News
Change Healthcare is STILL DOWN
Change Healthcare is STILL DOWN. As stated the other day in multiple posts, other clearinghouses and individual payers have turned off their connections to Change Healthcare for their own protection. I don’t think the media understands how big of an issue this is to the healthcare industry. Change Healthcare is not just a clearinghouse. Over the years they have taken on more than just conveyance of claims. They are a pivot point for many payers’ claims processing as well as distribution of ERAs. Also, not only do they have PHI for patients, think HIPAA, they have bank account information for…
Change Healthcare Service Disruption due to Cyber-Security Issue
Change Healthcare has notified us that it is experiencing a network interruption related to a cybersecurity matter. As such, until this matter is resolved by Change Healthcare, you may experience service interruptions with Change Healthcare services, including Clearinghouse and Interoperability services.For more information, including ongoing updates regarding this matter, please visit the following Change Healthcare website: https://status.changehealthcare.com/incidents/hqpjz25fn3n7 Change Healthcare is experiencing a network interruption related to a cyber security issue and our experts are working to address the matter. Once we became aware of the outside threat, in the interest of protecting our partners and patients, we took immediate action…
MACRA MIPS Don’t Get Penalized!!!
Don’t Forget to Check Your MACRA/MIPS Data Before It’s Too Late!! It is important to check your MACRA/MIPS data regularly to make sure that you are meeting all of the requirements. The data that you need to check includes your quality measures, your efficiency measures, and your participation in certain programs. Find out if you have to report on the CMS website: https://qpp.cms.gov/ Enter your NPI then click ‘Check Status’
Someone is finally doing something about the high costs of medications!
” Billionaire Mark Cuban launched an online pharmacy on Monday in what the company said was a bid to “drastically expand access to affordable pharmaceuticals.” The Hill Check out the full article here: https://bit.ly/33NMeLT Check out his site with pricing here:https://costplusdrugs.com/
MACRA MIPS 2021 Waiver
#MACRA #MIPS The end of the year is right around the corner!! It is time to make sure all of your MACRA MIPS information meets the requirements set by CMS. If it doesn’t you can still apply for a 2021 COVID waiver. Just log in to your QPP.CMS.GOV account, look at the left panel and choose to apply for a waiver. Make sure you do this for PI as well as Quality measures! To find out more you can visit: https://qpp.cms.gov/mips/exception-applications
CMS releases updated re-payment terms for the Accelerated and Advance Payment Program
CMS announces updates to the Accelerated and Advanced Payment Program. “Providers were required to make payments starting in August of this year, but with this action, repayment will be delayed until one year after payment was issued. After that first year, Medicare will automatically recoup 25% of Medicare payments otherwise owed to the provider or supplier for 11 months. At the end of the 11-month period, recoupment will increase to 50% for another 6 months. If the provider or supplier is unable to repay the total amount of the AAP during this time-period (a total of 29 months), CMS will…
