None at this time.

04/20/2018

BCBS & BCN Announces...

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.

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04/20/2018

WPS GHA Announces...

Upcoming Changes to the Provider Contact Center!

WPS GHA is implementing changes in their Provider Contact Center (PCC). New phone numbers for J8!

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04/20/2018

WPS GHA Announces...

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.

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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.

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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.

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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.

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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?

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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.

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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.

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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.

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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...

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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.

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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).

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10/10/2017

WPS GHA Announces...

Browser Setting Update

The WPS GHA Portal requires an appropriate browser setting for private and security purposes.

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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!

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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.

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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.

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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.

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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.

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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!

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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).

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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.

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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.

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05/24/2017

MAY is National Mental Health Awareness Month!

Cheers to all you Mental Health Billers!

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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!

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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.

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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.

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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.

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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)

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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

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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.

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