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Minnesota Medical Group Management Association
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In 1968, Lyman Anderson reorganized the Association. The new structure provided for a president, president-elect and vice president.

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July E-News

In This Issue:
 

Featured Articles

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Last Call for Summer Conference

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There is still time to register for the MMGMA Summer Conference, July 29-31, at Breezy Point Resort. Sign up today! If you are a new MMGMA member or a first-time conference attendee, please join us for breakfast at the conference on Thursday, July 30, from 7:30 to 8:10 a.m. to learn about the many components of MMGMA and how you can become involved.

MGMA 2015 State Management Compensation Report

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MGMA has just released state-specific management and staff compensation data that will enable members to make more informed decisions and make sure that compensation is competitive. The report enables users to compare apples to apples by ensuring that the data are coming from similar practices in a state-defined region. As a special courtesy to all MMGMA members, national MGMA is offering 40 percent off the full prices of MGMA DataDiveTM State Management Compensation. This means that MMGMA members will be able to purchase this report for only $150. To get this reduced price, please use promo code I5STATE150.

Survey Results from Payers

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This spring, the ICD-10 Collaborative conducted a survey of members on the payer side and received responses from America’s PPO, Blue Cross, DHS, HealthPartners, Mayo Health Systems, Medica, PreferredOne, PrimeWest, Sanford Health and UCare. In summary:

  • All 10 respondents said they were 100 percent confident that they would be able to accept claims using ICD-10 for service and discharge dates beginning October 1, 2015.
  • When asked, ”How confident are you that you will be able to adjudicate claims with ICD-10 codes for service and discharge dates beginning on October 1, 2015, and produce respective remittances or acknowledgements,” nine said they were 100 percent confident, one said 75 percent confident.
  • When asked, “How confident are you that providers will be able to submit claims with ICD-10 codes for service and discharge dates beginning on October 1, 2015,” four were 100 percent confident and six were 75 percent confident, mostly due to lack of confidence in small providers.
  • Respondents listed the following roadblocks encountered which inhibit their operational readiness by the compliance date:
    • Limited availability of testing partners
    • Late addition of new ICD-10 codes
    • Late publications/availability of groupers
    • MCO needing MN DHS IP payment information
  • When asked, “How do you think the Minnesota ICD-10 Collaborative could work with you to minimize or prevent incorrect claim denials,” respondents said:
    • Appreciate the collaborative effort
    • Continue to share results from collaborative members
    • Comprehensive FAQ across payers
    • Gather/raise concerns from small providers

CMS to Permit Non-Specific ICD-10 Codes for One Year

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The Centers for Medicare & Medicaid Services (CMS) announced a set of new policies related to the Oct. 1, 2015, transition to ICD-10. For the first year, Medicare claims will not be denied, and eligible professionals will not be penalized under PQRS, the value-based payment modifier or meaningful use based only on the specificity of the diagnosis codes, as long as they are from the appropriate “family” of ICD-10 codes. In addition, CMS will authorize advance payments to physicians should Medicare contractors be unable to process claims as a result of ICD-10 complications. The agency also announced plans to create a new communication center to monitor and resolve issues as quickly as possible, as well as an “ICD-10 Ombudsman” to assist providers. In a separate announcement, CMS indicated that nationally it accepted 90 percent of claims from more than 1,200 submitters who participated in the third round of ICD-10 “front end” testing.

Medicare Conversion Factor Increased July 1

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As a result of the Medicare Access and CHIP Reauthorization Act (MACRA), the first of five scheduled 0.5% Medicare physician payment increases will go into effect July 1. This week, the Centers for Medicare & Medicaid Services (CMS) released the updated RVU files reflecting the payment increase and new conversion factor, $35.9335 (previously $35.7547). The updated RVU files are located in a zip drive on this CMS webpage Medicare Administrative Contractors are currently updating their payment systems in preparation for the payment increase. The next 0.5% payment increase is scheduled for Jan. 1, 2016 and subsequent 0.5% updates will take place at the beginning of each year through 2019. To learn more about the critical elements of MACRA and future of Medicare physician payments, view this on-demand webinar available at no charge to MGMA members.
Source: MGMA Washington Connection (June 24, 2015). Reprinted with permission from MGMA

Change in CMPE Continuing Education Units

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There has been a change in how CMPE credits apply to state conferences and educational events. MGMA no longer creates credit hour forms for events; a form is no longer necessary. ACMPE participants may apply for continuing education credit if content of a program relates to one or more of the six management domains in The Body of Knowledge for Medical Practice Management. Contact Isabel Penraeth at jpenraeth@mgma.org with questions.

Vote for the MMGMA Board of Directors

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Regular members: Remember to vote for the 2015-2016 MMGMA board of directors. Vote by Thursday, July 23, and then join us for the annual meeting at 11:30 a.m. on Thursday, July 30, during the MMGMA Summer Conference, to learn of the results.

Legislative Summary

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For a good summary of the 2015 legislative session, visit the MMGMA Government Affairs page, where you’ll find details on:

  • Higher Education
  • Environment
  • Public Safety
  • Jobs and Energy
  • Transportation and Taxes
  • Health and Human Services
 

Committee Updates

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ACMPE Liaison Committee

Please visit the communications table at the Summer Conference and share a statement about why you are a member of MMGMA. These testimonials will be shared through the MMGMA website.

The Communications Committee is looking for a couple of motivated MMGMA members to join our team in the 2015-16 year. Please contact someone on the Executive Committee if you are interested.

The Communications Committee also has an internship position available for the coming year. Do you know of a student studying journalism or communications who might be interested? Contact Deb Hecimovich at dhecimovich@obgynmn.com for more information.

Exhibitor & Sponsorship Committee

The exhibit booths for this year’s Summer Conference are sold out, but a couple of sponsorships remain. If interested, contact Mark Franklin at mfranklin@noranclinic.com.org

Government Affairs Committee

The U.S. Supreme Court’s King vs. Burwell decision protected the subsidies being provided to insurance purchasers through the national insurance exchange at Healthcare.gov. Though this case was not expected to have much impact in Minnesota, a different decision could have caused the Affordable Care Act to face a significant overhaul.

The Government Affairs Committee supports the MN Medical Association in its effort to enact legislative reform to the burdens caused by prior authorization of medications.

MMGMA was invited to appoint a member to be on the No Fault Auto Insurance Task Force. We have nominated Donald Bechtle from Health Partners.

The Government Affairs Committee will share a table with the Payer Relations Committee at the MMGMA Summer Conference at Breezy Point. Please visit us and pick up a 2015 Legislative Report, learn about our plans to build relationships with key legislators, and even make a donation to our Political Action Committee!
 

Mark your Calendar

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July

August

September

October

 

Job Listings

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  • Director of Nursing – Emergency Room – Duluth, MN (22946BR) – posted 7/10/15
  • Department Administrator Assistant – posted 7/10/15
  • Chief Nursing Officer – posted 7/7/15
  • Patient Care Supervisor – posted 6/23/15
  • Director of Finance – posted 6/18/15
  • Director of Cancer Care & Research Center – posted 6/9/15
  • Hutchinson Health Clinic Manager – posted 5/29/15
  • Director of Physician Compensation MCHS – posted 4/22/15
Visit our job board to read more about these and other job postings.
 

Featured Sponsor

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Alerus

Alerus

Alerus provides financial expertise services to medical practices, their owners and closely held businesses. Our tenured team of professionals offers financial solutions in the areas of professional services, private banking, employee benefits, customized credit, investment advisory services, retirement planning, trust services, residential mortgage products, and commercial banking.

Platinum Sponsors

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Cushman & Wakefield/NorthMarq Real Estate Services Healthcare Advisory Group
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MMIC Group