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Medicaid enhanced “Bump” rates effective through September 30, 2016

To qualify, Medicaid-enrolled primary care physicians must accurately self-attest by completing required paperwork as outlined below. Necessary steps for Provider eligibility to receive the Primary Care Enhanced Physician Rates: Visit medicaid.alabama.gov Select Provider Enrollment from the drop-down menu under “Providers” Complete a self-attestation form Attach proof of board certification, if applicable Mail original self-attestation form to the address specified For more information on which providers qualify for the “bump” rate please visit the Medicaid AL…
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PQRS – Informal Review Process for 2016 Negative Payment Adj

ATTN PQRS REPORTERS: If you DID NOT satisfactorily report PQRS in 2014, then CMS will apply a NEGATIVE payment adjustment to qualifying providers & groups during the calendar year 2016. September 9, 2015 through December 16, 2015 – PQRS Informal Review Process  (NOTE: DEADLINE EXTENDED) Qualifying providers/groups that believe they were incorrectly assessed during the 2014 reporting period for the 2016 negative payment adjustment may submit an informal review now until 11:59 p.m. EST on Dec….
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Pass-Through Billing not Permitted for Labs Effective September 1, 2015 – BCBS AL

Pass-Through Billing No Longer Permitted for Laboratory Tests Effective September 1, 2015, pass-through billing will no longer be permitted by Blue Cross and Blue Shield of Alabama. Pass-through billing occurs when an ordering provider (i.e., physician or laboratory) requests and bills for laboratory tests, but the tests are not actually performed by the ordering provider. The performing provider should bill for these services directly. This requirement is applicable to all in network providers. Pass-through billing…
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New MediSYS’ EHR Interfaces with St. Vincent’s and Brookwood Hospitals Streamline Lab/Radiology Results Delivery

Montgomery, AL – MedConnect, Inc. continues to integrate its newest results interface with leading Alabama healthcare institutions. The interface into MediSYS’ EHR, MedConnect v2.3 has now been adopted by two hospital systems in Birmingham, Alabama: St. Vincent’s Hospital and Brookwood Hospital. Providing transmission of laboratory, radiology and other transcribed documents in real time, the interface to MediSYS’ electronic health record (EHR) product suite streamlines processes. Healthcare workers can now eliminate manual paperwork while achieving faster…
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Medicaid EFT & ERA Release Date Changes

Important Changes coming to EFT and 835 electronic remittance advices (ERAs) Effective beginning July 24th, 2015, Medicaid will no longer offer immediate ERA 835 access. 835 ERAs will now be released within 3 business days of the release of the EFTs. Example from Medicaid BEGINNING ON JULY 24th, 2015: Check write is on Friday 7/24/15 EFTs released on Monday 8/3/15 835 ERAs available from Monday 8/3/15 – Thursday 8/6/15 For more information please view the…
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Reminder about Upcoming Industry Deadlines

Meaningful Use Hardship Exemption – Deadline is July 1 Medicare eligible professionals who did not successfully meet Meaningful Use in 2014 have until July 1st, 2015 to file a 2016 hardship exemption to avoid the 2016 payment adjustment. The 2016 hardship exemption application and instructions can be found here: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/paymentadj_hardship.html In order to file a hardship exemption, eligible professionals must show proof of a circumstance beyond their control and clearly outline how those circumstances greatly impaired their ability to…
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Hardship Exemption Deadline – July 1st

Meaningful Use Hardship Exemption – Deadline is July 1st Medicare eligible professionals who did not successfully meet Meaningful Use in 2014 have until July 1st, 2015 to file a 2016 hardship exemption to avoid the 2016 payment adjustment. The 2016 hardship exemption application and instructions can be found here: http://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/paymentadj_hardship.html 2016 Hardship Exemption Instructions: 2016 Eligible Professional (EP) Medicare EHR Incentive Program Hardship Exception – Instructions (Please Read). In order to file a hardship exemption,…
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MediSYS EHR New Real-Time Laboratory Electronic Orders Interface with Baptist Health

Montgomery, AL – MedConnect, Inc., in conjunction with Baptist Health, has announced the incorporation of a new interface into MediSYS EHR – MedConnect v2.3 electronic health record product suite. The new interface electronically transmits laboratory orders in real-time for providers and other healthcare professionals using the MediSYS EHR – MedConnect v2.3 platform. It eliminates the need to manually fill out paper order requisitions, and significantly improves the ability to track submitted orders within the EHR…
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MediSYS’ EHR New Orders/Results Interface with Southeast Clinical Laboratories

April 17, 2015 Montgomery, AL – MedConnect, Inc. and Southeast Clinical Laboratories, LLC (SCL) have released a new interface to MediSYS’ EHR MedConnect v2.3 electronic health record (EHR) product suite. Designed for real-time transmission of orders and laboratory results, the interface allows healthcare workers to significantly speed up the order process by eliminating manual paperwork. It also expedites and improves patient care through faster turnaround times for patient lab results. Lab results can be configured…
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CMS: 21% decrease in MPFS payments starting April 15th, 2015

Important Information Regarding the 2015 Medicare Physician Fee Schedule 21% decrease for MPFS payments beginning April 15th for claims starting with DOS April 1, 2015 On April 1, 2015, the Medicare Physician Fee Schedule (MPFS) was updated using the Sustainable Growth Rate (SGR) methodology as required by current law. The SGR methodology required a 21% decrease in all MPFS payments beginning April 1, 2015. CMS held claims paid under the MPFS with dates of service…
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Medicare EHR Attestation Deadline Extended until March 20

  CMS has extended the EHR Attestation Deadline until 11:59 pm ET on March 20, 2015 for EPs attesting to meaningful use for the Medicare EHR Incentive Program 2014 reporting year. This deadline extension is to allow EPs more time to submit meaningful use data. CMS, as well as MediSYS, urges you to begin your 2014 Medicare meaningful use reporting period attestation as soon as possible. Please Note: This deadline extension only affects the Medicare…
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United Healthcare Lock In Your Doc Program

In 2015, UnitedHealthCare will launch Lock In Your Doc to encourage members to establish an ongoing relationship with their primary care physician (PCP). If you are a PCP, the program requires you to only provide services to members assigned to you or your medical group/tax ID number (TIN). Starting August 1, 2015, UnitedHealthCare Community Plan may not pay for services rendered by a care provider not assigned to that member. To help you prepare for…
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