A bi-weekly newsletter from your physician organization
Friday, August 14, 2020
Last chance to register for coding webinar
Don't miss this special opportunity to help improve coding! Register today.

Hierarchical Condition Categories (HCC) Coding During Covid-19 webinar
Tuesday, August 18, 2020; 8-9am

The coronavirus pandemic has greatly impacted healthcare, including patient care processes and coding. Attend this webinar and gain valuable insight on:
  • chronic conditions during COVID-19
  • the importance of risk coding during the COVID-19 Public Health Emergency
  • how to keep HCC and risk diagnosis coding applicable when using telemedicine in your practice

Presenter: Mary Mallory, CEMC, ambulatory coding education specialist, The Physician Alliance

Register here. Webinar access information will be emailed after registration.
Not all COVID-19 screening tests covered by insurance
Many health care entities and employers are requiring COVID-19 screening tests prior to surgical procedures and/or return-to-work.

Blue Cross Blue Shield of Michigan recently shared non-medically necessary COVID-19 screening tests or employer-directed employee screening tests are not covered. Patients may be held liable for cost share and unexpected bills associated with non-medically necessary COVID-19 screening tests.

Provider alerts relating to COVID-19 can be found on BCBSM's coronavirus web section. These include updates to billing, coding and more.
Blue Cross and CMS share updated coding information
Blue Cross Blue Shield of Michigan and Blue Care Network have made many changes to support providers and protect members during the COVID-19 public health crisis.

New billing tips were recently released to help providers get submitted claims processed as quickly and accurately as possible.
  • View billing tips for COVID-19 (Revised August 5, 2020)
  • View billing tips for COVID-19 at a glance (Revised June 30, 2020)

The Centers for Medicare & Medicaid Services also released its quarterly Health Care Procedure Coding System (HCPCS) updates. There are 61 added codes to describe healthcare equipment and supplies not identified by CPT® codes, as well as nine deleted codes and three revised codes. The July update to the HCPCS Level II code set is effective July 1, 2020 (except where noted).

  • Read the HCPCS Code Application Summaries and CMS Decisions for Q1 2020 document for information about the new codes (indications, etc.).
  • Download the HCPCS Level II quarterly update from the CMS website.

BCBSM released a chart with coverage decisions relating to the updated codes, as well as an overview of noted replacement codes.
Mobile apps retired, additional resources added to website
The Physician Alliance recently retired two mobile apps. This includes the Physician Education app and My Doctors app. These apps will no longer be updated nor supported so can be removed from smartphones.

A library of electronic information is available at the Learning Institute on TPA's website. Coronavirus resources, coding tip sheets, quality metric information, performance programs, primary care and specialty specific updates, patient education materials, webinars and much more are offered complimentary to TPA members.

If you missed the recent announcement about the quarterly newsletter, you can check out the new digital version here and visit TPA's website for past issues.
Deadline extended for Medicaid providers to apply for COVID-19 relief dollars
The deadline for Medicaid providers to apply for the federal Provider Relief Fund has been extended to Aug. 28, 2020. These funds are intended to help providers that are struggling financially as a result of the COVID-19 pandemic.

According to U.S. Department of Health and Human Services, this funding is "available from the Coronavirus Aid, Relief, and Economic Security (CARES) Act. It must cover lost revenue attributable to COVID-19 or health-related expenses on purchases to prevent, prepare for, and respond to coronavirus."

Among the criteria to be eligible for funding assistance, providers must have:

  • Billed Medicaid / CHIP programs or Medicaid managed care plans for health-related services between Jan.1, 2018-Dec.31, 2019; or billed a health insurance company for oral healthcare-related services as a dental service provider; or be a licensed dental service provider who does not accept insurance and has billed patients for oral healthcare-related services
  • Provided patient care after January 31, 2020

Click here for additional criteria, view frequently asked questions and apply.
The latest healthcare news
Ways you can save
Featured Affiliate Partner: MEDICAL DEBT COLLECTIONS - Transworld (TSI) offers past due accounts and debt collections services for our member practices at exclusive pricing. TSI can provide new automated solutions built into medical billing programs to help practices recover past due patient accounts and reduce slow pay concerns.

Learn more about this partner.