In our connected world, if it’s technological, it’s hackable. And while not all medical devices are as mission-critical as implantable cardiac transmitters, they still need to be compliant with the Health Insurance Portability and Accountability Act (HIPAA) and Health Information Technology for Economic and Clinical Health Act (HITECH). The FDA approval process now also covers […]
Welcome to our Blog. Check back regularly, we will be posting relevant articles from Medicare, Blue Cross, MI Medicaid etc. Our hope is to be your first source for medical billing information, which will have a positive effect on your practice.
Open Payments Program Year 2016 Review and Dispute Period Ends May 15 Physician and teaching hospital review and dispute for the Program Year 2016 Open Payments data publication ends May 15; review of the data is voluntary but strongly encouraged. Disputes must be initiated during the 45-day review and dispute period in order to be […]
The Quality Payment Program allows clinicians to choose the best way to deliver quality care and to participate based on their practice size, specialty, location, or patient population. During this video, learn about the provisions in the recently released final rule
As reported in the August Record, many claims are rejected because a claim submission contains incomplete documentation. Once the missing information is submitted, the claim is often approved, avoiding a member appeal. One common example of incomplete or incorrect documentation is neglecting to include chart notes with prior authorization requests for a drug that is […]
Submit Notice of Intent to Apply by May 31 CMS is accepting Notices of Intent to Apply (NOIA) for the January 1, 2018, start date. You must submit a NOIA no later than May 31, 2017, at noon ET, if you intend to apply to the Medicare Shared Savings Program, Skilled Nursing Facility 3-Day Rule […]
Learn about Medicare Parts A and B claims, what you need to know before filing a claim, and how to submit a claim.
Since this video was published, HHS issued a rule finalizing October 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10. In this MLN Connects™ video, Sue Bowman from the American Health Information Management Association (AHIMA) provides a basic introduction to ICD-10 coding. – […]
Bill dates of service correctly to boost accuracy of claims processing Blue Cross Blue Shield of Michigan frequently receives medical claims with an incorrect date of service. To help ensure that the correct dates are used, we want to let you know that Blue Cross defines “date of service” as the actual date the service […]
This video will help you see your claims information and explanation of benefits statements on bcbsm.com.