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Keeping Collections Current

August 21st, 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 working within financial guidelines towards success.

# 1 Clinical Financial Polices - ways to keep your clinic financially on track

  • Patients need to be informed and often educated on what they owe and why. As often as your staff can, attempt to explain to patients the cost of their visit and any other items that might be required at the time of service such as co-payments, deductibles, etc.
  • Communicate your practice’s financial policies to patients. Make sure that they understand items such as insurances accepted by the practice, out-of-pocket expenses and how they are expected to be paid by the patient, costs of visits that will be self-pay, etc. Post these in visible locations within the office, on your practice’s website and tell the patients verbally while in the office.
  • Ask patients to sign an acknowledgement that they have read AND understand all financial policies of the practice. Keep this on file for future reference.

Remember: Information, Education, Communication & Documentation! All part of keeping your practice on track financially.

Part 2: Keeping Collections Current, continued…

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.

Our first tip was to maintain a financial policy for your practice. Make sure that patients fully understand the total expected costs associated with the visit. Communicate this policy with patients via your clinic’s website, verbally through helpful staff, and through written forms provided at the time of registration. By doing so, hopefully your practice can keep patient’s better informed, while keeping your collections current.

Below is the second of several helpful ideas to keep your clinic maintaining a consistent cash flow and working within financial guidelines towards success.

#2 Verifying Patient’s Insurances – Important Reasons to Verify Insurance Prior to Visit

  1. Healthcare Reform mandates a three-month grace period on some health plans. During months two and three of the grace period, all network contract guidelines must be followed and the provider assumes the risk of non-payment. Blue Cross now provides grace period alert messages in eligibility & benefits. Visit https://www.bcbsal.org/providers/hcReform/3MonthGracePeriod.pdf for more information.
  2. Some employers have decreased benefits or completely dropped coverage due. Again, by verifying the patient’s true coverage, your clinic can alleviate many visits that may or may not be covered.
  3. Many insurance carriers have increased or changed a patient’s out-of-pocket expense through higher co-pays, deductibles, and co-insurance. Other items that could affect the carrier’s payment of claims is the stipulations that could go along with a visit. These are items such as pre-certifications, referrals and the like. Make sure your staff understands the importance of educating patient’s on their out-of-pocket expenses, while also doing due diligence when required. Prior to treatment, staff should contact the carrier to confirm all the details of the patient’s coverage.
  4. With a recessed economy, patients may move from one job to another which can mean that they are utilizing plans such as COBRA to maintain insurance. Just because a patient presents an insurance card, that does not mean that the insurance is active for the patient. Make sure to verify each patient’s insurance, if possible prior to the visit.

MediSYS Tip: When verifying patient’s eligibility and benefits within MediSYS PM, the patient’s grace period is displayed for applicable plans. Visit https://www.bcbsal.org/providers/hcReform/3MonthGracePeriod.pdf for more information.

REMINDER: Blue Advantage Claim Filing Requirements are required October 1st to avoid rejected claims! Don’t wait…start sending the required information NOW! Visit: https://www.bcbsal.org/providers/pdfs/claimFilingInstructions.pdf.

 

Part 3: Keeping Collections Current, continued…

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.

Our first tip was to maintain a financial policy for your practice. Make sure that patients fully understand the total expected costs associated with the visit. Communicate this policy with patients via your clinic’s website, verbally through helpful staff, and through written forms provided at the time of registration. By doing so, hopefully your practice can keep patient’s better informed, while keeping your collections current.

Our second tip was to always verify patient’s insurances. Making sure that you are aware of guidelines and grace periods from various carriers is vital to collections. Understanding benefits and coverage can help your clinic keep patient’s better informed of services that will be covered and hopefully cut down on visits that will require more out-of-pocket expenses for the patient.

Below is the third of several helpful ideas to keep your clinic maintaining a consistent cash flow and working within financial guidelines towards success.

#3 Collect Patient Responsible Payments at the Time of Service

  1. Always try to collect co-pays and any outstanding balances at the time of service. Many offices collect co-pays during patient registration, as well as any overdue or patient responsible balances. It can also be helpful to have appointment scheduling staff understand what is due from the patient so they can prepare the patient as to what will be expected as payment when they come for their next appointment.
  2. Try to collect patient responsible balances in person. By doing so, you are not only keeping the patient informed of their payment responsibilities, but could also cut down on postage and mailing expenses.
  3. If a patient’s insurance requires a deductible be met, this can be discovered by checking their insurance benefits. By knowing this prior to the services, your office could ask that the patient pay a portion of the deductible in advance, then collect the final amount owed once charges are finalized upon treatment completion.

MediSYS Tip: Stay informed and be better prepared! By understanding the patient’s insurance in advance, your practice can hopefully avoid those noncollectable amounts and keep your patient responsible cash flow coming!

Blue Advantage Deadline to Submit Clinical Data: Blue Advantage member clinical data obtained in August must be submitted to Blue Cross no later than September 17, 2014. Don’t wait…start sending the required information NOW! For more information visit: https://www.bcbsal.org/providers/publications/providerFacts/2014-042.pdf.

BlueCare – New Health Advocacy Program for Members

July 24th, 2014

July 2014

BlueCare is the health advocacy program provided by Blue Cross and Blue Shield of Alabama that allows members to be informed and involved in their healthcare decisions. The program is designed to create a superior member experience, positively impact member health, and deliver predictable costs.
BlueCare Health Advocates provide personalized one-on-one assistance to help Blue Cross members:

  • Locate a doctor or specialist and schedule appointments.
  • Understand their benefits.
  • Resolve hospital and doctor/provider billing issues.
  • Learn about recommended health services and find support groups/community services.
  • Engage in available health and wellness programs.

As of May 1, 2014, Blue Cross successfully transitioned approximately 475,000 members to the BlueCare Health Advocacy
Program. We expect this number to grow to approximately 1.3 million members by January 2015. Many of these members
have learned about this program through our BlueCare informational flier. If you receive a call from a BlueCare Health
Advocate, we would appreciate your assistance in making appointments for our members.

Information obtained from BCBS Provider Facts 2014-033: https://www.bcbsal.org/providers/publications/providerFacts/2014-033.pdf

Update on NCCI Edits from BCBS

July 24th, 2014

Update on NCCI Edits from BCBS
July 2014

ProviderFacts 2014-023 announced that the modifier exclusion for the new NCCI edits that bundle CPT® consult codes
99241–99245 into spirometry CPT codes 94010 and 94060 would be removed effective May 1, 2014, in anticipation
of the CMS changing the edit with the July 1, 2014, NCCI quarterly update. Recently, CMS made a decision to remove
the January 1, 2014, edits that bundle consult codes into spirometry codes. Therefore, please disregard the changes
announced in ProviderFacts 2014-023. The new edits will be loaded into our claims processing system this month with a
retroactive removal date of January 1, 2014. As soon as the updated edits are loaded, denied claims will be reprocessed.

Information obtained from BCBS Provider Facts 2014-032: https://www.bcbsal.org/providers/publications/providerFacts/2014-032.pdf

MediSYS Provides Tools for Blue Advantage® (PPO) – New Claim Filing Requirement

July 23rd, 2014

BCBS of AL will begin implementing Blue Advantage claim filing requirements for chronic conditions to obtain complete and accurate medical data. BCBS will begin rejecting claims without this data October 1st. Please view – https://www.bcbsal.org/providers/publications/providerFacts/2014-035.pdf

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BCBS Blue Advantage – To improve complete and accurate medical data for patients, Blue Cross and Blue Shield of Alabama (BCBS) will be implementing new Blue Advantage claim filing requirements beginning August 1st, 2014.The effective dates of the new claim filing requirements are based upon the claim submission date and not the date of service.  Claims not meeting these claim filling requirements will be rejected.  MediSYS provides tools for providers to use when documenting an encounter that will submit the new required codes.  For those not yet using MediSYS’ electronic health records, submission of the appropriate procedure and diagnosis codes can be processed during charge entry.
Claim Filling Requirements:
• Body Mass Index (BMI) Claim Requirement – Effective August 1, 2014

  • BMI diagnosis code will be required on each claim
  • If BMI is not obtained, use one of the following HCPCS codes: G8421 – Not Documented/No Reason Given or G8422 – Not Documented/Patient Not Eligible for BMI Calculation
  • ASC X12 Health Care Claim Acknowledgement (277HCCA) – Rejection code used if claim does not contain required information

• Blood Pressure (BP) Claim Requirement – Effective August 1, 2014

  • 2 line items will be required: BP systolic procedure code on one line item and the BP diastolic procedure code on the other line item
  • If BP is not taken, use HCPCS code G8478 (Blood pressure measurement not performed or documented, reason not given)
  • ASC X12 Health Care Claim Acknowledgement (277HCCA) – Rejection code used if claim does not contain required information

• Diabetes Hemoglobin A1c (HbA1c) Lab Result Claim Requirement – Effective August 1, 2014

  • Claims submitted using CPT code 83036 (Hemoglobin A1c) must include an additional line item with the result of the Hemoglobin A1c using a CPT II procedure code.
  • ASC X12 Health Care Claim Acknowledgement (277HCCA) – Rejection code used if claim does not contain required information

• Chronic Conditions (Diabetes and COPD*) Claim Requirement – Effective October 1, 2014
Information obtained from the BCBS Provider Facts June 2014. You can view this document here: https://www.bcbsal.org/providers/publications/providerFacts/2014-027.pdf
Also see the claim filing requirements.

MediSYS has tools for providers to comply with these new filing requirements.  For details contact us.

MediSYS PM Releases Tools to Reduce Non-Specified Codes

June 23rd, 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 specific up to the 5th digit.

Blue Cross is now using claims data to gauge patient complexity and health status. Specificity of coding aids in planning and designing programs to manage chronic conditions.

The new approach includes:

  • Filing professional services include:
    • main reason for the episode of care
    • all co-existing, acute or chronic conditions
    • past conditions impacting clinical evaluation and therapeutic treatment
  • Filing up to 12 Diagnosis Codes
  • File diagnosis codes that are specific up to the 5th digit

Interesting statistics published by Blue Cross indicates that less than 2 diagnosis codes are being sent on claims and 44% of diagnoses received on 2012 claims were unspecified.  With the new tools available in MediSYS PM M2, clinics will have color-coded indicators and warnings to assist in submitting more complete and specific diagnoses.

For Primary Care Providers, the Blue Cross Value Based Payment Program includes a PM Software Diagnosis Exercise in which the clinic submits a test patient with 12 diagnosis.  This test is due by June 30, 2014. For instructions see: http://www.medisysinc.com/blue-cross-2014-primary-care-value-based-program-june-30-deadline-pm-exercise/

For information on the new tools available, contact us at support@medisysinc.com.

New Remittance Advice Codes for PQRS Claims-Based Reporting

June 20th, 2014

Below is an email notification from CMS regarding the new claims-based PQRS remittance codes effective July 1, 2014:
Are you a PQRS eligible professional participating in claims-based reporting this year? Effective July 1, 2014, look for the updated Remittance Advice Remark Codes (RARCs) for PQRS claims-based reporting that went into effect on April 1, 2014.

CMS has released a new FAQ with information about the updated codes.

What are the New Codes and What Do They Mean?
Eligible professionals who bill on a $0.00 Quality-Data Code (QDC) line item will receive the N620 code, which replaces the current N365 code. Also, eligible professionals who bill on a $0.01 QDC line item will receive the CO 246 N572 code.
The new RARC code N620 will be your indication that the PQRS codes were received into the CMS National Claims History (NCH) database.
The new RARC N572 with the Claim Adjustment Reason Code 246 (with Group Code CO or PR) indicates that the procedure is not payable unless non-payable reporting codes and appropriate modifiers are submitted.
Remember: The new codes will be effective on July 1, 2014. The old codes will be deactivated on the same date.

For More Information
If you require further information, please contact the QualityNet Help Desk at 1-866-288-8912 or via qnetsupport@hcqis.org. They are available from 7:00 a.m. to 7:00 p.m. CST Monday through Friday. For more information on PQRS, please visit the PQRS webpage.

Blue Cross Value Based Program June 30 Deadline PM Software Diagnosis Code Exercise

June 12th, 2014

Blue Cross 2014 Primary Care Value Based Program

**June 30 Deadline PM Software Diagnosis Code Exercise**

Blue Cross of Alabama’s 2014 Primary Care Value-Based Payment Program is based on three performance categories: Efficiency of Care, Administrative and Effectiveness of Care.  One element of the Administrative category is performing a Practice Management (PM) Software Diagnosis Code Exercise by June 30, 2014 per Tax ID.

This exercise involves:

  • Setting up test patient account(s) in PM as defined by these instructions: https://www.bcbsal.org/providers/VBP/DiagnosisInstructions.pdf and creating an electronic professional claim
  • Entering the maximum number of diagnosis codes allowed by PM system
  • Preparing and transmitting the claim to BCBS
  • View test claim submission on your audit trail
  • To view PM software diagnosis exercise results, log into ProviderAccess

MediSYS PM Software will submit 12 diagnosis, see details at: http://www.medisysinc.com/sign-in/

 

Medicaid – Patient 1st Changes June 1, 2014

June 10th, 2014

Below is a notice of changes made to Patient 1st program effective June 1st.  Providers treating or referring patients enrolled in Patient 1st must fax a Group/Clinic Patient 1st Update Form to Medicaid Provider Enrollment at 334-215-4298.  Claims will deny if providers are not enrolled.

 

Change to use of Group NPI and Non-enrolled Physicians in Patient 1st Program
April 29, 2014
TO:     All Physicians and Enrolled Patient 1st Providers

 

The Alabama Medicaid Agency made changes to the Patient 1st program on June 1, 2014, to more precisely track referrals, and to improve patient care management and provider payment accuracy. These changes will also allow Medicaid to track performance measures of a Primary Medical Provider (PMP) in a more efficient manner.

 

The new changes are:

 

  1. The group NPI number will no longer be recognized for referrals.

This means the referring provider number on the claim must be the NPI of the referring physician, not the NPI of the group. A group NPI number will cause the claim to deny.

  1. Physicians who are not enrolled as a Patient 1st provider will no longer be able to make referrals for or on behalf of an enrolled PMP and can only provide services if the patient was referred to them by a Patient 1st enrolled provider.

 

  1. A self- referral will no longer be required for PMP’s who see patients at different locations.

 

ACTION NEEDED:
Enrollment in the PMP program will ensure payment. Physicians not enrolled with Patient 1st are encouraged to complete the online application as soon as possible.

 

Individual Providers:

The application is available on Medicaid’s website at: www.medicaid.alabama.gov under Providers>Provider Enrollment>Forms for Provider Enrollment>under Administrative Forms >Patient 1st Provider Enrollment. Questions concerning the application process should be directed to the Provider Enrollment Unit at: 1-888-223-3630.

 

Individual Providers in a Group:

Individual providers within a PMP enrolled group may update the Group/Clinic Patient 1st Update Form and fax to Provider Enrollment at 334-215-4298. This form is located on the following link: http://medicaid.alabama.gov/documents/5.0_Resources/5.4_Forms_Library/5.4.4_Medical_Services_Program_Forms/5.4.4.7_Patient1st/5.4.4.7_Group_Clinic_Patient1st_Update_Form_Revised_5-14-14.pdf. This will ensure a smooth enrollment of an individual PMP within a group.

 

For more information regarding these changes, please contact Latonda Cunningham via e-mail at Latonda.cunningham@medicaid.alabama.gov.

Visit http://medicaid.alabama.gov/news_detail.aspx?ID=8724.

Medicaid Correction to CO for EOB Codes (3323, 3324)

June 10th, 2014

***IMPORTANT UPDATE for Medicaid EOB Codes (3323, 3324)***

From November 22, 2013 until May 20th, 2014 the new EOB codes 3323 & 3324 were being electronically submitted by Medicaid to providers in the electronic remittance file as the adjustment code: CO45 in error which automatically adjusted-off the rejected claim. On May 20th, for the June 6, 2014 check write, Medicaid corrected the issue and began sending CO4 (the procedure code is inconsistent with the modifier used or a required modifier is missing) for EOB 3323/3324.

Your ACTION is Needed:  Please correct and refile any affected claims.

Below is the Medicaid Alert regarding: Procedure/Modifier Combination Requirements, dated October 22, 2013.

Also note: Currently Alabama Medicaid does not accept modifier 50.

 

Procedure/Modifier Combination Requirements
October 22, 2013

TO:     All Providers

Effective October 21, 2013, the Alabama Medicaid Agency will begin use of two new Explanation of Benefit (EOB) codes.

 

The new EOB codes will be:

  • EOB 3323 Procedure restriction – Required modifier not present

o   A procedure code was submitted without the required modifier.

  • EOB 3324 Procedure restriction – modifier not allowed

o   A procedure code was submitted with a modifier that is not allowed.

Between October 21, 2013, and November 21, 2013, these codes will be returned as informational messages only.  Effective November 22, 2013, claims will be denied when submitted without the correct procedure and modifier combinations.

 

Visit http://medicaid.alabama.gov/news_detail.aspx?ID=8271 for more information.

Does your clinic file claims to Viva? If so, do you have more rejections for this carrier than others?

May 23rd, 2014

Viva is one the of the top 5 commercial carriers that MediSYS clients file to through Emdeon. The payer claim rejection rate is higher on Viva than any of the others.

WHY is this and how can you get a jump on correct filing with Viva?

Often clients leave off the two digit suffix that is required on the policy number. Each patient that is covered under Viva has this suffix. For a family plan, the suffix could be 00, 01, 02, etc. By confirming that this suffix is correct and included in the policy number, your clinic could decrease your number of claim rejections and speed up payment turnaround. These suffixes can be found on the patient’s insurance card.

What messages to look for on these type rejections?

ACK/RETURNED – Entity’s contract/member number or ACK/RETURNED – Subscriber & policy number/contract number mismatched

Although the first pass accuracy rate for MediSYS clients using Emdeon is 98.75%, the cleaner the claim, the quicker the payment!

Contact support at medisysbham@medisysinc.com or 205-631-0374 if you have any questions.

MediSYS ‘ICD-10 Validated’ by Blue Cross Blue Shield of Alabama

April 14th, 2014

MediSYS is ‘ICD-10 Readiness Validated’ by Blue Cross Blue Shield of Alabama as released in the recent update to their Vendor Functionality Matrix.  With the massive changes that will occur as a result of ICD10, regardless of the deadline delay, MediSYS will stay-the-course to be ready.  Currently, MediSYS is testing or has completed testing with all payers who are in the testing phase for ICD-10.  MediSYS successfully tested with Alabama Medicaid in 2013.  In addition, MediSYS has successfully tested ICD-10 with Blue Cross of Alabama, Emdeon, Navicure, Zirmed and Medicare.  At MediSYS, we know ICD10 readiness is crucial to provider reimbursement and we always put our clients first!

To get ready, we recommended that providers do not delay in preparing for ICD10.  Providers, billing and clinical staff should start studying and looking at their most frequently used current codes and mapping them to ICD-10 starting now.  At a minimum, 6 months prior to October 2015 providers should be dual coding because on the deadline, all ICD9 codes will convert to ICD10.  Payers, Vendors, Clearinghouses, Physicians; anyone in the field of medicine will have to convert all on one day.

For more information contact us or see http://www.medisysinc.com/icd-10readinessvalidated/

 

Bill is passed that delays ICD10 implementation until 2015

April 01st, 2014

*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 which may not occur prior to Oct. 1, 2015. This bill will now proceed to President Barack Obama for final approval or veto before it becomes law.

MediSYS is following these developments and will keep you updated on any new information we hear as soon as possible. Please check back on our website for more updates.

 

Aetna to eliminate paper checks

March 21st, 2014

Aetna to eliminate paper checks

Aetna is moving to electronic funds transfer (EFT) payments and eliminating payments via paper checks. The insurance company recently announced it will require physicians to receive payments and explanation of benefits statements electronically beginning in a few months. Aetna’s plan to go paperless coincides with the federal requirement that health plans must offer EFT payments in a standardized format and utilize new “operating rules” for both EFT and electronic remittance advice (ERA). Those regulations, mandated as part of the Affordable Care Act, went into effect Jan. 1.

Practices that move to EFT and ERA can reduce or eliminate the cost and inconvenience of manually processing paper payments and remittance. In addition, practices typically will receive payments faster and be able to verify payments more quickly using the ERA transaction. Practices looking to take advantage of these and other administrative simplification opportunities should discuss options with their practice management system vendor. MGMA has produced an EFT/ERA Guide to assist practices in this transition to electronic transactions.

www.aetna.com

 

 

Final Day to attest is March 31st!

March 21st, 2014

Remember, the FINAL DAY to attest for the Medicare & Medicaid Meaningful Use Incentives for the year 2013 is Monday, March 31 at 11:00pm CST. CMS strongly encourages you to attest ASAP!
REMINDER: Make sure and check that you received confirmation from CMS that your attestation is successfully COMPLETED before March 31st. If you did not receive confirmation and your attestation status is pending, waiting on information, or otherwise, please make any corrections/additions prior to March 31st.

Thank you,

MediSYS

2014 IS BIG

Attention MediSYS Clients: ICD10 Training Challenge

March 03rd, 2014

Attention MediSYS Clients:

MediSYS ICD-10 Training Challenge- Sign up today! We will be sending a weekly email beginning the week of March 3rd and going through July. See the rules below. Last day to register is Monday March 3rd.

Note: If you already registered for the ICD-10 Challenge at one of the regional session, there is no need to register again.

If you did not attend any of the regional sessions but would like to register for our ICD-10 Challenge, please send an email to Shannon Johnson with your name, email, practice name, specialty, and phone number. This challenge entails converting descriptions to ICD-10 codes and puts you in a drawing for an IPAD.

The rules are:

1) MediSYS will email registrants with the ICD-10 Challenge for 22 weeks.

2) You must participate 20 out of the 22 weeks.

3) You must be at least 90% accurate on the code itself when converting to ICD-10.

4) You can have multiple people in a clinic, however, each person must have their own email.

Thank you for your time and have fun playing!

MediSYS

CMS eHealth Programs Interactive Timeline

February 20th, 2014

CMS has made available a helpful tool to display eHealth Programs dates and timelines.  This interactive tool can be filtered by program category, date, by physician, hospital or both.  The program category filters include EHR Reporting – Meaningful Use, Quality Measurement, Administrative Simplification and Patient Outcomes/Patient Reform.

http://cms.gov/apps/interactive-timeline/

The legend below the graphical timeline by date, associates the milestone with resource links for attestation, specifications, etc.

Note that the NEW Medicare deadline to attest to meaningful use for 2013 reporting period has been changed to March 31, 2014.

Also see MediSYS Calendar for events, deadlines, and more.  Visit http://www.medisysinc.com/industry-events-calendar/  then click on a topic to view important dates.

For more information, contact us.

Media Contact:

Kelly Cannonkcannon@medisysinc.com

CMS Delays Stage 3 Meaningful Use

February 19th, 2014

CMS has delayed Stage 3 Meaningful Use of Electronic Health Records until 2017.  Originally to begin in 2016, Stage 3 requirements are expected to be even tougher.  Stage 3 would begin in 2017 for providers who have satisfied Stage 2 for at least 2 years.  The delay would allow CMS to evaluate Stage 2 while finalizing Stage 3 requirements.

Stage 1 Meaningful Use incentives for certified Electronic Health Records began in 2011 and many providers have qualified for Medicare and Medicaid incentives.  Stage 2 became available in 2014 and has higher thresholds and more complex requirements focusing on patient engagement and information exchange.  Under the new 2014 specification, increased complexities have resulted in a significant drop in the number of certified EHR systems.  Eligible providers must use a 2014 certified EHR to attest to meaningful use in 2014 for Stage 1 and Stage 2.  Regardless of the year the Eligible Provider begins ‘meaningful use’ the provider will be under Stage 1 for two years, then two years under Stage 2 and two years in Stage 3.

MediSYS’ EHR received 2014 Certification by the Drummond Group.  For more information or to schedule a demonstration, contact us.

CMS Announces New EHR Meaningful Use Attestation Deadline

February 11th, 2014

Below is a notification from CMS made February 7th, that extends the Medicare Meaningful Use EHR attestation deadline for 2013 reporting period.


CMS is extending the deadline for eligible professionals to attest to meaningful use for the Medicare EHR Incentive Program 2013 reporting year from 11:59 pm ET on February 28, 2014 to 11:59 pm ET March 31, 2014.

In addition, CMS is offering assistance to eligible hospitals who may have experienced difficulty attesting to submit their attestation retroactively and avoid the 2015 payment adjustment.

This extension will allow more time for providers to submit their meaningful use data and receive an incentive payment for the 2013 program year, as well as avoid the 2015 payment adjustment.

This extension does not impact the deadlines for the Medicaid EHR Incentive Program or any other CMS program, including the electronic submission for the Physician Quality Reporting System EHR Incentive Program Pilot

How to attest?
If you are an eligible professional, you may use the registration and attestation system to submit your attestation for meaningful use for the 2013 reporting year.  You must attest prior by 11:59 pm ET on March 31, 2014 to meet the new 2013 program deadline. 

If you are an eligible hospital, you may contact CMS for assistance submitting your attestation retroactively.  You must contact CMS by 11:59 pm on March 15, 2014 in order to participate for the 2013 program year. 

Resources
If you are an eligible professional working on your attestation for the 2013 reporting period, there are resources available to help you with the registration and attestation process. 

The EHR Information Center is open to assist you with all of your registration and attestation system inquiries. Please call, 1-888-734-6433 (primary number) or 888-734-6563 (TTY number). The EHR Information Center is open Monday through Friday from 7:30 a.m. – 6:30 p.m. (Central Time), except federal holidays.

Tips
In addition, there are some simple steps you can take which will help to make the process easier for you:

  • Ensure that your payment assignment and other relevant information is up to date in the Medicare payment system PECOS
  • Make sure to include a valid email address in your EHR program registration
  • Consider logging on to use the attestation system during non-peak hours such as evenings and weekends
  • Log on to the registration and attestation system now and ensure that your information is up to date and begin entering your 2013 data
  • If you experience attestation problems, call the EHR Incentive Program Help Desk and report the problem
  • If your organization has more than 1,000 providers assigned to a proxy user, use the PECOS system to designate additional proxies to facilitate attestation.

Eligible Hospital Instructions:

  1. Send the following information to EH2013Extension@Provider-Resources.com  no later than 11:59 PM EST on 3/15/2014:
    • CCN
    • Hospital Name
    • Contact Person Name
    • Contact Person Email
    • Contact Person Phone
  2. Type “EH 2013 EXTENSION” in the subject line of the email note
  3. Each Hospital must be identified in a separate email

CMS will contact the person that you designate in your request to provide additional instructions regarding the Eligible Hospital 2013 attestation submission.

RESCHEDULED: Huntsville & Auburn Regional Sessions

February 11th, 2014

Due to the inclement weather and road conditions around Alabama today, we are rescheduling the Auburn and Huntsville Regional Sessions that were previously scheduled for tomorrow 2/12/14.

*If you are already registered for one of these sessions there is no need to re-register. If you are registered and unable to attend the new dates listed below, please notify us by calling support.

 

Auburn – Hilton Garden Inn – NEW date: Tuesday,
February 25th

Huntsville – Huntsville Botanical Gardens - NEW date: TBD (As the Huntsville Botanical Gardens are closed today, we will notify everyone later this week with the new date for this session.)

 

If you have any questions, please contact support or email support@medisysinc.com.

 

Thank you,

 

MediSYS

 

 

2014 Is Big, Let MediSYS Guide You Through

February 07th, 2014

2014 is a BIG Year, Let MediSYS Guide You Through

The year 2014 comes with high stakes and BIG changes for healthcare providers.  The list of penalties and new requirements is bigger than ever, and without guidance from your EHR vendor, your clinic could wind up in the dark.  Not only is 2014 the last year for Medicare providers to begin participation in Meaningful Use to potentially earn an incentive and avoid the penalty.

Being prepared for these deadlines and requirements is essential. Your clinic should be taking action now.  MediSYS EHR continues to offer their clients a ‘white glove’ approach to Meaningful Use.  By providing free training classes in central areas, MediSYS walks clinics through each of the measures and menu measures.  Our clients appreciate the attention they are given free of charge as the entire process can be confusing and time-consuming at best.

With Stage 2 2014, the stakes are much higher requiring eligible professionals to complete 17 core measures and 3 menu measures.  Of which, much of the primary focus is now patient engagement and the exchange of information.

One ‘exchange’ measure in Stage 2 is the capability to submit electronic data to immunization registries.  In 2011, MediSYS EHR released the Alabama State Immunization Information Systems (AL-IIS) Interface at no additional charge to clients.   The interface enables clinics to submit recorded immunizations to the Alabama Department of Public Health (ADPH) real-time upon completion. Clinics can also retrieve immunizations on file with AL-IIS which are displayed in the patient’s chart. This bi-directional interface provides real-time access to ADPH from within MediSYS EHR and satisfies Stage 2 Core Measure 16.  This is just one example of MediSYS EHR’s ability to interoperate for their clients to obtain Meaningful Use.  With multiple hospital, lab and lab information system (LIS) interfaces across the state, MediSYS clients have access to real-time patient data that affects the overall patient care plan.

Join thousands of providers across the state who enjoy superior support from MediSYS EHR.  The ‘white glove’ approach to EHR training, support and after-the-sale follow-up makes all the difference in your clinic’s success for 2014.

MediSYS is a proven leader in Alabama that offers healthcare billing and EHR services.  MediSYS’ EHR, – MedConnect v2.2 2014 Edition has received Complete Certification for Meaningful Use Stage 2 by the Drummond Group.

Visit www.medisysinc.com for more information or contact us at sales@medisysinc.com.

Extended Meaningful Use Stage 2 and Stage 3 Timeline

December 18th, 2013

On December 6th, 2013, CMS proposed a new meaningful use timeline for the Medicare and Medicaid EHR Incentive Programs. Under this new timeline, Stage 2 MU will be extended through 2016 with Stage 3 beginning in 2017. Providers are still required to complete at least 2 years in Stage 2 before advancing to Stage 3.

“The goal of this change is two-fold:” according to CMS, “first, to allow CMS and ONC to focus efforts on the successful implementation of the enhanced patient engagement, interoperability and health information exchange requirements in Stage 2; and second, to utilize data from Stage 2 participation to inform policy decisions for Stage 3.”

What does the new timeline mean for Providers?
If eligible providers have completed 2 years of Stage 2 MU by 2016, then they would begin Stage 3 MU in 2017.

Click Here to see the complete announcement from CMS.

 
Media Contact:
Kelly Cannon                                                        
kcannon@medisysinc.com                                
205.631.5969

Are you Eligible to Participate in PQRS?

October 30th, 2013

The CMS Physician Quality Reporting System (PQRS) is a program in which eligible professionals (EPs) report data on quality measures for covered Physician Fee Schedule (PFS) services provided to Medicare Part B Patients. EPs are encouraged to satisfactorily report data on quality measures for covered professional services through incentive payments (concluding in 2014) and payment adjustments for not satisfactorily reporting data on quality measures (starting in 2015).

EPs will be subject to a payment adjustment in 2015 if they do not satisfactorily report data on quality measures in 2013.

 

Are you an eligible professional?

PQRS Eligible Professionals provide services which are paid under or are based on the Medicare Physician Fee Schedule (PFS); those services are eligible for PQRS incentive payments for satisfactory 2013 participation.

Are you an eligible professional, but NOT able to participate?

Some professionals may be eligible to participate per their specialty, but due to billing method may not be able to participate if any of the following circumstances apply:

  • Professionals who provide Part B services, but bill Medicare at a facility or institutional (Part A) level.
  • Professionals who do not bill Medicare at an individual National Provider Identifier (NPI) level, where the rendering provider’s individual NPI is entered on CMS-1500 type paper or electronic claims billing, associated with specific line-item services.
  • Professionals who reassign benefits to a Critical Access Hospital (CAH) that bills outpatient services at a facility level, such as CAH Method II billing, cannot participate, since the CAH does not include the individual provider NPI on their Institutional (FI) claims.

 

For Eligible Professionals Able to Participate: How to Get Started!

Visit ‘How to Get Started’ on the CMS website for instructions on how to participate or visit the MediSYS website at http://www.medisysinc.com/electronic-health-records1/pqrs/.

 

Media Contact:
Kelly Cannon                                                        
kcannon@medisysinc.com                                
205.631.5969

Attention BCBS Primary Care Providers October 31 Deadline

October 30th, 2013

Attention BCBS Primary Care Providers (Geriatrics, Family Practice, Internal Medicine, General Practice and Pediatric Medicine):

Reminder: BCBS ICD-10 Readiness Survey Deadline Oct. 31, 2013 http://www.bcbsal.com/ICD10Survey
Completing this ICD-10 Survey earns 10 Points in the Administrative Category for the BCBS 2014 Primary Care Value-Based Payment Program.

 

For your convenience, below is the ICD-10 status for MediSYS as of October, 2013:

“Blue Cross Blue Shield of Alabama will open testing March 2014 and MediSYS will test at that time.

Programming and testing for ICD-10 claims to Medicaid is complete. MediSYS tested with current patients and claims, also adding claims with invalid sex, service dates and other items. The audit trail did return the correct response for each claim. Although the 835 (remittance) cannot be tested at this time, MediSYS is ready for ICD-10 with Medicaid.

MediSYS will have town hall meetings starting in early 2014. These meetings will contain overviews of ICD-10 and MediSYS. Later in the spring, MediSYS intends on holding specific workshops for ICD-10. In these meetings we will look at the top 50 diagnosis of each clinic and convert them to ICD-10′s. MediSYS will also discuss route sheets, EHR and other items. MediSYS is committed to helping all clients get ready for ICD-10 well before the October 2014 deadline.”

Ray Little
MediSYS for Physicians, Inc.

 

Thank you,

MediSYS

 

Follow MediSYS for Physicians on:

www.medisysinc.com

Countdown to PQRS Penalty Deadline (December 31, 2013)

September 11th, 2013

Until the PQRS Penalty Deadline (December 31, 2013)

 

To avoid the 1.5% PQRS Penalty (which will be levied in 2015), all Medicare providers (regardless of participation in other CMS incentive programs or even if you do not have an EHR) must satisfy one of the follow criteria before December 31st, 2013.

  • Successfully report for the 2013 PQRS Incentive criteria

(OR)

  • Submit at least 1 valid PQRS measure via claims, participating registry, or participating/qualified Electronic Health Record

For more information on the 1.5% PQRS Penalty please visit http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/PQRS/Downloads/2013_PQRS-2015_PaymentAdjustmentTipSheet060313.pdf.

MediSYS Announces the Release of MediSYS EHR v2

August 30th, 2013

Press Release:  MediSYS Announces the Release of MediSYS EHR v2

 

MediSYS is excited to release its new version 2 of MediSYS EHR.  This version encompasses all of the latest web technology for electronic health records including cloud-based computing. This enables MediSYS provider’s complete EHR access, anytime, anywhere.  The ability to access full patient information allows physicians the flexibility they need, with the security that is essential in today’s medical environment.

 

MediSYS v2 is certified for Meaningful Use and Surescripts.  As a MASA preferred partner, MediSYS is a proven leader in Alabama and the southeast.  With interoperability playing a major role in Meaningful Use requirements, MediSYS leads the way as a local leader in connectivity.  With 22 hospitals and 14+ lab connections, MediSYS offers more interoperable solutions for today’s providers.

 

Version 2 is fully functional with various devices and operating system platforms.  Users now have secure, complete access from more mobile devices, iPad, Microsoft Surface, and a host of other products.  This access will give providers information to improve patient care from anywhere using the device of their choice.

 

Providers need flexible documentation options with fast on-the-fly customizations. With easy-to-use configuration by provider, MediSYS v2 tools to mimic each provider’s workflow.  One-click options for PSFH/ROS/Exam, Dashboards, Clinical Decision Support (CDS), Krames Patient Education and Patient Packet tools, detailed draw-on images, real-time immunization access through ADPH/IMMPRINTS, and MediSYS Patient Portal are just a few of the great features available to practices.

 

With greater connectivity, low up-front costs, and proven support, our providers benefit from a true partnership with MediSYS.  Our cost-effective MediSYS EHR comes with not only the latest in technology, but also with a proven record of successful implementations.  Our highly qualified staff works diligently to make your EHR a success.  Through expert on-site implementation and tailored on-site training, our staff makes your clinic’s transition its priority.  With superior local support, your clinic can be assured that we are available to help when you need us.  Our expertise in the area of Meaningful Use has aided MediSYS providers, in Alabama alone, in collecting $4 Million+ in incentive money.

 

www.medisysinc.com

 

Additional information on July 1 DME face-to-face requirement from CMS

June 16th, 2013

MediSys spine

Beginning July 1, 2013 providers must have a face-to-face encounter with the beneficiary at least 6 months prior to orders for certain items of durable medical equipment (DME) for Medicare patients. This requirement is included in the Affordable Care Act and finalized as part of the 2013 Medicare physician fee schedule.

CMS released an MLN Matters article to provide detailed information about this requirement and a transmittal, which adds this change and instructions to the Medicare Program Integrity Manual.

For more information please visit the CMS website: http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html?redirect=/physicianfeesched/

 

MediSYS becomes MASA ‘Preferred Partner’

May 10th, 2013

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 services: (1) dependable support and service (2) usable, certified products and (3) affordable, cost effective solutions. With MediSYS, you get all three of these elements along with much more.

With MediSYS, clinics can be assured that they are not only purchasing flexible and affordable solutions, but above all they are partnering with the leader in Alabama for interoperability and support.  The MediSYS staff combined has hundreds of years of experience in healthcare.  They strive to keep clients educated and informed of industry and technology updates.

Offering dependable, local service with the ability to quickly meet and exceed industry changes has been a driving factor for MediSYS’ ongoing presence in the Alabama healthcare market.   Drummond Certified MediSYS EHR leads the state with its ever growing interoperability partnerships. That expansion further solidifies the company’s commitment, not only to their clients, but also to the ever-evolving tools needed for quality healthcare.  With external lab interoperability, lab results are routed to the physician’s inbox for review and action. Providers have expressed the value of the interoperability partnerships offered through MediSYS EHR and what they really mean to their practices – more time with patients, real-time information, and cost savings for the healthcare community as a whole.  MediSYS provides electronic connectivity for providers to many local hospitals, national and local external lab reference companies, Lab Information Systems, Alabama Department of Public Health (Immunizations), SureScripts and more.  MediSYS also offers proven success assisting hospitals with solutions for post-acquisition physician practice billing in the ambulatory practice level of billing and workflow.

MediSYS knows what it takes to be a successful practice in today’s market and their dedication to almost 700 medical clinics and thousands of providers utilizing MediSYS is demonstrated with ongoing training classes, online resources and day-to-day superior support.  A partnership with MediSYS means success for your clinic.

To learn more about MediSYS and how its products could benefit your practice, call (334) 277-6201 or e-mail sales@medisysinc.com to schedule a complete demonstration. Mention you are a MASA member and receive a $500 discount on your total price upon purchase.

 

 

2013 eRX Reminders

May 07th, 2013

2013 eRX Reminders – Be prepared!

June 30th is fast approaching! Eprescribe 10 G8553 codes on any paid Medicare claims by June 30th, 2013 to avoid the 2% eRX payment adjustment that will be levied next year. Don’t wait till the end of June, get your G8553 codes in now!

June 30th is also the LAST day to apply for 2014 eRX Hardship Exemption! Again, don’t wait till the end of June! Exemptions DO NOT carry over from year to year, you will need to apply each year for a hardship exemption for the next program year.

  • If you reported the G8553 code at least 25 times in 2012 (received the 2012 incentive) then you are automatically exempt from the 2014 eRX payment adjustment.
  • If you were a successful Meaningful Use in 2012 (either 90 days or first year) then you are automatically exempt from the 2014 eRX payment adjustment.
  • If you start Meaningful Use in 2013 and successfully finish your 90 days before June 30th, then you are automatically exempt from the 2014 eRX payment adjustment.
  • If you registered (for Meaningful Use) before 1/1/13 and you have NOT completed 90 days by June 30th then you are NOT exempt from the eRX Payment Adjustment. If you registered before 1/1/13, there are 2 ways to avoid the eRX payment adjust:
    • Eprescribe 10 G8553 codes on any paid Medicare claims by June 30th, 2013
    • Begin Meaningful Use in 2013 and complete your 90 days before June 30th, 2013

There is still time to submit 25 G8553 codes on paid applicable Medicare claims before December 31st, 2013 to possibly qualify for eRX incentive and/or offset the eRX penalty. Reminder: You cannot earn an eRX Incentive in the same year in which you earn a Medicare Meaningful Use Incentive.

Rule of thumb:  It’s best to submit G8553 on all Medicare visits that involve eprescribing. Better to be safe than sorry!

Please visit the CMS website for more information.

View the “CMS eRX Program: Updates for 2013″ or “2013 eRx Incentive Program: 2014 Payment Adjustment”

 

MediSYS Offers the Best Solutions for Urgent Care Clinics

April 18th, 2013

Montgomery, AL, April 18, 2013 – MediSYS for Physicians, Inc., a leader in practice management and electronic health records in Alabama, offers affordable technology solutions for today’s growing Urgent Care clinics.  With thousands of providers utilizing MediSYS’, their software suite of products has been tried and tested in almost every situation known in today’s ever-changing medical market.  Urgent care clinics need solutions that provide fast, effective and worry-free options that allow their providers to see patients quickly and efficiently while maintaining the demands of today’s healthcare industry.  With MediSYS, all needs can be met while still paying a fraction of the cost.

 

MediSYS understands the need for an intuitive system that will enable today’s urgent care clinics to have a quick, yet precise check-in process as most are walk-in clinics.  With the MediSYS Kiosk, patients can review their current patient information or add their information for the first time.  This enables the front desk staff to have additional time to verify each patient’s eligibility electronically at the time of service.   Real-time eligibility with Alabama’s major carriers such as Blue Cross, Medicare, Medicaid, and participating commercial carriers is available with just a few clicks.  By checking eligibility at time of service, clinics can avoid errors by verifying with the patient any changes or problems with their insurance.  Also, eligibility will enable the provider and staff to understand the patient’s coverage for services rendered, as well as to collect the patient co-pay at the time of service.  By understanding potential billing issues before the claim is filed, urgent care clinics will have a higher collection rate while reducing costs.

 

Also, for offices that opt to do a more standard patient check-in, our driver’s license swipe feature will automatically input the patient demographics from their ID.  Speedy check-in allows the provider to see more patients and minimize wait time – hence the title “urgent care”.  Many times patients come in for minor emergencies and speed is a necessity.  The MediSYS system is designed specifically for speed and accuracy.

 

With cloud based MediSYS EHR, clinics can see patients quickly while providing the comprehensive details that are often needed by urgent care facilities.  With a fast patient triage for nurses and staff, the vitals portion of MediSYS EHR is complete and concise, providing the physician a full overview of why the patient is there.  Also, one-click exams are a very easy way to enable urgent care providers the flexibility of multiple exam scenarios with just a few easy keystrokes.  MediSYS EHR implementation and training specialists understand the importance of speed while in the exam room and work with each provider to set up the appropriate exam trees and templates.  This enables providers to focus on the patient and their problems, but still provide comprehensive documentation of the visit.

 

Many times, patients may also need to be referred to an outside source for follow up to their visit.  With MediSYS Practice Management and EHR, patients can be referred easily to specialists.  Documentation of the referral can be noted, as well as followed up on if the urgent care staff chooses to do so.

 

Many urgent care facilities utilize locum tenums and MediSYS EHR offers a variety of flexible configurations and pricing to accommodate these needs.  With a variety of training options – onsite, remote, or at our location, MediSYS trainers have the flexibility to quickly train incoming providers with personal attention to their needs and setup.  With less time wasted on difficult transitions, providers are ready in rapid time to see patients and increase revenues.

 

MediSYS EHR offers anytime, anywhere access to medical records.  Understanding that today’s providers need to access patient data at all times, MediSYS provides safe, secure access at a fraction of the cost of other products while utilizing state-of-the-art technology.  Accessibility is a must in today’s growing urgent care market.

 

With MediSYS products, clinics can be assured that they are not only purchasing flexible and affordable solutions, but above all they are partnering with the leader in Alabama for interoperability and support.  The MediSYS staff combined has hundreds of years of experience in healthcare and strive to keep clients educated and informed of industry changes and updates.  Their goal is to provide quality support and services to clients at a fraction of the cost.  Being an Alabama-based company of 28+ years, MediSYS knows what it takes to be a successful practice in today’s market.  MediSYS’ dedication to their almost 700 medical clients is demonstrated with ongoing training classes, online resources and day-to-day support.  A partnership with MediSYS means success for your urgent care clinic.

 

MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

 

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

NEW Interactive Cahaba GBA Claims Issue Log

April 17th, 2013

Cahaba GBA has recently changed their website and replaced the previous PDF format of the Claims Issue Log with a new interactive log that allows users the ability to expand, close, or print existing claims submission issues. This tool offers users the most current status of issues that are affecting claims submissions.

To view this new interactive log go to:

More information from Cahaba GBA updates for April 15,2013:

Cahaba GBA Claims Submission Log Image

Chatom Primary Care: Where Patient’s are #1

April 15th, 2013

Newspaper pic 2013

Chatom Primary Care has chosen MediSYS EHR web-based platform in order to more efficiently provide services and care for its patients.  By using MediSYS EHR, CPC now has access to a greater level of interoperability between its providers and outlying patient resources.  MediSYS EHR interoperability with labs, hospitals, ePrescribe, and in-house diagnostics is continually expanding which provides CPC significant abilities that carry over to the actual patient as better patient care.  CPC providers now have quicker access to more patient information.

The physicians of CPC find the ability to receive real-time information, like lab results, to be an invaluable tool in patient care.  Further streamlining patient care is the ability to receive various hospital documents for patients as well.

CPC is also now offering the MediSYS Patient Portal to continue to improve its patients’ satisfaction and enhance practice efficiency.  This optional service with MediSYS EHR offers a secure gateway for patients to conveniently access certain information and communicate with clinics.

With Patient Portal, CPC patients now have self-service options like: viewing their medications list and history, submitting refill requests to physicians, viewing refill statuses which can be approved or denied by the physician, submitting messages to physicians and staff, viewing messages from the physician or staff, viewing lab results with comments that are forwarded by the physician, requesting a new appointment and viewing existing appointments.  All of these make it easier than ever to communicate with patients for CPC providers.

MediSYS EHR is just one of the programs offered by the Alabama-based company, MediSYS for Physicians, Inc.  MediSYS has provided Alabama clinics like CPC it products and services for 28+ years.  A locally-owned company with state-of-the-art technology in the areas of clinical practice management and electronic health records, MediSYS leads Alabama with its superior support and individualized training processes for today’s medical practices.

See the full article in the March 29, 2013 – Washington County News.

Why MediSYS Works Best for Hospital-Owned Practices

March 28th, 2013

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 functionality that varies greatly from the standard systems utilized by hospitals for billing. Our ambulatory practice management software leads the way in direct connectivity to major insurance vendors throughout the state such as Blue Cross, Medicare and Medicaid.  This creates a faster turn-around on payments and claim audits enabling the practice to be more profitable. This in turn helps create a cost-effective solution for the hospital as owner and manager.  To manage all of the daily, monthly and ad-hoc reporting, MediSYS has created a full source reporting module as part of its standard package with no additional hourly or monthly charges for their clients.  Our reports also offer the flexibility of Exceltm Pivot Tables for further data manipulation and reporting.  With MediSYS, hospitals and providers can easily track and review necessary information, such as RVUs from an operational stand point.

 

With software in 600+ practices throughout Alabama, Mississippi and Georgia, MediSYS has developed a speedy front office check-in that helps providers continue their pace of business without typical bottlenecks caused when using billing systems normally designed for use in an in-patient setting. Checking eligibility is a must in today’s industry and MediSYS providers can do this quickly and efficiently before and after the time of service enabling providers to keep collection rates higher.  With many hospital-owned providers paid for their productivity, speed and efficiency rank high among their selection processes for software.  With MediSYS, providers and hospitals can be assured that the software is designed for speed, accuracy and efficiency on all levels.

 

MediSYS also provides superior support and implementation processes.  Knowing that many hospitals will have their own procedures for management, billing and IT in place, MediSYS tailors its implementation for each organization.  As stated by one of the state’s leading Meaningful Use consulting agencies, “MediSYS goes above and beyond to educate their providers.  They provide support like no other vendor.”  With ongoing free classes related to today’s penalties and incentives, MediSYS providers have collected over 4.1 million dollars in Alabama alone.  MediSYS can do as much or as little as needed, but always stands ready to work with hospitals and providers to provide the best solutions for today’s clinics at a fraction of the cost.

 

Another area related to hospital success is integration for interoperability.  MediSYS has led the way through integration with fourteen plus major lab reference companies and systems, as well as with twenty-two plus hospitals throughout the state. MediSYS was also one of the first vendors to incorporate integration to the Alabama Department of Public Health’s ‘Immprint’ system through MediSYS EHR.  If a hospital decides to only utilize the MediSYS billing portion, MediSYS M2 also offers integration with hundreds of other outlying vendors.

MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

 

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

EHR Meaningful Use – Start in 2013!

March 18th, 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 resource that allows EPs to determine the years in which Stage 1, Stage 2, and Stage 3 of meaningful use will meet based on the first year of participation.
My EHR Participation Timeline
To begin, choose either the Medicare or Medicaid EHR Incentive Programs. Then select your first year of participation in the program you choose.
Other information available on the timeline:

  • Length of time required in each stage to demonstrate meaningful use
  • Maximum incentive payment potentially receive each year
  • Total incentive payment over course of the program based on first year of participation

MEDICARE EHR INCENTIVE PROGRAM RECAP

  • Eligible professionals (EPs) who demonstrate meaningful use can earn up to $39,000 if the eligible professional qualifies to receive first payment in 2013.
  • Medicare EPs must successfully demonstrate ‘meaningful use’ all years of participation.
  • The reporting period for the first year is any continuous 90 days during the calendar year. All subsequent years, the reporting period is the entire calendar year.
  • EPs who do not successfully demonstrate meaningful use prior to 2015 will incur a payment adjustment starting at 1% levied in 2015 and increasing each year that meaningful use is not successfully demonstrated. The cap on the payment adjustment is 5%.

MEDICAID EHR INCENTIVE PROGRAM RECAP

  • The Medicaid EHR Incentive Program will continue to pay incentives through 2021.
  • EPs can participate for 6 non-consecutive years.
  • EPs can potentially gain higher incentive payments under the Medicaid EHR Program – up to $63,750 over 6 years.
  • Medicaid EPs can adopt, implement, or upgrade to a certified EHR in their first participation year to receive the incentive. All subsequent years, EPs will need to successfully demonstrate meaningful use.
  • EPs will not be subject to a payment adjustment under the Medicaid program. However, if EPs also see Medicare patients then a payment adjustment to Medicare reimbursements starting in 2015 will be incurred if meaningful use is not successfully demonstrated prior to 2015.

 

If you have not purchased an EHR don’t wait any longer! As the deadline dates of participation draw near, our implementation calendars are filling up with clinics not wanting to leave this $15,000 on the table! Call today to schedule your demonstration and to learn how your clinic can join many other MediSYS clients who combined have collected over $4 million in incentive money!

 

Thank you,

MediSYS

MediSYS logo NEW

A Walker County clinic using MediSYS has collected $126,000 in Medicare EHR Incentives!

March 11th, 2013

March 11th, 2013

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected over 4 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 28 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
 

CMS now accepting hardship exemption requests for 2014 eRX penalty

March 07th, 2013

Web portal now OPEN to accept hardship exemption requests for 2014 e-prescribing penalty

The Quality Reporting Communications Support Page is now open to accept hardship exemption requests to avoid the 2014 2% eRx penalty. This page will be accessible through June 30, 3013 in order for providers to submit hardship exemption requests. If you submitted a hardship exemption request last year, you must also do so again this year as they must be submitted annually.

To learn more about the ePrescribing Incentive Program and how you can avoid upcoming penalties please visit our website at 2013 eRX Incentive Program.

For more information please visit CMS eRx Payment Adjustment Information. To view the current document on the 2013 eRX Incentive Program and the 2014 Payment Adjustment click on the document titled “2013 eRx Incentive Program: 2014 Payment Adjustment” in the “Downloads” section of the CMS webpage.

 

MediSYS logo NEW

May 1, 2013 – Phase 2 Ordering/Referring Edits Deadline

March 07th, 2013

CMS Ordering/Referring Phase 2 Denial Edits Effective May 1, 2013

Beginning May 1, 2013, the Centers for Medicare & Medicaid Services (CMS) will begin denying claims that do not contain a valid National Provider identified (NPI). This denial edit will affect:

  • Medicare Part B claims including Durable Medical Equipment, Orthotics, and Supplies (DMEPOS) that have an ordering or referring physician/non-physician provider; and
  • Part A Home Health Agency (HHA) claims that require an attending physician provider.

Currently in Phase 1, for claims that fail to meet the requirements, CMS is issuing a warning. However in Phase 2 these claims will be denied beginning May 1, 2013.

On your remittance advice, look for the following indicators:

  • N264: Missing/incomplete/invalid ordering physician provider name
  • N265: Missing/incomplete/invalid ordering physician primary identifier

For a list of all Medicare physicians/non physician practitioners who are eligible to order and refer and who have current enrollment records in Medicare (PECOS), visit the CMS Ordering & Referring Information webpage.

 

MediSYS logo NEW

 

January MediSYS Regional Sessions – Register Now!

December 31st, 2012

Join MediSYS in January 2013 for Regional Sessions where you will learn about upcoming Mandatory 2013 CMS Changes for Meaningful Use, ePrescribe, PQRS and more!  Also review Meaningful Use, learn about upcoming deadlines, and how to avoid any penalties. We will have an ALREC and Medicaid Representative to join us and offer valuable information and have an additional Q & A session.

Register NOW by viewing the Monthly Calendar or selecting the date/time below that you wish to attend:

Birmingham – January 22nd 8:30 – 11:30 (AM), The Embassy Suites – Hoover, AL

Birmingham – January 22nd 1:00 – 4:00 (PM), The Embassy Suites – Hoover, AL

Montgomery – January 23rd 8:30 – 11:30 (AM), The Arrowhead Country Club – Montgomery, AL

Montgomery – January 23rd 1:00 – 4:00 (PM), The Arrowhead Country Club – Montgomery, AL

Huntsville – January 24th 8:30 – 11:30 (AM), Four Points Sheraton (Airport), Huntsville, AL

Huntsville – January 24th 1:00 – 4:00 (PM), Four Points Sheraton (Airport), Huntsville, AL 

 Mobile - January 29th 8:30 – 11:30 (AM), Hampton Inn and Suites, 1028 West I 65 Service Road South

Mobile - January 29th 1:00 – 4:00 (PM), Hampton Inn and Suites, 1028 West I 65 Service Road South

Fairhope - January 30th 8:30 – 11:30 (AM), Holiday Inn Express, Greeno Road

NEW eRX Payment Adjustment Hardship Exemptions

December 19th, 2012

December 18, 2012 – On November 1, CMS issued an important update on 2013 Electronic Prescribing Payment Adjustment Hardship Exemptions pertaining to the EHR Medicare and Medicaid Incentive Program in the 2013 Medicare Physician Fee Schedule Rule.

The hardship categories are as follows:

  1.  Eligible professionals who achieve meaningful use during certain eRX time frames.  For the 2013 eRX payment adjustment, this will include any eligible professional who achieved meaningful use during January 1, 2011 through June 30, 2012 and has attested by January 31, 2013.
  2. Eligible professionals who demonstrate intent to participate in the EHR Incentive Program and adoption of Certified EHR Technology by registering for the EHR Incentive Program by January 31, 2013.  Please note:  EHR Incentive Program participants must provide their entire EHR Certification Number in the CMS EHR Certification ID field during registration to receive this hardship.

Eligible Professionals do not need to apply for these 2 hardship exemptions; they only need to register or attest for the EHR Incentive Program by January 31, 2013.  If an eligible professional previously registered for the EHR Incentive Program but did not include the EHR certification number for their EHR product at that time, and has not yet achieved meaningful use, they need to go back and add that piece of information to their registration before January 31, 2013.

Eligible Professionals subject to the 2013 payment adjustment who qualify for one of the hardships related to Meaningful Use will not show a hardship approval on the  payment adjustment file (PAF) right away. The affected TIN/NPI may receive a 1.5% eRx payment adjustment for dates-of -service in 2013 until CMS has those hardship approvals officially reflected on the 2013 eRx PAF.  Once the 2013 payment adjustments are stopped for the affected TIN/NPI, the previously adjusted claims will be reprocessed by the Medicare Part B Contractor’s.  There may be a lag time for this process to occur.

Register and attest for the EHR Incentive Program at the following link: https://ehrincentives.cms.gov/hitech/login.action

For questions relating to participation in the Medicare and Medicaid EHR Incentive Program, please contact EHR Incentive Program Information Center at 888-734-6433 (TTY 888-734-6563).

For further details or questions regarding these new hardship exemptions, please visit http://www.cms.gov/Outreach-and-Education/Outreach/FFSProvPartProg/Downloads/2012-11-08-Enews.pdf or contact the EHR Incentive Program Information Center at 888-734-6433.

MediSYS for Physicians understands the importance of keeping clients informed in all areas of Meaningful Use.  CMS is constantly updating and revising pertinent information on their website so please refer to http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/ERxIncentive/20_Payment_Adjustment_Information.html frequently to review new information, as well as if you have questions through the FAQ section at https://questions.cms.gov/faq.php.

 

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

 

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

Stage 1 Meaningful Use Changes for 2013

December 14th, 2012

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 the future. Staying informed about the latest changes allows clinics the opportunity to successfully qualify for incentive funds available. Several of the changes offer an alternative measure, while others provide exclusions for providers or are measures that have been removed from the criteria completely.

Listed below is a brief summary of the changes for 2013:

Core Measure 1 CPOE (Computerized Provider Order Entry) – Now has an alternative measure. The current denominator is based on unique patients. The added optional alternative denominator will be based on the total number of medication orders during the reporting period.

Core Measure 4 eRx – Now has an exclusion. The exclusion will include an EP (Eligible Professional) that is not within a 10 mile radius of a pharmacy that accepts electronic prescriptions at the start of the reporting period.

Core Measure 8 Vital Signs – Now has an amendment for age limitations and an addition for exclusions. Record blood pressure for patients 3 and over, and height and weight for patients of all ages. If an EP does not see patients 3 and over, they can be excluded from recording the BP. If all 3 vitals (height, weight, BP) are not relevant to your scope of practice, EP would not record any vitals and file the exclusion. If height and weight are not relevant, then EP would only record BP. If BP is not relevant, then EP would only record height and weight.

Core Measure 10 CQM (Clinical Quality Measures)- The EP is no longer required to report Core Measure 10 as a separate measure, however EPs will still be required to report on the Clinical Quality Measures.

Core Measure 14 Electronic Exchange of Information – This measure will be removed from reporting. Objective is no longer required.

Menu Measures 1 and 2 Immunization Registry and Syndromic Surveillance – Clarification to the measure will include “except where prohibited” to objective text.

MediSYS for Physicians understands the importance of keeping clients informed in all areas of Meaningful Use. CMS is constantly updating and revising pertinent information on their website so please refer to CMS: EHR Incentive Programs Meaningful Use frequently to review new information, as well as if you have questions through the FAQ section at https://questions.cms.gov/faq.php.
Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

Decatur General Hospital Interface available now through MediSYS EHR

December 05th, 2012

Birmingham, AL – MediSYS for Physicians, Inc. is pleased to announce that the Decatur General Hospital Interface is now operational through MediSYS EHR. This new interface allows practices using MediSYS EHR to receive labs and radiology reports directly from the hospital into the patient’s electronic health record. In an effort to improve and manage patient care, providers are increasingly paying attention to the importance of exchanging information and timely patient care.

Internal Medicine Specialists, P.C. in Decatur, AL is the first MediSYS client to go active using this new interface.

Having the ability for EHRs to work and inter-operate with other systems is at the top of the nation’s healthcare plan. Alabama providers using MediSYS EHR have currently collected over $3 million in Meaningful Use Stage 1 Incentives. Meaningful Use Stage 2 places its focus on interoperability and MediSYS is on the forefront with its EHR solution. Our continually expanding MediSYS EHR web-based platform interoperability allows for significant growth with labs, hospitals, ePrescribe, and in-house diagnostics.

About MediSYS

MediSYS has been serving and partnering with healthcare providers throughout the state of Alabama for the past 25 years providing practice management software. In 2005, MediSYS expanded its applications to include electronic prescribing and electronic health records (EHR).

MediSYS continues to lead the way in clinical technology across Alabama, adding new enhancements, vendor partnerships, products and services. Offering dependable, local service with the ability to quickly meet and exceed industry changes has been a strong factor in our presence in the Alabama healthcare market. MediSYS serves over 1,000 physicians encompassing approximately 650 practices in Alabama alone.

MediSYS EHR v1.0 has received the federal government’s “meaningful use” stamp of approval by earning Complete EHR certification. MediSYS EHR is also a CCHIT Certified health information technology provider, using a secure and affordable web-based platform.
Please let us know if you are interested in setting up this interface at your practice. Currently, MediSYS EHR has several other hospital interfaces active with more many more in the works!

• Baptist Healthcare -Atmore Hospital – Atmore, AL
• Baptist Healthcare – Jay Hospital – Jay, FL
• Baptist Healthcare – Pensacola, FL
• Baptist Hospital – Montgomery, AL
• Decatur General, Decatur, AL
• Druid City Hospital – Tuscaloosa, AL
• East Alabama Medical Center – Auburn, AL
• Eliza Coffee Memorial Hospital – Shoals, AL
• Huntsville Hospital – Huntsville, AL
• Jackson Hospital – Montgomery, AL
• Jacksonville Medical Center – Jacksonville, AL
• Life Point Hospitals – Brentwood, TN
• Northwest Medical Center – Winfield, AL
• Pickens County Medical Center – Carrollton, AL
• Providence Hospital, Mobile – AL
• Russellville Hospital, Russellville, AL
• Southeast Alabama Medical Center – Dothan, AL
• Springhill Hospital – Mobile, AL
• Troy Regional Medical Center – Troy, AL
• Vaughn Regional – Selma, AL
• Washington County Hospital – Chatom, AL

MediSYS continues to add new interoperability partners. For a comprehensive list of interoperability partners available with MediSYS EHR go to: MediSYS Interoperability.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205.631.5969

Central Alabama Clinic using MediSYS EHR receives $108,000 in Medicare EHR Incentives!

November 28th, 2012

November 27th, 2012

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected over 3 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
MediSYS EHR

Helpful Hints for a Successful EHR Implementation

October 04th, 2012

Helpful Hints for a Successful EHR Implementation:  Ways to simplify and make your transition to EHR easier for everyone!

1. Assign an internal project manager – Choose a liaison and leader for your clinic. Someone who can coordinate with the EHR trainers to insure that all of the initial prep work has been done prior to your clinic’s ‘go-live’ day.

2. Gain cooperation among departments (billing, clinical, front desk, administration) – Include different departments in initial planning and training.  Make all areas of the clinic feel important to the success of the install – because they really are!

3. Identify practice problems/bottlenecks that can be remapped – Evaluate areas in the clinic that are already ‘difficult’ areas.  Work with staff to define ways to make problem areas better if possible prior to implementation.

4. Perform hardware analysis based on vendor specifications – Work with the vendor to define and verify any hardware areas that need to be replaced, upgraded or added to insure all is in place and usable prior to implementation

5. Have your staff provide template information – Work with clinical staff to provide as much information for templates and set up PRIOR to the provider being trained.  This will allow the provider to see how his information will look in the system during training and offer time to allow for changes/edits prior to ‘going live’ on the EHR.

6. Avoid double booking appointments for the first weeks and possibly decrease schedule by a few patients/time slots for the first few days – This will eliminate some undue stress for the provider and staff as they work together to utilize a new system.

7. Allow time during the day for the providers to ‘catch up’ – During many installs, trainers will guide the providers to do a smaller number of patients in the computer with time later in the day or over lunch to do a few more to catch up.  Each day the provider will become faster and therefore, will be able to do more encounters at the time of service.

8. Make your patients aware of the change – During this transition, educate your staff on ways to educate patients of new features that impact their patient experience, as well as just notifying patients that your office is going through a change in systems and may require a little patience on their part this visit.

9. Recognize this as a process and plan to make modifications as you go – Every office and provider functions differently and learns differently.  Be excited about the wonderful way the EHR will affect your ability to offer better patient care and follow-up, but expect to make adjustments and changes as needed.  In the long run, your staff, provider and patients will benefit from the EHR.

Interoperability with MediSYS

September 14th, 2012

September 14, 2012, Montgomery, AL – MediSYS for Physicians announces additional interoperability partnerships with its Drummond Certified, MediSYS EHR.  Interoperability is probably the most important current and future component of any EHR solution and MediSYS EHR leads the way for interoperability in the state.  The expansion of the MediSYS EHR system’s interoperability further solidifies the company’s commitment, not only to their clients, but also to the ever-evolving tools needed for quality healthcare.

 

Providers have expressed what a valuable resource the interoperability partnerships offered them through MediSYS EHR really mean to their practices – more time with patients, real-time information, and cost savings for not only them, but the healthcare community as a whole.

 

MediSYS provides electronic connectivity for providers to local hospitals, national and local external lab reference companies, Lab Information Systems, Alabama Department of Public Health (Immunizations), SureScripts and other partners.

 

MediSYS is currently working on approximately 4 to 5 additional interfaces with hospitals around the state. These are already in the pipeline to complete and MediSYS expects many more will come about as new practices are implemented and trained on MediSYS.

 

The latest addition to external lab interoperability partners is Atherotech Diagnostics Lab, Birmingham, AL.  With lab company approval, external lab interoperability is typically at no cost to the provider.   Lab results are routed to physician’s inbox for review and action. To foster patient engagement, providers can select specific results to route to their patient portal.

 

MediSYS continues to add new interoperability partners.  For a comprehensive list of interoperability partners available with MediSYS EHR go to: MediSYS Interoperability.

 

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

 

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

Walker County Nurse Practitioners Received $42,500 in Medicaid EHR Incentive for the first year!

July 24th, 2012

July 24th, 2012

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected over 2 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
MediSYS

What is the three-day payment rule and does it affect my practice?

June 11th, 2012

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 non-diagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within three days)
Definition acquired from the CMS website: https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R2373CP.pdf

The three-day payment rule is required by July 1, 2012.

If your practice is wholly owned or operated by a hospital, then yes this rule applies.  Also, practices that have merged or formed alliances with hospitals are affected. The rule, however, does not affect privately owned physician practices or rural health clinics and federally qualified health centers (FQHCs).

Good documentation in the provider notes will be key to making sure they support any unrelated services. Notes may be required if an appeal is needed for claims paid at the lower facility rate that the practice believes are unrelated to the hospital admission. 

Additionally, Medicare claims will have to be held for three days to identify if the modifier needs to be added to the claim before it is filed. It is up to the hospital to report to the practice any patients admitted within 72 hours of a physician service and their reason for admission.

 

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969

4 Reasons You Should Outsource Your Medical Billing

May 18th, 2012

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 time to devote to patient care.

With MediSYS, there are no up-front fees associated with medical billing services and typically, practices using our medical billing services see bottom-line improvements including fixed-cost reductions.

2. Experts in the field: Medical billing companies focus on your billing. They can spot errors that cause many practices to have a high number of rejected claims. Experts can spot these errors and correct them which also saves you money on rejected or returned claims. Office staff can be more prone to errors in billing since they might be expected to do other jobs at the same time. When you outsource, you are guaranteed someone or a group of people that are dedicated with their time to get your billing done right.

With MediSYS, we offer a local, Alabama billing team that stays on top of changes within billing protocols, insurance carriers and government agencies.  We have proven success with many of our clients through increased accuracy, 24 hour turn around on most charges, and a friendly account staff who is dedicated and professional.

3. More Flexibility: Outsourcing your medical billing gives you more flexibility in workflow and tasks.  If there are tasks that your practice can accomplish with ease, often medical billing companies give practices a lower fee.  On the other hand, having the billing company handle all billing-related tasks make be the best option for optimum results.

With MediSYS, we offer services that are tailored to your practice. Concise monthly reporting, posting of co-payments and mail payments, month-end processing, patient statements, daily audit trail review and processing, and quality control audits with fee schedule review are just a few of the things MediSYS Billing Services offers.  MediSYS Billing Services also has remote system access which allows you to view patient and financial data via the internet from your home or office. With automated appointment scheduling, verify patients’ insurance coverage electronically for major carriers, as well as automated appointment reminders.

4. Improve Business Management: An experienced Medical Billing Company can become a valuable business partner. They can provide you with tools such as reports that detail your financial health of the practice. Having a close relationship with your medical billing company can help in other aspects across the healthcare technology field.

With MediSYS Billing Services, we strive to educate out clients on not only the financial aspect of their billing but also into their EHR Incentives and other EHR needs which links to your over-all health care for your patients. We educate them on EHR Incentives, BCBS Incentives, and other programs available.

Comments Period Closed for Stage 2 Proposed Rule

May 08th, 2012

 

On Monday, May 7th the comment period closes for the ONC (Office of the National Coordinator for Health IT) proposed rule for Stage 2 Meaningful Use and updated certification criteria.

The ONC rule proposes the specifications that Certified EHR Technology will, at the least, need to achieve to successfully meaningfully use the EHR starting in calendar year 2014. Changing the name of the program to the “ONC HIT Certification Program” is a permanent revision proposed by this rule.

To view the rule and find out more information please visit: http://www.healthit.gov/providers-professionals/meaningful-use-stage-2.

You can also click here for a PDF copy of the proposed rule provided by ONC: ONC Notice of Proposed Rule – Stage 2 MU.

 

MediSYS
www.medisysinc.com

 

Using MediSYS EHR a Marion County Internal Medicine Practice earned $54,000 in Medicare incentives!

April 24th, 2012

Date: April 24th, 2012

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected nearly 2 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
MediSYS

www.medisysinc.com

Neurology practice collects $54,000 in Medicare Incentives while incorporating voice recognition!

April 16th, 2012

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected nearly 2 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
MediSYS

www.medisysinc.com

Jefferson County Pediatric practice collects $85,000 in EHR Incentives using MediSYS EHR!

March 29th, 2012

Although not all incentive payments have been reported, those payments reported to MediSYS indicate our Alabama Providers have collected nearly 2 million dollars in incentive payments.  And that number continues to grow every day as physicians report receiving their checks.

Providers from cities across the state of Alabama have received Medicare and Medicaid EHR incentive payments.  Plus, many Medicare providers have collected significant ePrescribe incentive payments, PQRS incentives and more.  Specialties receiving incentive payments range from General Surgery, Family Practice, Internal Medicine, ENT, Neurology, Ophthalmology, Pain Management, Pediatricians, Podiatry, Physical Therapy to Urology.

Celebrating over 25 years in business, MediSYS serves over 1,000 Alabama providers providing electronic health records, practice management systems and medical billing.

Media Contact:
Kelly Cannon
kcannon@medisysinc.com
205-631-5969
 
MediSYS

www.medisysinc.com