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Minnesota Medical Group Management Association
OCTOber E-News
Committees set new strategic goals
As a member-driven organization, we rely on the effort, energy, and ideas of our members for our ongoing success. We invited all committee members to participate in our annual strategic planning effort on Sept. 12. More than 40 members came together to help establish our 2013-'14 committee goals. These goals and plans will drive MMGMA’s initiatives and serve as the foundation for our efforts throughout the upcoming year. Thank you to everyone who participated!

- Bill Evans, President

MN Community Measures seeks public comment on proposed Total Cost of Care Measurement

Public comment period will conclude on October 15th. Comments can be sent to
Background: Total Cost of Care (TCOC) is a measure of all costs associated with treating patients based on expected costs, and includes professional, facility inpatient and outpatient, pharmacy, lab, radiology, ancillary and behavioral health services.
Measure: The specifications, developed by the TCOC TAG, are a measure of the average total cost per commercial patient by medical group and adjusted for patient’s health risk. Patients will be attributed to a medical group based on that medical group having a majority of that patient’s primary care claims.
Data collection and validation process: Medical groups will not be asked to submit data for this measure. Participating health plans will submit administrative data grouped by medical group. MNCM will aggregate the data and submit a report to medical groups for review. Medical groups will have an option of requesting a report from health plans of attributed patients during the validation process.

Specifics of the proposed measurement can be found here:
Total Cost Of Care - Highlights
Total Cost Of Care - Methodology Specifications

Blue Cross Blue Shield (BCBS) Contract Review
The Payer Relations Committee has finished review of the new BCBS Aware Service Agreement. Jim Reimann, on behalf of MMGMA and the Payer Relations Committee, worked with Teresa Knoedler, JD | Policy Counsel Minnesota Medical Association on this final review.
The terms of the agreement were effective July, 1st 2013. If you have any questions or comments regarding this document, please contact Jim Reimann at or Sandy Rutherford, PRC Chair at
Jurisdiction 6 Ask-the-Contractor Open Door Forum Teleconferences for Part B Providers in Illinois, Minnesota, and Wisconsin
National Government Services is hosting a series of Ask-the-Contractor teleconferences (ACTs) for providers transitioning to the Jurisdiction 6 (J6) Medicare Administrative Contractor (MAC). The calls are open to all transitioning J6 Part B providers in Illinois, Minnesota, and Wisconsin. The Open Door Forum allows providers the opportunity to ask questions and share information during the session with your J6 MAC.
Please note that preregistration is not required for these ACTs. However, if you plan to ask a question, please have the following information available for follow-up purposes: Name, Phone Number, Provider Number and Name, State Abbreviation and Email address.
A Part B call is scheduled on the following date and time:
  • Date: Thursday, October 17, 2013

    Time: 9:30 - 10:30 a.m. central time (CT)

    Dial in number: 866-308-0254

    Conference ID number: 513 419 3655

The MN Chapter of the American College of Healthcare Executives and the MHA Alumni Association/Foundation at the University of Minnesota present:
Quarterly Lecture Series: “Green Hospitals and Healthcare / sustainable ideas that can be tailored and implemented to meet any healthcare organization’s long-term objectives”
Child and Teen Checkups (C&TC) Webinar for Providers and Clinics
The C&TC Periodicity Schedule of Age-Related Screening Standards has recently been revised, with the final release in August 2013. This brief webinar will highlight the updated C&TC recommendations and requirements, why those changes were made, and what resources are available to help implement those changes. Note that the webinar will not offer details on billing, coding or reimbursement, but general resources will be provided. There will be time for questions.
MMGMA Committee Updates
Payer Relations: The Payer Relations Committee would like to share the September AUC Operations Update with MMGMA membership. If you have questions on the AUC please contact Sandy Rutherford, PRC Chair at
Conference and Education: Christiaan Engstrom has succeeded Shari Ohland as the Chair of the Conference and Education Committee. At their meeting on October 3rd, the committee will finalize their goals for 2013-2014, and continue their planning for the MMGMA Winter Conference which will be held March 4-5, 2014 at the Depot Renaissance in Minneapolis.
Communications: Brenda Jaye has succeeded Lisa Arrington as the Chair of the Communications Committee. The Committee will continue to focus on boosting networking opportunities among members as well as making MMGMA more visible to non-members. The committee is looking to to add at least one additional member this year. Interested in joining the Communications Committee? Contact us!
Government Affairs: Matt Brandt has succeeded Rachel Nyenhuis as Chair of the Government Affairs Committee.
Events Calendar
March 2014
May 2014
Job Postings
  • Administrator (Minnesota Lung Center) – posted 10/1/2013
  • Sr Managed Care Contract Analyst (Children's Hospitals and Clinics of MN) – posted 9/13/2013
  • Director of Operations (Metro Vein Clinic, PA) – posted 9/13/2013
  • Business Office Manager (Midwest Ear, Nose & Throat Specialists) – posted 9/9/2013
  • Business Office Manager (Neurosurgical Associates, Ltd.) – posted 9/9/2013
Visit our job board to read more about these and other job postings.
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