Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

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IHCP Says Medicaid Provider Enrollment Is Back On Track: Here’s What You Should Know

In July 2017, the Indiana Health Coverage Programs announced a delay in provider enrollment for its various Indiana Medicaid programs. On October 10, IHCP reported that they have reduced the backlog and currently are processing normal levels of enrollment “inventory.” As IHCP gets back on track, here are a few tips from CIPROMS Director of Provider Enrollment Denise O’Brien for staying ahead of the game in enrolling providers in Indiana Medicaid. Read more

Final Year’s Results for the PQRS and Value Modifier Programs Now Available

The Medicare PQRS and Value Modifier programs may feel like a distant memory for providers who are now in the thick of trying to figure out the new MACRA Quality Payment Program guidelines. Unfortunately, some providers may still experience the negative effects of these sunsetting programs as the Centers for Medicare and Medicaid Services releases the results of the final reporting year and how they will affect provider payments. Read more

7 Reasons Why You Should Regularly Compare Reimbursement to Contracted Rates

According to an MGMA poll from earlier this year, only about 50 percent of respondents said they compare their actual reimbursement to payer contracts at least quarterly. The other 50 percent were unsure how often they do it or don’t do it at all. So what’s the big deal? Why is important to regularly compare the payments you receive to the contracted payment rates you’ve negotiated? Here are 7 reasons you should establish a plan for your own practice and begin monitoring your payer payments today. Read more

ASA Hopes to Make 2018 QPP More Anesthesia-Friendly

The ASA recently submitted comments to CMS related to the 2018 Quality Payment Program Proposed Rule. The goal of their 28-page letter, according to a prepared statement by the ASA, is to ensure “physician anesthesiologists have ample opportunities to meaningfully participate and succeed in either the Merit-based Incentive Payments System or Advanced Alternative Payment Models pathways under the QPP.” Read more

Medicare to Remove Social Security Numbers from Medicare Cards

Medicare will soon begin replacing beneficiaries’ social-security-based Health Insurance Claim Number with new randomly-assigned Medicare Beneficiary Identifiers (MBI) to help protect against fraud and identity theft. Congress mandated the change through the Medicare Access and CHIP Reauthorization Act (MACRA) with an April 2019 deadline. Read more

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