The State of Maryland and the federal government have made improving access to primary care in the Medicaid program a top priority.
Assignment of Benefits Notice
The regulation implementing the new assignment of benefits law has been promulgated in its final form and took effect September 19. An explanation of the regulation may be found at THIS LINK. The complete regulation may be found at THIS LINK.
Among other things, the regulation finalizes the format of the notice that is required to be provided to patients by physicians seeking assignment of benefits who are classified as non-preferred providers by the patient’s insurance company. A copy of the required notice is located HERE.
Below are flyers for use in your office. Some are to help your patients with issues and some are to help you and your staff with office related issues. Click on the links to print out the flyers. Check back often for more topics.
- 10 Questions You Should Ask an EMR Vendor
- Assignment of Benefits
- Electronic Health Records Resources, Information, and Assistance for Maryland
- Guidelines for Successful Claim Appeals
- Maryland Health Officials Encourage Residents to be Prepared for Extreme Cold Weather and Winter Storms
- Medical Records Retention Guidelines
Medicare & TRICARE Patients: Protect Your Access to Health Care
- Scope of Practice
- Summary of Physician Workforce Programs
AMA’s “Heal the Claims Process” Campaign
The American Medical Association has provided the following information regarding its new “Heal the Claims Process” ™ campaign.
Physician practices are spending as much as 14 percent of their total collections to ensure accurate payment for their services. When physicians submit correctly coded health care claims, health insurers and other third-party payers may still inappropriately delay, deny or significantly reduce payments. The AMA’s “Heal the Claims Process” campaign calls on all participants in the health care claims process to do their part to eliminate waste in the claims process by committing to efficiencies and getting it right the first time:
We encourage physicians, their practice staff and their billing partners to submit timely and accurate claims the first time and implement practice efficiencies.
- We encourage payers to pay accurately and in a timely manner the first time and comply fully with the Health Insurance Portability and Accountability Act (HIPAA) electronic standard transactions. We also call on payers to provide full transparency with respect to fee schedules, payment policies and other information necessary to maximize efficiency.
- We encourage employers to comply fully with the HIPAA electronic standard transactions, provide benefit transparency to their employees and, when appropriate, offer incentives to their payers or third-party plan administrators to pay accurately and in a timely manner the first time.
- We encourage patients to understand their health insurance policies and payment practices and make a good faith effort to meet their financial obligations.
Become involved --- Through the “Heal the Claims Process” campaign, physicians, their practice staff and their billing partners can join their peers around the country in improving practice efficiencies that can result in reduced costs for the physician practice and increased time and resources to devote to patient care. Physicians, their practice staff and their billing partners can help heal the claims process with the following actions:
- Review their internal claims process to ensure claims are submitted accurately and in a timely manner to the appropriate payer.
- Review and reconcile claims payments they receive from payers for accuracy and appropriateness.
- Perform a practice management check-up to identify opportunities to improve practice efficiency. [Consider using MedChi’s Practice Management Consulting Service]
- Evaluate their practice management systems to prepare for the approaching 5010 and ICD-10 mandated updates and enhanced use of electronic transactions.
The AMA offers a number of online resources to help physicians streamline their internal claims process and appeal inappropriately delayed, denied or underpaid claims. This library of educational materials and practical tools cover every step of the claims management revenue cycle. Visit the AMA WEBSITE to access these materials, as well as a variety of others on managing a physician practice—including implementing electronic efficiencies and taking a stand against unfair payer practices. New resources are added frequently, so check back often for updates.
Chesapeake Regional Information System for our Patients (CRISP)
MedChi has partnered with the Chesapeake Regional Information System for our Patients (CRISP) to assist Maryland physicians adopt Electronic Health Records (EHRs) and achieve meaningful use.
The transition EHRs can be complicated; providers must choose an appropriate product based on price, support, and functionality. After implementation, however, meaningful use of EHRs will lead to improved workflows and better outcomes - not to mention higher reimbursement rates. In order to assist in this process, MedChi will provide a series of communications and outreach events to educate the physician community. We will help navigate through the process of selecting a vendor, "going live," and everything in between.
Please visit www.crisphealth.org for announcements in the coming days and weeks.
Diabetes & Cardiovascular Disease Provider Reference Guide
The California Medical Association (CMA) Foundation’s Advancing
Practice Excellence in Diabetes Program is aware that many
physicians feel overwhelmed and frustrated by the daunting task of addressing diabetes with their patients given the physical, emotional, social and environmental factors associated with this disease. Health care providers hear a variety of messages about the prevention, treatment and management of diabetes that make it increasingly difficult to determine the best plan of action to take with patients.
For more information on this guide, please click here.
Maryland’s Loan Assistance Repayment Program
Maryland’s Loan Assistance Repayment Program is a collaboration between state and federal entities that offers physicians an opportunity to practice their profession in a community that lacks adequate primary and/or mental health care services, while also paying off their educational loans. If you’re interested in bringing health care to underserved areas and getting your school loans paid off, please click here.
The Maryland Rx Card
MedChi is expanding support for Maryland's free discount drug card program. The Maryland Rx Card provides savings of up to 75% on prescription drugs at local pharmacies. This program has no restrictions to membership, no income requirements, no age limitations and there are no applications to fill out.
Maryland Rx Card was launched to help the uninsured and underinsured residents afford their prescription medications. However, the program can also be used by people who have health insurance coverage with no prescription benefits. Additionally, people who have prescription coverage can use this program for non-formulary or non-covered drugs.
To download a free card, click here.
To search drug pricing, and locate participating pharmacies click here.
MedChi Mobile App
The Maryland State Medical Society is to serve as Maryland's foremost advocate and resource for physicians, their patients and the public health. MedChi App is The Maryland State Medical Society’s app. Download this app to have easy access to the organization. Whether you are a physician or patient, you can use this app to stay informed and connected with the organization. This app will provide quick access to contact information, physician directory, organization calendar and more at your fingertips!
Physician Health Program
The Maryland Physician Health Program (MPHP) assists physicians and physician assistants in a confidential, private setting to address issues that may potentially impact their ability to practice medicine. The Program assesses and refers participants to clinically appropriate treatment, helps the participant develop a rehabilitation plan, provides case management to facilitate progress with the plan, and provides advocacy on behalf of the client when needed. The program also provides education and outreach to the medical community regarding physician impairment and available services. For more information, please click here.
Preparedness Tips for Traumatic Events
The Maryland Department of Health and Mental Hygiene (DHMH) and local health departments are offering the following tips to help persons deal with traumatic events. Click here to view.
PTSD Screening Tool
Thanks to a parternship with the Indiana State Medical Association and their Alliance, MedChi and the Alliance to MedChi are proud to provide a tool for dealing with the symptoms of post traumatic stress disorder. The screening tool will assist physicians in diagnosing, treating and referring patients experiencing stress disorders. To view a letter from MedChi President, Murray A. Kalish, M.D., M.B.A., please click here. To view the PTSD screening tool, please click here.