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MMGMA members have recommended the following websites as valuable resources. MMGMA does not endorse any of these services or companies. If you know of a useful website that you would like to recommend, provide the URL, Company Name and a Brief Description of the website to info@mmgma.org.

 

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Associations

Medical Alley
www.medicalalley.org
Trade association to support Minnesota's health care industry.

 

Medical Group Management Association
www.mgma.com
The national association of Medical Group Management.

 

Minnesota Hospital Association
www.mnhospitals.org
Trade association for Minnesota hospitals and health systems.

 

Minnesota Medical Association
www.mnmed.org
The MMA is a non-profit professional association representing physicians, residents and medical students.


Billing & Coding

American Academy of Professional Coders
www.aapc.com
The American Academy of Professional Coders (the Academy) provides education and certification for professional medical coders.

 

American Association of Health Plans
www.ahip.org
AHIP is the national association representing nearly 1,300 member companies providing health insurance coverage to more than 200 million Americans.

 

American Compliance Institute
compliance.com/index.htm
Provides direction to health care compliance resources.

 

American Health Information Management Association
www.ahima.org
The American Health Information Management Association is the community of professionals engaged in health information management, providing support to members and strengthening the industry and profession.

 

Compliance News
complianceinfo.com
Healthcare Compliance Company home page

 

Healthcare Financial Management Association
www.hfma.org
HFMA is the nation's leading personal membership organization for healthcare financial management professionals.

 

Office of Inspector General
www.oig.hhs.gov
The mission of the Office of Inspector General, as mandated by Public Law 95-452 (as amended), is to protect the integrity of Department of Health and Human Services (HHS) programs, as well as the health and welfare of the beneficiaries of those programs.

 

Patient Friendly Billing
www.patientfriendlybilling.org
The Patient Friendly Billing initiative is a nationwide project to ensure patient financial communications are clear, concise and correct. HFMA leads the effort with involvement from AHA and MGMA.

 

Physicians Practice
www.physicianspractice.com
A business resource for physicians.

 

Wisconsin Physician Services
www.wpsic.com/medicare/index.html
Medicare Part B carrier for IL, MI, MN and WI.


Government & Legal

Cigna Physician Settlement
www.cignaphysiciansettlement.com
This site informs Class Members about the terms of the Settlement Agreement and how Class Members may submit claims for compensation under the Settlement.

 

Federal - Medicaid
www.cms.hhs.gov/medicaid
Reference information for Medicaid information at the federal level.

 

Federal Register
www.gpoaccess.gov/fr/index.html
Federal Register for federal laws and regulations.

 

Medicare
www.cms.gov/home/medicare.asp or www.medicare.gov
Medicare home page for resources.

 

Microsoft-Minnesota Class Action Lawsuit
www.microsoftminnesotasettlement.com
The Court-ordered notice and other documents at this website explain the settlement, the benefits it provides, and the options that you have, including how to submit a claim form on-line or by mail.

 

Minnesota Health Information
www.minnesotahealthinfo.org/index.html
Created by the MN Governor's Health Cabinet, compare cost and quality of healthcare in Minnesota and link to other similar web sites.

 

State Healthcare Statutes
www.revisor.leg.state.mn.us/stats
Home page for MN state statutes and laws


Human Resources

HR Esquire
www.hresquire.com
HR Legal website to research and find resource for any employee benefit or HR issue.

 

HR Village
www.hrvillage.com
For HR professionals and businesses seeking HR information and support.

 

HR Com
www.hr.com
HR resources including benefits, staffing, labor relations and legal.


Licensure & Credentialing

Accuchecker.com
www.accuchecker.com/default.asp
Free UPIN number search capabilities.

 

Council for Affordable Quality Healthcare
www.caqh.org/ucd.html
Nationwide universal credentialing process.

 

Federation of State Medical Boards
www.fsmb.org/members.htm
Access the medical boards of all states within the U.S.

 

Minnesota Association of Medical Staff Services
www.mamss-mn.org/Forms.html
Access Minnesota uniform credentialing, re-credentialing and practitioner change forms accepted by virtually all payors and hospitals.


Marketing

Bureau of Labor & Statistics
www.bls.gov/cpi
Cost of living index (CPI)

 

County Resources
MN Information specific to counties. www."fill in county name".mn.us (Note "fill in county name" i.e.: co.hennepin.mn.us)


News

Minneapolis Star Tribune
www.startribune.com
Minnesota news.

 

Physicians Practice
www.physicianspractice.com
Online and printed Practice Management Journal.

 

St Paul Pioneer Press
www.twincities.com/mld/twincities
Minnesota news

 

The Business Journal
twincities.bizjournals.com/twincities
Twin Cities business news.


Patient Education

Emedicine.org
www.emedicine.com
Physician web site with Patient Education information and links to "centers" of numerous specialties/diseases.

 

Family Doctor.Org
familydoctor.org
Sponsored by the American Academy of Family Physicians, this is a patient health web resource for men, women and children.

 

Medicare Part D Information
www.healthpolitics.com
This website provides Medicare Part D information. There is a downloadable worksheet that you can print out and give to your patients who are struggling to figure out which of the numerous Part D options will work best for them. Please be aware that this website is funded by Pfizer as part of the Pfizer Medical Humanities initiative.


Patient Safety

Institute of Medicine - Healthcare & Quality
www.iom.edu
This page provides links to current IOM projects, events & reports addressing healthcare services and quality of care.

 

Minnesota Alliance for Patient Safety
www.mnpatientsafety.org
A partnership among the Minnesota Hospital Association, Minnesota Medical Association, Minnesota Department of Health and more than 50
other public-private health care organizations working together to improve patient safety.


Payer Relations

MMGMA Payer Relations Committee
The Payer Relations Committee serves as a resource to MMGMA members through our relationship with the major payers (group purchasers) including annual meetings with the payers to review critical issues impacting our membership, serving as liaison to members with unresolved payer issues, and ensuring membership is informed of payer/group purchaser activities. The Payer Relations Committee has representation on influential third party committees in other areas of healthcare reform and works with the Minnesota Medical Association (MMA) in coordination and direction of others involved in Payer Relations activities. Committee membership is comprised of individuals with experience ranging from administration to contracting to billing operations. The committee represents a variety of disciplines and brings depth of experience to MMGMA as we work with third party activity which impacts all groups, regardless of size. If you have a question for one of these Payers, please contact the chair of the Payer Relations Committee and your question will be brought to the Payers.

 

Administrative Uniformity Committee
www.health.state.mn.us/auc/index.html
The Administrative Uniformity Committee (AUC) is a broad-based group representing Minnesota health care public and private payers, hospitals, health care providers and state agencies.

 

America's PPO
www.americasppo.com/doctors.aspx

 

Blue Cross Blue Shield of MN
www.providerhub.com/servicecenter/index.html

 

Cigna
cignaforhcp.cigna.com/corp/portal/app/provider/public/guest

 

Health Partners
www.healthpartners.com/provider

 

Humana ChoiceCare
www.humana.com/providers

 

Medica
provider.medica.com/default.aspx

 

Medicare
www.medicareinfo.com/apps/cms/home.do

 

Minnesota Health Care Programs (MN Medical Assistance)
www.dhs.state.mn.us

 

Patient Choice Health Care
www.patientchoicehealthcare.com

 

PreferredOne
secure.preferredone.com/providerapps

 

TriCare
www.tricare.mil

 

UCare
www.ucare.org/providers/pages/default.aspx


Practice Management & Administration

looksmart
www.findarticles.com
Free search on over 5.5 million articles from over 900 publications (magazines, journals, etc.)

 

NexTag
www.nextag.com
Comparison shopping for any type of product.


Quality, Guidelines, Outcomes

Institute for Clinical Systems Improvement
www.icsi.org/index.asp
A collaboration of health care organizations dedicated to championing health care quality and to helping its members identify and accelerate the implementation of best clinical practices for their patients.

 

Minnesota Community Measurement
www.mnhealthcare.org
Outcomes data that is un-blinded.

 

National Guidelines Clearinghouse
www.guidelines.gov
Government-sponsored site allows users to gain access to more than 1,400 guidelines and register for e-mail updates on new evidence.

 

The Cochrane Library
www.informedhealthonline.org
Australian site provides information from Cochrane Collaboration, developer of evidence-based guidelines from research world-wide.

 

Vanderbilt Center for Evidence-Based Medicine
www.ebm.vanderbilt.edu
Site has links to information about evidence-based medicine and guidelines issued by specialty medical groups and international organizations.


Reimbursement

Centers for Medicare & Medicaid (CMS)
www.cms.hhs.gov/physicians/mpfsapp/step1.asp
Select what year and GPCI, range of codes and fee schedule is provided with Codes, RVUs, Conf Factor, Reimbursement

 

Johns Hopkins ACG Case Mix System
www.acg.jhsph.edu/index.htm
Learn about ACGs and how they impact physician profiling and quality improvement analyses.

 

Medicare Fee Schedule
www.cms.hhs.gov/physicians/mpfsapp/step1.asp
Medicare fee schedule, pick year and GPCI

 

Minnesota Department of Labor & Industry
www.doli.state.mn.us/cptinfo.html
MN Worker's Compensation fee RVUs (acceptance document which upon acceptance will lead you to the fee schedule RVUs)

 

Minnesota Department of Labor & Industry
www.doli.state.mn.us/workcomp.html
Minnesota Department of Labor & Industry

 

Symmetry Health
www.symmetry-health.com/index.htm
Information regarding Episode Treatment Group (ETGs).


healthfinder
www.healthfinder.gov
Search for information from the Health Library, Health Care, Health News, Organizations and Health News. A service of the National Health Information Center, U.S. Department of Health & Human Services

 

Healthtouch Online
www.healthtouch.com
A resource that brings together valuable information from trusted sources on topics such as medications, health, diseases, supplements and natural medicine.

 

MedlinePlus
www.nlm.nih.gov/medlineplus
Search for information from categories including: Health Topics, Drug information, Medical Encyclopedia, Dictionary, News, Directories and Other Resources. A service of the U.S. National Library of Medicine and the National Institutes of Health.


The MMA and MMGMA co-hosted a free 30-minute webinar on Dec. 3 on Minnesota's prescription drug electronic prior authorization mandate.

 

Effective Jan. 1, 2016, all Minnesota prescribers are required to submit, and payers are required to accept, electronic prior authorization requests for prescription drugs. Electronic prior authorization, or 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, informed participants about the upcoming mandate and addressed what the law requires, the rationale for the mandate, its expected advantages, potential hurdles and how to prepare for it. The webinar also provided information about how the ePA workflow works.

 

ePA Fact Sheet
ePA FAQs
ePA Recorded Webinar (event took place Dec. 3, 2015)
Key Questions to Ask your EHR/e-Prescribing Vendor

ePA Webinar Slides

 

The use of ePA is an important, but insufficient, improvement to the medication PA process. The MMA will continue to pursue additional changes during the 2016 Legislative session. For more information and links to the MMA's PA legislation, visit the FixPANow.com website.

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