A bi-weekly newsletter from your physician organization
Friday, April 10, 2020
Coronavirus resources available on TPA's website
The Physician Alliance created a special " Coronavirus Resources" webpage on our website under the Learning Institute tab. This webpage shares key federal and state information links, tip sheets, financial resources and other relevant information related to the coronavirus pandemic.
 
Important telehealth codes and other resources
Telehealth, or virtual visits, can be used for a variety of health encounters. During the coronavirus pandemic, it's especially helpful in keeping patients at home. The Physician Alliance gathered key updates and helpful tips to assist practices in implementing telehealth and successfully engaging patients.

  • Click for telehealth tip sheet (codes, HIPAA requirements and more)


There are a variety of ways to use telehealth for patient care, as well as several strategies to engage patients in telehealth. Click here for a patient engagement tip sheet.

CMS released additional updates for telehealth requirements and billing last week. Click here to view their newsletter (and sign up for direct information to your inbox).
Incentives available for medication-assisted treatment
Blue Cross and Blue Shield of Michigan (BCBSM) is now incentivizing physicians for participating in medication assisted treatment (MAT) services for patients with opioid use disorders (OUD). Buprenorphine and naltrexone are included in the MAT incentive. Physicians, nurse practitioners, and physician assistants who deliver MAT to patients with opioid use disorder count toward the requirements to earn the practice transformation funding.

Primary care and specialty practices will be eligible to receive a 5% value-based reimbursement (VBR) for delivering MAT services. The PCP increase starts with the 2020 VBR cycle and specialty providers are eligible starting with the 2021 VBR. Patient-centered medical home (PCMH) designated primary care offices are also eligible to receive additional practice transformation funding dollars for services rendered to patients with opioid use disorders, within a specified time frame. The Physician Alliance will collect required information from the practice and report to BCBSM so that eligible practices may receive the incentives.

Physicians must receive a waiver to prescribe buprenorphine-containing medication. Click here to apply for a practitioner waiver. Learn more about m edication assisted treatment.
Specialists earn value-based reimbursement
Blue Cross Blue Shield of Michigan recently announced the specialist value-b ase reimbursement for 2020. The Physician Alliance total represents the highest number of specialists in the physician organization to receive a value-based reimbursement since the program began. Congratulations to all specialists earning the VBR! Your dedication to quality care is appreciated.

2020 specialist value-based reimbursement:
  • 943 specialists, representing 265 specialty practices received a VBR - 96% of total TPA specialists received a VBR
  • TPA nominated 974 specialists - 97% of nominated specialists received a VBR
  • 188 of our specialist practices received a 10% VBR

Items to note for selected practices:
  • Physicians selected by BCBSM for the specialist value-based reimbursement received a letter in March 2020 (from The Physician Alliance) informing of the VBR percentage amount.

  • For additional detailed documentation regarding the specialist VBR, including your practice's final results report and a report data dictionary, log into The Physician Alliance secure portalFor login assistance or information on the eligibility and nomination process for the VBR, please contact your practice resource team member.

  • Important: Please be aware that your 5-10 percent additional reimbursement may cause payments to exceed your current charges in some practices.
  • Please review your current fee structure and make the appropriate adjustments in your charges if necessary. If you have any billing questions regarding this, please contact your biller and your BCBSM representative.
Self-management training canceled; videos and more available
Please be advised that the self-management training workshop scheduled for May 26-27, 2020 has been canceled.

Upcoming quality and coding webinars and other education programs, tip sheets, patient education materials and other helpful information can be found on TPA's Learning Institute . Videos of past education seminars are available here .
The latest healthcare news
Ways you can save
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