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Minnesota Medical Group Management Association
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New Member Highlight:
Jeff Grunewald

Jeff Grunewald
After 17 years in marketing services, I’ve found my niche in healthcare. I love helping practices merge data with marketing objectives to maximize business goals and budgets. As a new member of MMGMA and the Communications Committee, I hope to share my expertise while gaining knowledge and making new connections.

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December E-News

In This Issue:
 

Featured Articles

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Eprescripting, prescription drug electronic prior authorization (ePA) mandate webinar

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MMGMA and the Minnesota Medical Association held a free, 30-minute webinar on Dec. 3 to learn more about Minnesota's prescription drug electronic prior authorization (ePA) mandate.

Effective Jan. 1, 2016, all Minnesota prescribers will be required to submit ePA requests for prescription drugs, and payers will be required to accept them. ePA is an aspect of Minnesota's Electronic Prescription Drug Program law. This requirement is in line with other Minnesota initiatives intended to support data interoperability and administrative simplification throughout the health care system.  

Laura Topor, president of Granada Health, LLC, discussed the upcoming mandate and its requirements, the rationale behind the mandate, its expected advantages, any potential hurdles and suggestions for how to prepare for it. The webinar also provided information about how the ePA workflow works.

The webinar was recorded and made available to registered participants for viewing. To view the webinar, click here. Watch for additional information on the MMGMA website as this discussion continues.

PAC conference calls open to all MMGMA members

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The Government Affairs Committee, with input from the Executive Committee, has approved a change which will allow MMGMA members to increase participation with the Political Action Committee (PAC). In 2016, there will be quarterly PAC conference calls available to all MMGMA members.  The first call will be a Compliance and Overview presentation and may last a little longer than the other calls later in the year.  MMGMA’s lobbyist team (Messerli & Kramer) will provide the overview, which will provide more information about PAC’s; what they are, their purpose, compliance practices, goals, etc.

The first call is scheduled for Monday, February 1, 2016, from noon to 1:00 pm.  If you would like to participate, please RSVP to Josie Lonetti at jlonetti@MesserliKramer.com and you will be provided with the call-in information.

The PAC conference calls will be specifically scheduled over the lunch hour or after office hours for people who may have potential legal conflicts with doing PAC business on company time. The 2016 PAC conference calls will be scheduled in February, May, August and November.  Future topics will include ways to be more involved, PAC disbursement decisions and other updates.

Additional post-“go live” items:

  • Medica noted that it is getting a lot of questions from elderly waiver providers. These providers submit very few claims and so they typically have a lot of questions when something changes.
  • HealthEast, Fairview and Sanford also reported issues with ABNs in Epic. Issues seem to be related to the Medicare LCD changes resulting in providers getting more pop-ups indicating that services are not covered but the same services were covered in ICD-9. It was reported that software updates should correct this.
  • The collaborative will discuss appeals at the next meeting.

If MMGMA members are experiencing issues with ICD-10 items, they are encouraged to contact Sandy Rutherford at sjrutherford@khsinc.net. Feedback will be shared directly with the Minnesota ICD-10 Collaborative. 

Urge your member of Congress to cosponsor H.R. 3940

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On Nov. 5, Rep. Tom Price, MD, (R-Ga.) introduced H.R. 3940, the "Meaningful Use Hardship Relief Act of 2015." This bill would ensure that the Centers for Medicare & Medicaid Services (CMS) could grant broad relief to eligible professionals (EPs) from the 2015 EHR Incentive (Meaningful Use) program due to the delay in publication of the Meaningful Use final modifications rule. While there are currently a number of hardship exceptions available, EPs are required to apply individually, and each application is reviewed on a case-by-case basis. H.R. 3940, for which MGMA has vocalized its support, would provide a practical solution to this problem by amending the Meaningful Use statute to allow for a blanket exception for EPs in 2015. Visit the MGMA Advocacy Center to contact your lawmakers and ask them to support this important legislation.   

Source: MGMA Washington Connection (November 25, 2015). Reprinted with permission from MGMA.
 

Committee Updates

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Communications Committee

The Communications Committee continues to seek feedback on the MMGMA website. Please contact Sue Haberle at susan.haberle@habcom.biz with any revisions you would like to see.
Thank you.

Exhibitor & Sponsorship Committee

The Exhibitor and Event Sponsors Committee is doing well with annual sponsors, and along with Blake Finger from Ewald is now focusing on exhibitors and event sponsors for the Winter Conference. The committee would ask MMGMA members to encourage vendors they work with to sponsor or exhibit at this upcoming conference. Please contact Blake Finger at blakef@mmgma.org or Tim Kratzke at tim.kratzke@crlmed.com with questions or prospects.

If you plan on sponsoring and/or exhibiting at MMGMA’s Winter Conference again and would like to be listed in the Winter Conference registration form, we need your registration form and payment by December 28 at the absolute latest.

Government Affairs Committee

GAC, along with input from the executive committee, encourages members to participate in the February 1 PAC conference call.

Also:  A PAC event called “Lagers & Legislators” is being planned for the evening of February 29, before the start of the Winter Conference.  More info to come.

Payer Relations Committee

As previously reported, Blue Cross and Blue Shield of Minnesota recently contracted with EquiClaim to contact providers who had a higher percentage of Level 4 and Level 5 E/M codes than their peers. The Payer Relations Committee (PRC) recently met with BCBS leadership to discuss the intent of these letters. BCBS states that they have partnered with EquiClaim to provide education regarding E/M level billing and any audits will not directly result in recoupment of claims at this time.

 

Mark your Calendar

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March

May

July

 

Job Listings

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  • Sr. Financial Payer Contracting Analyst – posted 12/07/2015
  • Sr. Director - Payer Contracting and Networks – posted 12/07/15
  • Medical Business Office Manager – posted 12/01/15
  • Clinic Manager posted 11/17/2015
Visit our job board to read more about these and other job postings.
 

Featured Sponsor

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The Davis Group

The Davis Group is Minnesota's most experienced and trusted real estate firm to the healthcare industry specializing in tenant lease representation, brokerage services, development and consulting.

Platinum Sponsors

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