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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 >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 >