Windsor, CT. February 21, 2017 (GLOBE NEWSWIRE) – The Polyclinic, a Seattle, Washington based multispecialty group, has selected Meridian Medical Management to provide revenue cycle management and healthcare business analytics services. Meridian Medical Management will deliver its On Premise Revenue Acceleration Program (OP-RAP) and will assume management of The Polyclinic’s existing medical billing operation.  The Polyclinic will utilize Meridian’s proprietary robotic process automation suite and the PrecisionBI healthcare analytics engine. The PrecisionBI engine automatically analyzes the...

MERIDIAN PROVIDES MEDICAL MANAGEMENT - MEDICAL BILLING AND CODING With the new CPT code set for 2017, came changes to the codes for diagnostic and screening mammography. Prior to 2017, two codes were needed to report diagnostic or screening mammography. Effective 1/1/2017, there are now just three codes which include computer-aided detection (CAD) when performed. Codes 77051, 77052 and 77055 -77057 were deleted. United Healthcare updated their Breast Imaging policy on 1/13/2017 to include CAD when performed for...

By Susan D’Agostino, RN One of the most frequent complaints I have heard from physicians when using an EHR is, too many clicks.  Why do I have to click so many things? Why does it take so many clicks to get something done? From KevinMD.com Working with Today's EMRs is Mentally Exhausting to AmericanEHR Blog Has EHR Increased Your After-Hours Workload?, doctors have plenty to say. And, they have a valid point. When a physician is mandated to...

CMS declines to revisit CT colonography coverage By Eric Barnes, www.AuntMinnie.com staff writer December 15, 2016 -- In a stunning year-end setback for screening CT colonography, the U.S. Centers for Medicare and Medicaid Services (CMS) has turned down a request by advocates for CT colonography to reconsider its 2009 decision not to pay for the imaging-based colon cancer screening exam. The American College of Radiology (ACR) said it has been informed by CMS that the agency would not...

Medical Billing and Coding 2017 is right around the corner and like every New Year we have CPT changes to review. Attached is a spreadsheet containing new/deleted codes that correspond with the chapters in the CPT manual.  The spreadsheet is tabbed by specialty or system where applicable.  This should make it easier for you to determine new and deleted codes specific to your specialty. There is also a tab for revised codes which includes a column...

January 1, 2017, is rapidly approaching and the Centers for Medicare and Medicaid Services (CMS) will be rolling out their new Quality Payment Program, specifically the Merit-Based Incentive Payment System (MIPS) and the Advanced Payment Models (APM). This year, 2016, is the last reporting period for the Physician Quality Reporting System (PQRS) as it currently exists. MIPS and APMs will go into effect January 1, 2017. The first payment adjustment based on this reporting period will...

By: Dan Reber In my previous blog post, Three Steps toward Discovering Big Data, I began a discussion on the three significant steps, or transformations, I believe are required before healthcare data analysis can begin a significant evolution from crawling to walking. The discussion began with a commentary on Step 1: Exception Reports. You can read up on the earlier part of the discussion HERE. Now, I’d like to move forward to discussing Step 2: Analytics Department Setup...

Your ConnectiCare patients with commercial and Medicare Advantage plans effective on or after Jan. 1, 2017, will have new member ID cards. We will also be issuing new member ID numbers to all of your ConnectiCare Medicare Advantage patients. The redesigned member ID cards will make it easier for your office to identify the different product names, copayments and where you should send your claims for payment. It will also clearly note whether referrals are needed...

This is the last year for reporting of the PQRS Quality Measures as we know it today. In 2017, the Merit-Based Incentive Payment System (MIPS) will go into effect combining several programs into one. Please refer to our prior Provider News and Alert publication dated October 14, 2016 for more information. If you are submitting your 2016 PQRS Quality Measures via the claims method and are unsure if you will be a “successful reporter,” to avoid...

By Jaime Ojeda It is an understatement, to say the least, that the results of the presidential election was a shock to many.  For those of us intimately involved with the healthcare landscape, and specifically focused on Health IT that supports many goals of the Affordable Care Act (ACA), the question quickly turned to, “How will all this impact Health IT spending in the coming years?” By coincidence, I spent the night of the election, and the...