Happy holidays from CMS
This holiday season and all year long the Colorado Medical Society is grateful for the opportunity to serve Colorado physicians and practice staff by bringing you the latest information and resources to make your job a little easier. Thank you for all that you do to improve the health of Coloradans. We wish you a wonderful holiday season and a prosperous 2016, and we look forward to working with you in the coming year.
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Resource: About IRS Form 1095-B
IRS Form 1095-B is a new federal tax document that the Colorado Department of Health Care Policy and Financing is required to send to individuals who were enrolled in Medicaid or Child Health Plan Plus (CHP+) for one day or more in 2015. The department will start mailing these forms in mid-to-late January 2016. All forms are scheduled to be mailed by Feb. 1, 2016. Under the Affordable Care Act, most individuals are required to have minimum essential coverage (MEC) or pay an IRS federal tax penalty known as the Individual Shared Responsibility Payment. Nearly all Medicaid and CHP+ programs count as MEC. Form 1095-B is proof that individuals had qualifying health coverage during the month(s) they were enrolled in Medicaid or CHP+ in 2015. To learn more about Form 1095-B, view an introductory webinar and a fact sheet for stakeholders. These resources are also posted here under IRS Form 1095-B: Health Coverage. For Medicaid and CHP+ member information, go to Colorado.gov/Health/IRSForm1095B. The Department will be posting more resources for stakeholders and members to these websites, as they become available. Please email Nina Schwartz with any questions.
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SIM webinar: Facts and Fiction Regarding Electronic Data Sharing in Behavioral Health Integration
Thursday, Dec. 17 12 - 2 p.m.
The SIM office is hosting an informative webinar on the intricacies of behavioral health information-sharing among providers, particularly as it relates to patients with substance use disorders. As Colorado embraces behavioral health integration, it is critical that providers and practices across the state understand the implications of federal regulations, contained in section 42 of the Code of Federal regulations (42 C.F.R. Part 2) on the sharing of substance use disorders records - including drug and alcohol use. Register for this informative webinar here.
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ICD-10 resources from the Centers for Medicare & Medicaid Services
The Centers for Medicare & Medicaid Services recently released an updated ICD-10 Website Wheel for Medicare Fee-for-Service (FFS) providers. The Website Wheel provides easy access to official resources on CMS ICD-10 webpages including: Check the pages featured on the Website Wheel often for new ICD-10 resources and updates from the federal CMS. Also available from the federal CMS is a video that revisits ICD-10 coding basics, post-implementation, featuring Sue Bowman from the American Health Information Management Association (AHIMA) and Nelly Leon-Chisen from the American Hospital Association (AHA). In the free 33-minute video they discuss the unique characteristics and features of the new coding system. Access it on YouTube here.And, finally, check out the federal CMS ICD-10 Specialty Resources Guide for common conditions and specialties including asthma, cardiology, diabetes, OB/GYN, lab services and more. Access that guide here.
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Novitas series continuation: Increasing Your Bottom Line
Novitas continues with publishing a series of "Increasing Your Bottom Line" articles geared specifically to help Medicare Part B providers submit Medicare Part B claims accurately the first time so they can not only eliminate the rework within their organizations and save time and money for other opportunities, but also receive their Medicare payment faster. Novitas publishes articles that focus on the top administrative errors submitted on Medicare Part B claims that they most often hear from providers about to correct via the Clerical Error Reopening (CER) process. The two latest articles are titled, "Modifier QW" and "Modifier 79". Access them here.
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2016 Medicare fee schedules available from Novitas
The Medicare Physician's Fee Schedule for 2016 is now available for download in PDF, Excel and text formats from the Novitas Solutions website. 2016 procedure codes will also be individually searchable through their Fee Lookup Tool beginning on Jan. 5, 2016.
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Event round-up
Healthy Transitions Colorado presents: " The Key to Great Outcomes." The webinar will be held Dec. 18, 11 a.m. - 12 p.m. MT, and is hosted by the Center for Improving Value in Health Care. Register here. Also from Healthy Transitions Colorado is " Fostering Patient and Family Engagement," the third and final symposium in the Cultivating the Network of Care learning series. It will be held live on Jan. 15, 8 a.m. - 3:30 p.m. MT. Register here. Finally, Telligen presents " An Introduction to the Merit-Based Incentive Payment System (MIPS): What the Eligible Professional Needs to Know." This webinar will be held Dec. 22, 11 a.m. - 12 p.m. MT. Register here. Submit your event by e-mailing [email protected].
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Take Credit Cards? Is Your Practice Ready for the Oct. 15 EMV Deadline?
Important! What your practice needs to know about switching to EMV: Click here.
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Local Population Health company (www.hii-llc.com) seeks trial partners for 90 day free trial of its Surgery Risk Predictive Model. Call Ami 303-217-1539 or e-mail [email protected]
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Compliments of CMS: Reduce patient callbacks, HIPAA compliant, RX Savings up to 75%, click for free customization COLORADO DRUG CARD.
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Health insurance exchange information
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