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CMS Region 7 Update Newsletter – October 25, 2016

Click here to read the full CMS Region 7 Update Newsletter from October 25, 2016.

CMS Region 7 Updates – October 14, 2016

Click here to read the full CMS Region 7 Update from October 14, 2016.

CMS Region 7 Update Newsletter – October, 2016

Click here to read the full CMS Region 7 Update Newsletter.

CMS Region 7 Update – August 22, 2016

Consumers determined eligible for minimum essential coverage (MEC)[1]* Medicaid or CHIP are not eligible for a Marketplace plan with advance payments of the premium tax credit (APTC) and/or income-based costsharing reductions (CSRs). This summer, Medicaid/CHIP Periodic Data Matching (PDM) functionality will be different from past Medicaid/CHIP PDM processes. This time, the Marketplace will end APTC/CSRs for dually-enrolled consumers who do not take action in response to the Medicaid/CHIP PDM initial warning notice. Click here to read the full CMS Region 7 Update from August 22, 2016.

MGMA and the AMA STEPS Forward™ Program

Together, MGMA and the AMA provide practice managers and clinicians with the data, tools, education, certification, and relationships needed to ensure success in a value‑based payment environment. Click here to learn more about the STEPS Forward™ practice transformation series.

Tips to Avoid Insufficient Documentation Errors

WPS has created a tip sheet for insufficient documentation due to the rising number of documentation errors. This document is meant to educate practices on the importance of including all appropriate documentation when it is requested by the carrier. Read the Tips Sheet here.

EHR Audit Trials Might Reveal More Than You Think

In a recent article, Inside Medical Liability, (a publication of PIAA,) examined the Hall v. Flannery case regarding the alleged mishandling of EHR’s. “The general principle [of the trial decision] is this: once a type of electronic health record (EHR) data (or metadata) is created, it may be very difficult to claim that it should somehow be kept out of a legal inquiry, even when it should (Brouillard).”

Reprinted from the Third Quarter 2015 issue of Inside Medical Liability magazine, PIAA. Copyright 2015.

Read the full article here.

Clarification of Ordering and Certifying Documentation Maintenance Requirements

On July 20th, a change in procedures went into effect regarding Medicare and Medicaid documentation requirements. These changes will affect  providers or suppliers who furnish covered ordered items of Durable Medical Equipment, Prosthetics, Orthotics and Supplies
(DMEPOS), clinical laboratory services, imaging services, or covered ordered/certified home health services to Medicare beneficiaries.

For more information on these changes, see this MLN Matters document published by CMS, or Change Request 9112.

2014 House Bill No. 2668, The Predetermination of Health Care Benefits Act:

The Commissioner of Insurance of Kansas has issued a bulletin “to call your attention to the requirements found in 2014 House Bill No. 2668 and to assist you as you work toward compliance with this House Bill.”

The Commissioner of Insurance’s Bulletin: HB 2668 Bulletin-2015-2

HOUSE BILL No. 2668: HB 2668 SB 251 Final Passed

“PQRS/Value-Based Payment Modifier: What Medicare Professionals Need to Know in 2015” Video Presentation Posted to YouTube:

A video recording of the “PQRS/Value-Based Provider Modifier: What Medicare Professionals Need to Know in 2015” presentation has been posted to the CMS MLN Connects® page on YouTube. 
This presentation is the same as the webinars that were delivered on March 31, 2015 and April 7, 2015.  A link to the video can be found here:

The Office of the National Coordinator for Health Information Technology has provided an updated “Guide to Privacy and Security of Electronic Health Information.”

To view this guide, click here.

Members-Only Resources

2015 Annual Conference Presentations and Contact Information

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