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RCO implementation on schedule as new regions offered to other probationary RCOs

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February 28, 2017 (Information Provided by Alabama Medicaid) FOR IMMEDIATE RELEASE MONTGOMERY – The Alabama Medicaid Agency has been notified that Envolve, a wholly-owned subsidiary of Centene, is ending its agreement as a capital contributor with all five Alabama Healthcare Advantage (AHA) organizations that had planned to operate as Regional Care Organizations this fall. Alabama Medicaid Commissioner Stephanie Azar said the AHA organizations have notified the Agency that they intend to end their pursuit of…
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MediSYS Leverages Alpha II Registry to Improve Quality Measure Reporting for Providers

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MediSYS Leverages Alpha II Registry to Improve Quality Measure Reporting for Providers Integrated, web-based quality reporting service will provide MediSYS customers compliant reporting for improved quality, efficiency of care TALLAHASSEE, Fla. – January 31, 2017 – Alpha II, LLC, a leading developer of software platforms, software as a service and publications that support the healthcare revenue cycle, announced today it has signed an agreement with MediSYS to offer its Alpha II Registry to successfully collect…
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New Attestation Resources for the 2016 Medicare EHR Incentive Program

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The Medicare EHR Incentive Programs attestation system will be open from January 3 – February 28, 2017. Providers must attest no later than February 28th, 2017 for the 2016 program year to avoid a 2018 payment adjustment. For 2016 Medicare Meaningful Use attestation the reporting period for all participants, returning and new, is any 90-day period in 2016. NEW Attestation Resources: CMS Attestation Worksheets – Providers can log their MU measures for each objective in…
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Alabama Medicaid Deadlines for October 31

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There are 2 deadlines looming for October 31st, 2016: 2015 Medicaid Meaningful Use Attestation Deadline – The new State Level Registry (SLR) system is open to process Medicaid Meaningful Use attestations for Program Year 2015 and will remain open until October 31st at midnight. Alabama Medicaid will be processing both Adopt-Implement-Update (AIU) and Meaningful Use (MU) attestations for participation year 2015. The link to access the new Alabama SLR is: https://alslr.thinkhts.com/. Medicaid Primary Care Enhanced…
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CMS Finalizes the New Medicare Quality Payment Program

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BREAKING NEWS! CMS has finalized the new Quality Payment Program (MIPS, APM, MACRA). In order to help explain the new program, CMS has created a new Quality Payment Program website http://qpp.cms.gov. This new website will also help to identify the most relevant measures for your practice or specialty. More information coming soon!

RHCs HCPCS Code Billing – New Modifier

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RHCs HCPCS Code Billing – New Modifier For dates of service that began on April 1, 2016 until September 30, 2016, CMS required RHCs to report the appropriate HCPCS code for each service line along with revenue code on their Medicare claims. To receive an all-inclusive rate (AIR) payment, RHCs had to report a visit from the CMS Qualifying Visit List. Visits that contained only HCPCS listed in this document in red italics, RHCs were…
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Medicaid Enhanced “Bump” Rates Deadline

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AL Medicaid Enhanced “Bump” Rates Deadline For dates of service on or after October 1, 2016, Alabama Medicaid will resume enhanced payments for the Primary Care Enhanced Rates “Bump” Program. In order to receive this rate retroactive to October 1, 2016, eligible providers must have a self-attestation form on file at HPE by October 31, 2016. If providers do not have a self-attestation on file starting November 1, 2016, then they will receive the enhanced…
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Register TODAY for A Webinar on 24/7 Nursing Services for Clinics to Outsource Chronic Care Management

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Learn more about potential changes to Chronic Care Management that could increase your revenues and position your clinic to meet portions of the new CMS requirements more effectively and easier than ever before! “Explore CareSync resources now available to help your practice meet the clinical and documentation requirements for the Medicare’s Chronic Care Management.” Benefits to your practice (typically for Family or Internal Medicine clinics with a high Medicare patient volume): Additional revenues (depending on…
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Join Us for A Webinar on 24/7 Nursing Services for Clinics to Outsource Chronic Care Management

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Join us on October 6th for a FREE online MediSYS webinar! “Explore CareSync resources now available to help your practice meet the clinical and documentation requirements for the Medicare’s Chronic Care Management.” Benefits to your practice (typically for Family or Internal Medicine clinics with a high Medicare patient volume): Additional revenues (depending on the Final Rule in November, these revenues could increase in January with new codes for reimbursement on the horizon) Better patient care with…
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First-time Medicare Meaningful Use Attestation Deadline is October 1

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Attestation Deadlines for 2016 MEDICARE Meaningful Use Are you a NEW, first-year meaningful use provider for 2016? Do you want to AVOID the payment adjustments for BOTH 2017 AND 2018? If both answers are YES, then you must successfully attest for 2016 meaningful use by October 1st, 2016. The EHR reporting period for 2016 first-time participants is any continuous 90-day period. What happens if I miss the October 1 deadline? You MUST successfully attest for 2016 meaningful use by…
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Alabama Medicaid RCO Update

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September 14, 2016 –  Alabama Medicaid Agency has notified the Centers for Medicare and Medicaid Services (CMS) that it will ask to postpone the start date for the proposed Regional Care Organizations until July 1, 2017. The request is subject to CMS approval. RCO Program Public Forum is set for Montgomery on September 21, 2016. Information obtained from the September 14th  Medicaid Matters – Online Newsletter. You can view the newsletter here: http://www.medicaid.alabama.gov/CONTENT/2.0_newsroom/2.3_Publications.aspx

ICD-10 grace period ending October 1, 2016

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October 1, 2016 will mark the end of a one year ‘grace period’ that allowed the use of unspecified ICD-10 codes. The grace period was created to help ease the ICD-10 transition. With the end of the grace period, this could mean a possible increase in claims rejections and lower reimbursement. Take steps now to make sure you are coding correctly! MediSYS EHR offers excellent tools to drill-down quickly to the most specific ICD-10 code, called…
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