None at this time.
No Changes to E/M Payment Until at Least 2021
The 2019 Physician Fee Schedule and Quality Payment final rules has come out.Read More >
Providers must enroll in Michigan Medical Program
Providers that serve Medicaid beneficiaries are facing an upcoming enrollment deadline that is necessary for them to continue to receive payments from Medicaid.Read More >
CVS Health acquisition of Aetna is complete.
At this time, there is no action needed on providers part. Providers are encouraged to continue working with Aetna to support the members.Read More >
Updates to PPO professional calims editing process coming in December
Effective December 2018, BCBS of Michigan will be updating the claims editing processes for select groups.Read More >
Increase to the PGIP Allocation Amount
Effective July 1, 2018, BCBSM will increase the PGIP allocation amount on your provider vouchers from 5% to 7%.Read More >
Collaboration for Demographic Updates
Starting June 28th, CAQH ProView will present to you a list of practice locations to confirm.Read More >
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 >
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 >
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 >
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 >
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 >
Behavioral Health new authorization requirement
Starting June 1, 2018 authorization is not required for BCN routine outpatient behavioral health therapy.Read More >
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 >
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 >
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 >
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 >
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 >
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 >
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 >
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 >
WPS Government Health Administrators wants to here from you!
Take a moment to provide valuable feedback to our Medicare MAC.Read More >
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 >
Come All Specialists of Oncology, Cardiology, & Vascular Surgery
BCBS & BCN are conducting a specialist provider educational seminar in the Southfield, MI area.Read More >
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 >
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 >
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 >