About Us
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06/22/2018
CAQH and UHC Announces...
Collaboration for Demographic Updates
Starting June 28th, CAQH ProView will present to you a list of practice locations to confirm.
Read More >06/15/2018
WPS GHA Announces...
Medicare Secondary Payer Claims Increase
WPS GHA has announced that Medicare Secondary Payer (MSP) claims has seen an increase in the level of development due to MSP records not existing.
Read More >06/04/2018
CMS Announces...
MIPS Preliminary Performance Feedback Data is Available
CMS would like to remind you that if you submitted 2017 Merit-based Incentive Payment System (MIPS) DATA through the Quality Payment Program website, you can review your preliminary performance feedback. Please note: this is NOT your MIPS final score or feedback.
Read More >06/04/2018
Medicaid Announces...
Conducting Post Payment Reviews of paid claims using AdvanceMed
Medicaid announced June 2018 that to pursuant of MCL 333.26368, Sections 14.2 and 16 of the General Information for Providers section of the Michigan Medicaid Provider Manual, and the Medical Assistance Provider Enrollment & Trading Partner Agreement, Michigan Dept of H&HS Office of Inspector General (OIG) is authorized to perform posting-payment reviews of paid Medicaid claims to identify and recover any overpayments made to Medicaid providers.
Read More >06/01/2018
UHC Announces...
June 2018 Bulletin... UnitedHealthcareOnline.com Will be Retired Soon and other information
United Healthcare released their June 2018 Bulletin and reported that UnitedHealthcareOnline.com will be retired soon.
Read More >06/01/2018
BCBS Announces...
Cancellation of Modifier 25 Payment Adjustment for E&M Services
Our voices were heard!!! Located on the BCBS Webdenis Message Board, BCBS posted the announcement of cancellation.
Read More >05/11/2018
BCN Announces...
Behavioral Health new authorization requirement
Starting June 1, 2018 authorization is not required for BCN routine outpatient behavioral health therapy.
Read More >05/11/2018
WPS GHA Announces...
The New Medicare Beneficiary Identifier (MBI) Lookup Tool is here!
WPS GHA Portal users now have access to a MBI Lookup tool. Users must be registered portal and be logged in to access the MBI lookup Tool.
Read More >04/27/2018
CMS Announces...
E/M Service Documentation Provided by Students Manual Update
CMS has made a major revision regarding E/M documentation provided by Medical Students. Students will now be allowed to document all components of the E/M.
Read More >04/27/2018
MSMS Spring Educational Sessions
Billers, Coders, Physicians, and Office Managers are Welcomed!
Our friends at MSMS are having Educational Sessions on Friday, May 18, 2018 at the DoubleTree by Hilton Hotel Dearborn.
Read More >04/20/2018
BCBS & BCN Announces...
Provider forums Coming to a town near YOU!
BCBS and BCN are conducting forms starting in May. Make sure to register for the place, date, and time frame that works best for you.
Read More >04/20/2018
WPS GHA Announces...
Upcoming Changes to the Provider Contact Center!
WPS GHA is implementing changes in their Provider Contact Center (PCC). New phone numbers for J8!
Read More >04/20/2018
WPS GHA Announces...
LCD Lookup Tool and they want to know what you think!
WPS GHA listen and responded! There is a LCD Lookup Tool for all users.
Read More >04/13/2018
WPS GHA Announces...
DME Webinar for Physicians regarding medical record documentation requirements.
The Durable Medical Equipment and A/B Medicare Administrative Contractors (MACs) are partnering on a webinar.
Read More >04/13/2018
BCBS Announces...
Payment policy change when E/M is billed with Surgery
In the April 2018, TheRecord publication, BCBS of MI and BlueCareNetwork has announced that E/M services billed with modifier 25 will pay at 80 percent when billed with a surgery.
Read More >03/14/2018
2018 MAC Satisfaction Indicator Survey
WPS Government Health Administrators wants to here from you!
Take a moment to provide valuable feedback to our Medicare MAC.
Read More >03/07/2018
Proclamation Signed by Governor Rick Snyder
Michigan Medical Biller's Day is March 29, 2018
Did you know that there is a Medical Biller's Day for the State of MI?
Read More >03/02/2018
BCBS & BCN of MI - Educational Seminar for Specialists
Come All Specialists of Oncology, Cardiology, & Vascular Surgery
BCBS & BCN are conducting a specialist provider educational seminar in the Southfield, MI area.
Read More >02/23/2018
MDHHS Has delayed mandated Enrollment Date
Delayed enrollment for Medicaid MCO has been published
The Michigan Department of Health and Human Services (MDHHS) requirement of Managed Care Organization (MCO) typical providers needing to be enrolled in CHAMPS by March 1, 2018, has been delayed.
Read More >02/15/2018
BCBS Medicare Plus Blue PPO, Invites you to a NDC Number Webinar
Attend this Webinar to learn how
Blue Cross Blue Shield of MI is using National Drug Code information during the claims process to ensure the most accurate and up-to-date pricing for medical drugs.
Read More >02/12/2018
Confused by the Medical Decision Making Component of E&M Services?
Check out this Article from the AAPC
The AAPC reports, the medical decision-making (MDM) component of evaluation and management (E/M) services is perhaps the most crucial element...
Read More >10/13/2017
TRICARE Announces...
Change to the Managed Care Support Contractor Effective January 2018
The new East Region combines the current North and South Regions for TRICARE come 2018.
Read More >10/13/2017
UHC Announces...
Delays Plans to End Payments for Consultations
In June of this year, UnitedHealthcare (UHC) announced they planned to stop reimbursing for consultation services (99241-99245, 99251-99255).
Read More >10/10/2017
WPS GHA Announces...
Browser Setting Update
The WPS GHA Portal requires an appropriate browser setting for private and security purposes.
Read More >10/05/2017
Macomb Community College Announces...
ONLINE Classes for AAPC's CPC or AHIMA's RHIT Credentials
Whether you are new to Coding or need to finally get that credential you need to advance, Macomb Community College can get you there!
Read More >09/22/2017
BCBS / BCN Announces...
Effective Jan. 1, 2018, Changes to Provider Data Submissions
Group Change forms will no longer be accepted come Jan. 1, 2018. You must have access to the Provider Enrollment & Change Self-Service tool in order to maintain professional group data and make changes to the group's provider data.
Read More >09/22/2017
BCBS / BCN Announces...
Physician Assistants MUST re-enroll with Blue Cross and BCN
In the August 2017 Record publication, it was announced that Physician Assistants must re-enroll to be reimbursed for services within their scope of license for dates of service on or after February 1, 2018.
Read More >09/19/2017
Priority Health Announces...
Denied Auths will be reversed
Priority Health announced via email that denied auths will be reversed in addition to the Education and Pay Program with eviCore phase is starting.
Read More >09/14/2017
WPS GHA Announces...
Provider Self-Service Denial Tool
Launching, Friday, September 15, 2017, providers will have 24-hour access to denial information on both the transactional and public sides of the WPS GHA portal.
Read More >09/13/2017
AMBA 17th Annual National Medical Billing Conference
October 26-27, 2017 at Treasure Island ~ Las Vegas, Nevada
AMBA is having their 17th Annual National Medical Billing Conference - Don't Miss Out!
Read More >09/08/2017
Medicaid Announcement
SIGMA Pay Cycle 40 Delay
Michigan Department of Health & Human Services (MDHHS) announced as part of the transition from the current State of Michigan (SOM) financial system, Michigan Administrative Information Network (MAIN), to Statewide Integrated Governmental Management Application (SIGMA), there will be a delay in payment and Remittance Advices.
Read More >08/11/2017
BREAKING NEWS:
2018 ICD-10-CM Official Coding and Reporting Guidelines Released
ICD10 monitor announced today that the Official ICD-10-CM/PCS Coding and Reporting Guidelines for the 2018 fiscal year has been released.
Read More >07/28/2017
CMS Discusses...
Propose Revision to E/M Documentation Guidelines
AAPC release bullentin that among the many provision detailed within the 2018 Physician Fee Schedule Proposed Rule, released July 13, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current evaluation and management documentation guidelines create an administrative burden and increase audit risk for providers.
Read More >07/06/2017
CMS Announces...
Qualified Medicare Beneficiary Indicators on Remittance Advice
Implementation date is set for October 2, 2017, for CMS/MACs to list the Qualified Medicare Beneficiary Indicators on remittance advice.
Read More >06/30/2017
State of Michigan Introduces...
SIGMA Vendor Self Service
State of Michigan will be replacing the Contract & Payment Express and Buy4Michigan on July 31, 2017.
Read More >