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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
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.

 

America's Health Insurance Plans (AHIP)
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 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
www.hcpro.com/corporate-compliance
Healthcare Compliance Pro news

 

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.hfma.org/patientfriendlybilling/
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.wpshealth.com/medsupp/
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.medicaid.gov
Reference information for Medicaid information at the federal level.

 

Federal Register
www.federalregister.gov
Federal Register for federal laws and regulations.

 

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

 

State Healthcare Statutes
www.revisor.mn.gov/statutes/
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
accuchecker.com
Free UPIN number search capabilities

 

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

 

Federation of State Medical Boards
www.fsmb.org/contact-a-state-medical-board/
Access the medical boards of all states within the U.S.

 

Minnesota Association of Medical Staff Services
www.mnamss.org
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
Minnesota news

 

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


Patient Education

Emedicine.org
emedicine.medscape.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.medicare.gov/part-d/
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

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/
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.bluecrossmn.com/healthy/public/personal/home

 

Cigna
cignaforhcp.cigna.com/web/public/guest

 

Health Partners
www.healthpartners.com/provider-public/

 

Humana ChoiceCare
www.humana.com/provider/medical-providers/

 

Medica
www.medica.com/providers

 

Minnesota Health Care Programs (MN Medical Assistance)
mn.gov/dhs/

 

PreferredOne
www.preferredone.com/providers/

 

TriCare
tricare.mil

 

UCare
home.ucare.org/en-us/providers/


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
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
mncm.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.cochranelibrary.com/
Australian site provides information from Cochrane Collaboration, developer of evidence-based guidelines from research world-wide.

 

Vanderbilt Center for Evidence-Based Medicine
ww2.mc.vanderbilt.edu/evidencebasedpractice/
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.gov/Medicare/Coordination-of-Benefits-and-Recovery/Coordination-of-Benefits-and-Recovery-Overview/Reimbursing-Medicare/Reimbursing-Medicare-.html
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.hopkinsacg.org
Learn about ACGs and how they impact physician profiling and quality improvement analyses.

 

Medicare Fee Schedule
www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/
Medicare fee schedule, pick year and GPCI

 

Minnesota Department of Labor & Industry
www.dli.mn.gov/workcomp.asp
Minnesota Department of Labor & Industry


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

 

MedlinePlus
medlineplus.gov
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.

 

» Watch the ePA Recorded Webinar (event took place Dec. 3, 2015)

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