Blog

CMS Published Fact Sheet for PQRI / eRX Changes

The Centers for Medicare and Medicaid Services (CMS) has indicated that the PQRI program in 2008 was a success with a significant increase in payments to eligible providers / professionals over 2007.  According to a news release from CMS dated Friday, November 13, more than 85,000 physicians and other eligible participants received incentive payments totaling more than $92 […]

Blue Cross Blue Shield of Alabama Delays New Payment Methodology

Blue Cross and Blue Shield of Alabama has announced that their new payment method that was scheduled to be implemented December 1, 2009 will be delayed.  They are expected to announce fee schedule and processing changes by July 1, 2010.  BCBS encourages providers to refer to https://www.bcbsal.org/providers/newpaymentmethodology/ or contact their Network Services Provider.  To view […]

Red Flag Rule Delayed

On October 30, the Federal Trade Commission announced another delay in the enforcement of the "Red Flags" Rule.  At the request of Members of Congress, the "Red Flags" Rule, which was scheduled to go into action November 1, 2009, has been delayed until June 1, 2010.  For more information go to: http://ftc.gov/redflagsrule  

Phase I Underway: Editing the Ordering/Referring Provider in DMEPOS Claims

Phase 1 of the DMEPOS Claims Edits is now underway.  Phase 1 will provide warning messages to prompt providers to take action prior to Phase 2 which will result in rejections beginning January 4, 2010.  Phase 1 (October 5, 2009 through January 3, 2010), DMEPOS suppliers who report ordering/referring providers who do not pass both edits will receive an informational […]

Ordering/Referring Provider Case Sensitive Edits

National Government Services, one of the largest Medicare contractors in the country, released the following information to avoid unnecessary claim rejections.  They will reject claims when lower case characters are submitted in the ordering/referring provider field.  See their notice below for details: Ordering/Referring Provider Case Sensitive Edits CEDI has front end edits in place to validate the data submitted conforms […]

3rd Annual Cardiovascular Update Conference

MediSYS will be participating in the 3rd Annual Cardiovascular Update on November 7, 2009.  The 2009 Cardiovascular Update is being offered through The CVA Medical Education Foundation.  This continuing medical education meeting is designed to provide physicians and other healthcare staff with an overview of important developments in the care of patients with cardiovascular disease. The […]

CMS ePrescribe Incentives

Below is a recent publication from Surescripts regarding CMS e-Prescribing / MIPPA Incentive Program.  http://www.surescripts.com/downloads/MIPPA%20summary%20sheet.pdf For 2010, the incentive is slated to be 2% of the total allowed charges for covered professional services (Part B charges).  If you are interested in an on-line demonstration of MediSYS ePrescribe (which typically takes less than 30 minutes), please contact […]

BCBS to Adopt New Payment Methodology Dec. 1, 2009

For PMD doctors, Blue Cross of Alabama will adopt a new payment methodology effective December 1, 2009.  They will implement the Resource Based Relative Value Scale (RBRVS) which is being used by the majority of payers across the nation.  The BCBS transition to RBRVS will occur over several years. In addition, BCBS will replace their […]

Pickens County Medical Center (PCMC) EHR Interface

A busy family medicine practice in Reform, Alabama has joined the many practices now connected to Pickens County Medical Center (PCMC) through MediSYS EHR.  Beginning today, for this practice, radiology results from PCMC are automatically directed to the provider’s in-box and associated with the patient’s electronic health record.  This gives the provider faster access to review the radiology results and take […]

Medicaid Together for Quality Integration to MediSYS EHR Nears Completion

MediSYS EHR is nearing completion of the Alabama Medicaid Agency’s Together For Quality (TFQ) integration.  The TFQ and MediSYS EHR integration will allow practices to query the State of Alabama’s central database for patient medications, problem list, allergies/reactions, immunizations, lab results, procedure history, providers of care, and even limited personal history.  The release of this integration is expected in […]

Limited window to qualify for the 2011 healthcare incentive payments

National news regarding announcement by CCHIT to prepare for the limited window for providers and vendors to take action to qualify for the 2011 healthcare incentive payments.  Read more at: http://fcw.com/articles/2009/09/09/cchit-announces-preliminary-certifications-for-ehrs.aspx