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Minnesota Medical Group Management Association
April E-News
In This Issue:
- Featured Articles
- MNsure Enrollment Exceeds Expectations
- Implications of ICD-10 Delay Not Yet Clear
- Impact of ICD-10 Delay on health care "e-billing" under evaluation
- Don’t Miss Day with the Payers, May 22
- MNCM to Share Patient-Level Data with MDH
- MMGMA Summer 2014 Conference
- 2014 Tax Deduction Notice
- Committee Updates
- Payer Relations Committee
- Government Affairs Committee
- ACMPE Committee
- Education Committee
- Exhibitor & Sponsorship Committee
- Golf Committee
- Communications Committee
- Events Calendar
- Job Postings
MNsure Enrollment Exceeds Expectations
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Open enrollment at MNsure closed March 31. Nearly 170,000 Minnesotans signed up for insurance coverage, according to preliminary figures, exceeding the 135,000 target the agency set last October. MNsure reported that about 47,000 enrollees purchased private insurance on the exchange; no numbers yet on how many of the 445,000 uninsured Minnesotans acquired coverage under the new law. Some 88,000 people enrolled through MNsure in Medical Assistance and about 34,000 enrolled in MinnesotaCare. This is five times more people than projected enrolled in Medical Assistance, the state’s version of Medicaid.
Human Services Commissioner Lucinda Jesson attributed the enrollment numbers to the work of navigators and other outreach workers and to the state’s decision to expand the program to include single adults without children. Consumers who failed to buy insurance by the March 31 deadline must wait until Nov. 15 for coverage that begins in January 2015, unless they qualify for special enrollment in 2014 due to a qualifying event.
Implications of ICD-10 Delay Not Yet Clear
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On April 1, President Obama signed into law H.R. 4302, the Protecting Access to Medicare Act of 2014. This legislation delays transition to ICD-10 for at least one year. Details on implications to providers, health plans and technology companies in the health care industry are unclear because CMS hasn't said how it will translate the law into regulatory policy. The law says that ICD-10 implementation cannot be mandated prior to that date, leaving some room for doubt; likely CMS will set a new deadline of Oct. 1, 2015.
The American Health Information Management Association estimated that a 1-year delay would cost the healthcare industry up to $6.6 billion. Others claim that the postponement will cost hospitals anywhere from $500,000 to $3 million each, depending on their size. The financial effects of the delay on physician practices are likely to be more positive. While some physician groups have invested significant amounts in preparing for ICD-10, a recent survey by Medical Group Management Association (MGMA) found that less than 10% of its members had made substantial progress on that front.
The Minnesota ICD-10 Collaborative meeting will discuss the ICD-10 delay in mid-April and provide updated information for MMGMA members. Meantime, to participate in MMGMA’s LinkedIn discussion on the ICD-10 delay or take the MGMA survey, please click on the following link.
View Discussion
Impact of ICD-10 Delay on health care "e-billing" under evaluation
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The Minnesota Department of Health (MDH) posted a notice regarding Minnesota’s e-billing requirements and the federal ICD-10 delay. MDH stated that in view of the recent enactment of Federal HR 4302 into law, additional guidance is needed from the federal Centers for Medicare & Medicaid Services (CMS) regarding a new ICD-10 implementation date and other guidance for implementing ICD-10. MDH will continue to closely monitor the situation, and to coordinate with CMS for future updates. To view the full notice, please see Health Care Administrative Simplification on the Minnesota Department of Health website.
Don’t Miss Day with the Payers, May 22
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MMGMA is excited to host our fourth annual Day with the Payers on Thursday, May 22 at the Earle Brown Heritage Center, Brooklyn Center. Clinical, administrative and business/operations team members have the opportunity to learn from major Minnesota payers, to include updates on programs and products, medical and payment policies, claims and coding, issue resolution, and healthcare reform changes affecting internal processes. Presenters include Minnesota Medicaid, Blue Cross Blue Shield of Minnesota, UCare, Medica, Preferred One, America’s TPA (Health EZ) and Health Partners. The fee is $125 per attendee and $100.00 for multiple attendees from one organization.
Register Today
Questions, please contact Sandy Rutherford,
MNCM to Share Patient-Level Data with MDH
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In 2014, physician clinics around the state will have the option, through the data portal, to allow Minnesota Community Measurement (MNCM) to share patient-level data with Minnesota Department of Health (MDH), in addition to clinic-level results. According to MDH, the agency will use this information to:
  • Validate quality measure results, so we can more effectively respond to provider questions and concerns related to their data;
  • Study and refine our approach to risk adjustment, so we can provide consumers with comparable information to help them make choices that fit their needs;
  • Research and analyze differences or disparities in care outcomes across geographies and delivery models, so we can better understand how to support change;
  • Design and evaluate public health interventions, such as those for cardiovascular disease, focused on conditions that are also part of Minnesota Statewide Quality Reporting and Measurement System SQRMS.
MDH assures physician clinics that they will not use this data for regulatory activities or investigations, and will not sell data or provide patient-level data to outside entities for other purposes. In this work, MDH is guided by what the law authorizes them to do.
For practices certified as Health Care Homes (HCHs), along with other Minnesota clinics, these organizations already are required to participate in SQRMS. HCHs also are required to submit patient-level data to MDH for evaluation and benchmarking, as part of their participation in the program. MDH will receive patient-level data for HCHs from MNCM, and we will continue to use that data for evaluation and benchmarking of HCHs.
MMGMA Summer 2014 Conference
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It’s not too early to mark your calendar for MMGMA’s Summer Conference, Wednesday- Friday, July 23 - 25, at the Duluth Convention Center. Watch for exciting presentations on current topics to support your business and professional success.
2014 Tax Deduction Notice
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Ten percent of your 2014 annual membership dues are tax deductible. This is a change from the 2014 membership invoice stating 24 percent. Please keep this notice in your 2014 tax records for future reference.
MMGMA Committee Updates
Payer Relations Committee:
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Please participate in payer survey; closes April 14
The Payer Relations Committee asks all MMGMA members to participate in the 2014 Payer Relations Survey, allowing MMGMA to continue to assess our relationships with payers in our market. Please share this message with your employees who interact with health plan staff and include their insight in your responses. We hope to collect fair, useful information that we can share with the payers as we meet with them throughout the year. Member response last year was invaluable.

Those who provide contact information are eligible for one of three pairs of tickets to selected 2014 Twins regular season home games. Your personal information will not be tied to any review or tallying of the responses. The survey will close on Monday, April 14, 2014 and the drawing will take place the following week. Please click here to complete the survey.

Payers must accept electronic workers comp bills
The Minnesota Department of Health (MDH) and Minnesota Department of Labor and Industry (DLI), have contacted Minnesota Worker’s Compensation payers notifying them of their requirement to accept electronic medical bills and provide electronic acknowledgements and remittance advices. The Minnesota law, in effect since 2009, requires this functionality. MDH and DLI sent out the notice because some workers' compensation carriers do not seem to be aware of and are not meeting the requirements.

Government Affairs Committee:
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Protecting Access to Medicare Act lists payment protections, other provisions
The Protecting Access to Medicare Act of 2014 continues the 0.5% update to Medicare physician payments through Dec. 31, 2014 and provides a 0% freeze to payments Jan. 1 - March 31, 2015. Other provisions in the legislation include extending the 1.0 work Geographic Practice Cost Index (GPCI) floor and therapy cap exceptions process for one year.

The provisions create new Medicare policies for clinical diagnostic laboratory tests; put in place "appropriate use" criteria for certain imaging services; require prior authorization for certain ordering providers identified as "outliers"; and create a new process for identifying "mis-valued codes" in the Medicare Physician Fee Schedule. The Act also makes adjustments to 2024 Medicare physician payment cuts resulting from sequestration, implementing a 4% cut Jan. - June and a 0% cut for the remainder of the year.

Minnesota House, Senate committees complete work
As of the April 4 deadline, Minnesota House and Senate committees wrapped up their work. Please go to for a list of bills of interest that survived the legislative committee process thus far and await a vote on the House or Senate floor.

ACMPE Committee:
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Let MMGMA help you pursue certification
Take the next step on your journey to ACMPE certification. For more information about the certification process, please contact Joanne Stadnik at The committee’s Winter Conference table offered participation in a $100 drawing for those who filled out a questionnaire. Congratulations to Darren Rosha of Crutchfield Dermatology! Members completed 34 questionnaires, including 12 who are pursuing ACMPE certification. Of the 12 MMGMA members:

✓ 2 will pursue certification within a year,
✓ 8 within 24 months,
✓ 2 beyond 24 months.

Education Committee:
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Plan to attend Summer Conference, July 23-25
The Education Committee is working hard to assemble a fabulous offering of speakers for MMGMA Summer Conference July 23-25. To recommend a speaker, please contact Christiaan Engstrom at

Exhibitor & Sponsorship Committee:
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Summer Conference exhibitor registration opens in May
Join us for great business opportunities as an exhibitor at the MMGMA Summer Conference in Duluth, coming up in July. Watch for exhibitor registration opening in May.

Golf Committee:
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June 12: Save the date!
The Golf Committee has arranged for our first summer golf event at Prestwick Golf Club on Thursday, June 12. Please save the date!

Communications Committee:
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Become a member of MMGMA’s LinkedIn group
If you are member of MMGMA but not part of MMGMA’s LinkedIn group—check us out! The communication committee’s intern Zach Sager is posting updates and working to invite non-MMGMA members of our LinkedIn group to join our association.

Events Calendar back to top
Job Postings back to top
  • Electronic Medical Record (EHR) Project Manager (Contract) - Posted 3/7/2014
  • Care Management & Coverage Program Director - posted 4/4/2014
  • Management of Information Systems - posted 3/27/2014
  • Surgery Administrator/Director - posted 3/27/2014
  • Electronic Medical Record Project Manager - posted 3/7/2014
  • Physician’s Assistant - posted 3/1/2014
Visit our job board to read more about these and other job postings.
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