The Centers for Medicare & Medicaid Services (CMS), has announced a name change for the ACI category under the Merit-Based Incentive Payment System (MIPS) to the Promoting Interoperability performance category. Don’t panic! This is not a new performance category, just a name change. CMS feels the name change better reflects their increase focus on interoperability to improving patient access to health information. The 2018 requirements for this category are exactly the same as what was finalized in...

A recent ruling by the Connecticut Supreme Court allows patients, who have suffered losses or harm from the unauthorized disclosure of their protected health information, the right to bring legal action against providers for unauthorized disclosure of their medical records. In this recent Connecticut case, Emily Byrne vs Avery Center for Obstetrics and Gynecology, the patient had exercised her rights under HIPAA to restrict the release of her medical information. Despite this...

The Type of Service (TOS) code for CPT code 77067 for Screening Mammography will be updated to “1” (Medical Care) instead of “4” (Diagnostic Radiology). This will allow for accurate claim submission and adjudication of screening mammography. Correcting the TOS code for CPT code 77067 allows screening mammography claims to be submitted and adjudicated appropriately with no referring physician information on the claim, this is consistent with Medicare’s coverage policy for screening mammograms. Be aware that MACs...

In 2017 MACRA revoked the Sustainable Growth Rate (SGR) formula and introduced the Quality Payment Program; a payment program based on quality of care and not quantity.  The Quality Payment Program assesses clinicians on a range of performance categories including the cost category. MACRA requires the development of patient relationship categories and codes for possible use in the methodology for the cost measures. A fact sheet on the cost category can be found at https://www.cms.gov/Medicare/Quality-Payment-Program/Resource-Library/2018-Cost-Performance-Category-Fact-Sheet.pdf   Specifically, the...

Medical billing firm utilizes Meridian Robotics to enhance efficiency for client practices across nine states WINDSOR, Conn.,  May 3, 2018 (GLOBE NEWSWIRE) – Meridian Medical Management announced today that HuTech Resources, a leading healthcare practice management, consulting and medical billing firm working with practices in nine states, has selected Meridian Robotics to automate its billing center. Meridian Robotics will aid HuTech in serving its customer base of physicians, improving efficiency and productivity within the medical billing...

PAMA established a new program to raise the number of appropriate advanced diagnostic imaging services provided to Medicare beneficiaries. This program requires the ordering professional to consult a qualified Clinical Decision Support Mechanism (CDSM) at the time advanced imaging services are ordered for a Medicare beneficiary. CDSMs are the electronic portals where ordering professionals can access the appropriate use criteria (AUC). CDSMs will provide the ordering professional with a determination of whether or not the...

Multi-state behavioral and medical services provider plans to use robotics to enhance revenue cycle and patient care while decreasing costs  Windsor, CT – April 24, 2018 (GLOBE NEWSWIRE)– Meridian Medical Management today announced that Compass Health Systems, a behavioral and medical services organization, has selected Meridian Robotics for its 162 providers across three states – Florida, South Carolina and Colorado. Initially chosen for its ability to automate the revenue cycle and help the organization reduce costs,...

Apply by April 30, 2018 CMS is studying burdens on clinicians associated with reporting Quality Measures under the Merit-Based Incentive Payment System (MIPS) and would like input from MIPS eligible clinicians. Clinicians who successfully participate in the study will be given full credit for the 2018 MIPS Improvement Activity (IA) category. Applications for the study will be accepted through April 30, 2018.  CMS will notify selected participants. Applicants are not required to be MIPS experts.  CMS is...

118 provider multi-specialty healthcare organization leverages robotics to improve revenue cycle efficiency   Windsor, CT – April 12, 2018 (GLOBE NEWSWIRE) – Meridian Medical Management announced today that Hutchinson Clinic, a Kansas-based 118 provider multi-specialty group, has selected Meridian to provide revenue cycle management (RCM) services, including Meridian Robotics.  This agreement expands Meridian’s relationship with Hutchinson Clinic, which currently utilizes the PrecisionBI healthcare analytics engine to analyze practice data and deploy business intelligence algorithms.  “Hutchinson Clinic maintains...

2018 CLIENT FORUM FOXWOODS RESORT CASINO, MASHANTUCKET CT   WEDNESDAY, MAY 2, 2018  7:00pm   Customer Appreciation Happy Hour THURSDAY, MAY 3, 2018 8:00am - Registration & Breakfast 9:00am - Opening Remarks 9:30am - Key Note 10:45am - Break 11:15am - Breakout Sessions 12:00pm - Lunch 1:15pm - Breakout Sessions 2:15pm - Breakout Sessions 3:00pm - Break 3:30pm - Breakout Sessions Key Note Next Level Service Over the last decade, nearly every healthcare organization has come to the realization that the Patient...