March 2017
The new Health First Colorado interChange went live on March 1; get your questions answered at a webinar on March 29, 12 - 1 p.m.

Click here to register for a March 29 webinar on the new Health First Colorado interChange, Medicaid's new claims processing system that went live on March 1.   

We know you have questions; join us on Wednesday, March 29, 12-1 p.m. when representatives from the Colorado Department of Health Care Policy and Financing (HCPF) and Hewlett Packard Enterprise (HPE) will provide updates and listen to your feedback.  

They will not be able to answer detailed questions that are specific a particular provider; however, to ensure that they cover the information you need we are asking that you submit any questions in advance. Those questions should be sent to marilyn_rissmiller@cms.org.

This program is jointly sponsored by the Colorado Group Management Association and the Colorado Medical Society.
Colorado Medicaid interChange: Help for practices

As you know, Health First Colorado and Child Health Plan Plus (CHP+) transitioned to a brand-new claims payment system and fiscal agent on March 1.  Since go live, the agency has processed more than two million claims in the Colorado interChange and have paid providers more than $280 million.
 
However, some providers have experienced challenges, and Health First Colorado is continually identifying issues that need technical intervention and addressing them with HPE to  ensure providers can provide services and receive appropriate payments for those services.
 
Click here to go to the CMS website to read a brief overview of some of the top claims denial reasons, reminders, and other items to know.
2017 fact sheet on chronic care management

The Centers for Medicare and Medicaid Services has released the 2017 fact sheet on chronic care management. Click here to access the fact sheet.
Social Security Number removal initiative: New details

Updated Social Security Number Removal Initiative  Home and  Provider webpages will help you prepare to  transition to Medicare Beneficiary Identifiers next year. Find new information including:
  • How to identify railroad retirement board beneficiaries,
  • Coordination of benefits with other payers, and
  • Where to direct your patients to correct their addresses so they receive new Medicare cards.
Alert: HHS OIG Hotline Scam

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently confirmed that the HHS OIG Hotline telephone number is being used as part of a telephone spoofing scam targeting individuals throughout the country. These scammers represent themselves as HHS OIG Hotline employees and can alter the appearance of the caller ID to make it seem as if the call is coming from the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477). The perpetrator may use various tactics to obtain or verify the victim's personal information, which can then be used to steal money from an individual's bank account or for other fraudulent activity. HHS OIG takes this matter seriously. We are actively investigating this matter and intend to have the perpetrators prosecuted.

HHS OIG will not use the HHS OIG Hotline telephone number to make outgoing calls and individuals should not answer calls from 1-800-HHS-TIPS (1-800-447-8477). The agency encourages the public to remain vigilant, protect their personal information, and guard against providing personal information during calls that purport to be from the HHS OIG Hotline telephone number. The agency also reminds the public that it is still safe to call into the HHS OIG Hotline to report fraud, and they encourage those who believe they may have been a victim of the telephone spoofing scam to report that information through the HHS OIG Hotline 1-800-HHS-TIPS (1-800-447-8477) or to  spoof@oig.hhs.gov. Individuals may also file a complaint with the Federal Trade Commission 1-877-FTC-HELP (1-877-382-4357).

More information is available on the OIG Consumer Alerts webpage.
Novitas launches "Accuracy Matters" campaign to help with claims accuracy

Novitas Solutions has launched an " Accuracy Matters" campaign geared specifically to help Medicare Part B providers submit Medicare Part B claims accurately the first time so they can not only eliminate rework within their organizations and save time and money for other opportunities, but also receive their Medicare payment faster. As it relates to Medicare billing, Novitas says the best way to reduce rework and the accompanying costs is to submit Medicare claims accurately upon initial submission.

Throughout 2017, Novitas will be conducting a series of educational approaches as part of the "Accuracy Matters" campaign, including specialized "Accuracy Matters" workshops, webinars, and educational articles to educate providers regarding Novitas' self-service tools and resources available on their website to help providers submit claims accurately the first and eliminate the need for submitting claim corrections. Visit the webpage to learn more.
Sponsors

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First Healthcare Compliance is a comprehensive compliance program management solution for healthcare providers. We provide a cost-effective, time-efficient, flexible, scalable compliance program management solution for your private practice or ACO to ensure compliance in all regulatory areas, all in one place. White Papers - download the latest white papers; webinars - register for our complimentary webinar and receive CEU; blog - read our latest blogs. To learn more, visit: http://1sthcc.com/cms/, call 888-54-FIRST or email info@1sthcc.com
 



Take Credit Cards? Is Your Practice Ready for the Oct. 15 EMV Deadline?

Important! What your practice needs to know about switching to EMV: Click here.
 


Carr Healthcare Realty exclusively represents healthcare tenants and buyers. We assist medical practices in all types of lease and purchase negotiations: New Offices, Expansions, Relocations, Practice Acquisitions, and Lease Renewals. Visit: www.carrhr.com



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CO Drug Card

Compliments of CMS: Reduce patient callbacks, HIPAA compliant, RX Savings up to 75%, click for free customization COLORADO DRUG CARD.
 

Health insurance exchange information
Latest bulletins
Aetna - March 2017
 


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Denver, CO 80230