Latest News

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 >
06/21/2017

Priority Health Announces...

Providers work with eviCore for specialty driven prior authorization requests.

Priority Health has specified certain specialties are to work with eviCore to request prior authorization for all musculoskeletal, spinal, genetic testing procedures and advanced diagnostic imaging.

Read More >
06/21/2017

Priority Health Announces...

Behavior Health Trends and Billing Irregularities

Priority Health periodically reviews provider claims and data to identify trends, billing irregularities and other potential concerns. During their recent analysis, they identified irregularities related to behavior health services.

Read More >
06/20/2017

WPS GHA Announces...

June/July Common Working File (CWF) Dark Days

June and July of 2017 are busy with quarterly system releases for WPS GHA which results in several Dark Days.

Read More >
06/20/2017

WPS GHA Announces...

Multi-Factor Authentication Portal Requirements

The date is here! By December 2017, anyone accessing the transactional side of the WPS GHA Portal (formerly called C-SNAP) must be converted to Multi-Factor (MFA).

Read More >
06/16/2017

CMS Announces....

5 Ways for Healthcare Providers to Get Ready for New Medicare Cards

CMS will issue new Medicare cards with new unique, randomly-assigned number called a Medicare Beneficiary Identifier (MBI) to replace the existing Social Security, based Health Insurance Claim Number (HICN) both on the cards and in various CMS systems they use now. CMS will start mailing new cards to people with Medicare benefits in April 2018. All Medicare cards will be replaced by April 2019.

Read More >
06/09/2017

Blue Cross Medicare Plus Blue PPO

Medical Drug Authorization Webinars

Blue Cross will require prior authorization for select specialty medications administered in the physician office covered under the Medical Benefit.

Read More >
05/24/2017

MAY is National Mental Health Awareness Month!

Cheers to all you Mental Health Billers!

Read More >
05/18/2017

NAMAS E/M Boot Camp Training Session

July 11-12: Grand Rapids, MI

The NAMAS 2-day Medical Auditing E/M Boot Camp training program will provide you with everything you need to be an E/M auditing pro!

Read More >
05/18/2017

Have you "Opt-In" for WPS GHA Multi-Factor Authentication?

What is MFA? How will it affect you?

Multi-Factor Authentication is a CMS Requirement when accessing the transactional side of the WPS GHA Portal.

Read More >
05/11/2017

CMS Releases a MIPS Participation Status Website

Is your Clinician Required to Participate?

The Centers for Medicare & Medicaid Services has released a tool to help clinicians determine if they must participate this year in the Merit-base Incentive Payment System (MIPS) under the Medicare Access and CHIP Reauthorization Act of 2015.

Read More >
05/09/2017

BCBS - Provider Forums Coming to a Town Near You!

BCBS of MI and Blue Care Network provider forums are coming to you. They have scheduled a series of provider forums across the state focusing on topics of interest to providers.

Read More >
05/05/2017

WPS GHA Medicare Searchable Medicare Coverage Database

CMS offers a searchable Medicare Coverage Database. You can easily locate coverage information for a certain CPT/HCPCS Code or Keyword(s)

Read More >
05/01/2017

Medicare Part B - Meeting Coming to Grand Rapids

Home Health: Physician and Agency Documentation

Our friends at Medicare have asked us to share this upcoming Meeting - Home Health: Physician and Agency Documentation 05/16/2017 - Grand Rapids, MI 9am-3:30pm ET

Read More >
04/28/2017

OMB Approved ABN becomes Effective June 2017

The Office of Management and Budget approved a renewed Advanced Beneficiary Notice of Non coverage form and it's instructions in late March.

Read More >
04/21/2017

Aetna Replacing DMC Care

Announcing Aetna as the new medical carrier for DMC/Tenet Healthcare Employees, replacing DMC Care.

Read More >
03/24/2017

BCBS/BCN: Professional Providers Required to Submit Electronic Claims

As announced in the March 2017 The Record, Professional Providers will soon be required to submit claims electronically. Starting June 30, 2017, participating providers will be required to submit the following types of claims electronically...

Read More >
03/17/2017

MSMS Legal Alert

Changes in Licensed Scope of Practice of PAs in MI

Public Act 379 of 2016, effective March 22, 2017 (the "Act") makes a series of changes to the licensed scope of practice of physician's assistants ("PA") in Michigan.

Read More >
01/25/2017

2017 MMBA Membership Renewal

It's that time of year again, renew your MMBA Membership

Our goal in 2017 is to educate and inform medical offices of the ever-changing information within our industry. We will continue to offer numerous resources for medical billers and coders.

Read More >
01/13/2017

CMS Expands Advanced APM Choices

CMS announced several new Innovation Center models and an update to the Comprehensive Care for Joint Replacement Model. These new payment models will allow for a broader range of clinicians to qualify for a 5 percent incentive payment through the Advanced Alternative Payment Model (APM) track of the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and the Quality Payment Payment.

Read More >
01/13/2017

WPS GHA Medicare To Redesign Web Portal

WPS GHA Medicare announced wpsgha.com web portal has been completely redesigned. The biggest enhancement in the makeover is the merging of the current CMS Secure Net Access (C-SNAP) portal with their public site. The redesigned site goes live on January 14, 2017.

Read More >