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Latest News
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 >