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Beware of CMS HIX Grace Period  (1/2014)

A few months ago we told you about the Affordable Care Act which allows a 90-day grace period for patients after their last insurance premium payment to a plan in the health insurance exchange.

Physicians, unfortunately, will only be paid for claims in the first 30 days after the last premium payment. This dichotomy presents a good opportunity for your office to take credit card information from patients since you may not be aware of their status at the time of the office visit.

The AMA has created an online toolkit for new federal regulations related to the Administrative Simplification Initiatives. One very important aspect of this is the online Electronic Eligibility Verification Toolkit.

And MSMA has teamed up with TSYS, a new MSMA partner who can assist you with credit card merchant services.

Fees for Medical Records
The the new maximum fees for copying medical records will be $23.38 plus $0.54 per page for copies provided in paper form, and $21.89 for additional costs if records are maintained off-site.  For copies provided electronically, the new maximum fees for copying will be $23.38 plus $0.54 per page, or $102.46 total, whichever is less. For more information, go to: http://health.mo.gov/atoz/fees.php

MSMA Endorses Data Reporting Guidelines (5/2012) 
MSMA has endorsed a set of national guidelines that endeavor to streamline and standardize the wide variety of manners in which health insurers, employer coalitions, and other entities that profile physicians report the profile data back to physicians. 

The AMA’s “Guidelines for Reporting Physician Data” were drawn up after the AMA convened a large group payers, state and specialty medical societies, and other interested parties to find ways to make it easier for physicians to access and interpret their 
data and information. The guidelines are not compulsory, but it is hoped profiling entities will make a good faith effort to adhere to them.









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