, Inc., a healthcare information systems company for over 28 years, offers a relationship for today’s hospital practices like none other.  MediSYS, already an active partner with many of the state’s leading hospitals, now offers solutions for post-acquisition physician practice billing strategies that can help hospitals increase their success in the ambulatory practice level of billing and workflow.   MediSYS allows clinics to continue the day-to-day clinical…
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What is the three-day payment rule and does it affect my practice?

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A new modifier (PD) must be added to a claim when a Medicare Part A or Part B patient is admitted to a hospital for a clinically related service within three days of a physician visit.  The admitting diagnosis does NOT have to be the same as the physician service diagnosis. The practice must add the PD modifier for ALL services and will therefore be paid at the lower facility rate. (PD: diagnostic or related…
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4 Reasons You Should Outsource Your Medical Billing

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1. Saves Time and Money: Outsourcing your medical billing will save you time that can be used on your patients. Staff can focus on patient care while expert in the medical billing field can focus on your patient billing. This also saves time and money that would be dedicated to hire, train, and manage your own billing staff.  Outsourcing can often allow for better use of your staff around the office and allow them more…
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