DME 2012 Fee Schedule
Fees listed in the fee schedule application and associated documents do not include contractual 'agreements or withholds. Please consult your contract for further information regarding 'reimbursement terms. Fees are subject to change without notice. DOWNLOAD FEE SCHEDULE>
Helpful Links for Practice Managers
- www.hap.org - HAP Referrals, provider manuals, coding questions, health management
- https://iexchange.medecision.com/IEApp/ProviderLogon.do?showPage=med.ProviderLogon&MCONumber=&MCOCobranding=BCN1 - used for Blue Care network referrals, coding, etc.
- https://navinet.navimedix.com/Main.asp - Aetna, Cigna, UHC and Medicare resources, referrals, precertifications, coding manuals, etc.
- http://americanimaging.net/ - BCBS PPO MCAdveantage = Blue precertifications for radiology procedures.
- www.covermymeds.com - great online resource where all insurance carriers have prior authorization forms that can be submitted directly online for medications.
MDCH Update to HIPAA 5010 Deadline
In response to CMS's most recent extension of the 5010 enforcement period from April 1, 2012 to June 30, 2012, MDCH will be continuing as planned and not be accepting 4010 claims after March 31, 2012.
Effective Sunday, April 1, 2012, all transactions sent to MDCH Medicaid must be in 5010 format. Transactions submitted in 4010 format will be rejected. You will not receive payment from Michigan Medicaid on any claims submitted in 4010 format.
In preparation for our final change-over to 5010, we have recognized that some claims are still being submitted in the 4010 format. Please make the necessary changes needed prior to April 1, 2012 so that your claims can be adjudicated properly in the 5010 format. You must also submit data using the appropriate Application IDs for 5010. Application IDs of 4780 (for fee-for-service claims) and 4951 (for managed care encounters) used for 4010 files will be discontinued and will reject at the Data Exchange Gateway.
For those Providers who are not prepared for 5010, or will not be ready by April 1, 2012 we recommend that you submit your transactions through Direct Data Entry screens in CHAMPS.
For any questions please contact us at: MDCH-5010@Michigan.gov
text4baby
Text4baby helps pregnant women and new moms get information about caring for their health and giving their babies the best possible start in life. The National Healthy Mothers, Healthy Babies Coalition (HMHB) launched text4baby; the first FREE health text messaging service in the U.S. Text4baby supports moms by providing accurate, text-length health information and resources in a format that is personal and timely. MORE>
ICD-10
Beginning Oct. 1, 2013, all HIPAA covered entities must use the new ICD-10 code sets. The current ICD-9 code sets are widely viewed as outdated due to their limited ability to accommodate new procedures and diagnoses. ICD-10 incorporates greater specificity of codes, more clinical information contained in the codes and updated terminology. Use of ICD-10 will improve the ability to measure health care services, enhance the ability to monitor the populations' health, provide better overall data and decrease the need for supporting documentation needed when submitting claims. MORE>
Did you know...
Every patient counts? The AOAs patient advocacy website, EveryPatientCounts.org promote professional liability insurance (PLI) reform by educating and involving patients in the fight for meaningful medical liability reforms. It also advances the AOA strategic paths of advocacy, teamwork, and family. Learn more online.
IMPORTANT
Please be aware that due to implementation of HIPAA 5010, CHAMPS will experience a complete 4 day outage beginning Friday December 30th. CHAMPS is expected to be back up & functional on Tuesday January 3rd 2012. To check eligibility, please use web denis, or MI Health plan benefits page. Any claims submitted after Wednesday December 28th, 2011 will be held during the outage and will be processed beginning on at 12am January 3rd, 2012.
HITECH Update
How will the HITECH act affect your practice? Are you ready to implement an EHR? Click here to view MOA Business Member athenahealth’s Eight Important Steps to Choosing the Right EHR.
Your Health
Nothing is more important than the health of your patients. Because the AOA cares about your health, they've provided you with information on a variety of health topics. Use this resource to give the knowledge to your patients to help them make informed health care decisions.
From asthma to winter blues, the osteopathic approach to medical care can serve all your health needs.
Health Conditions Library
Whether you're doing research for school, work or simply want to be more informed about health issues, stay in the know with this library of general health and wellness articles..
Health Resources
Need additional information on a specific health concern? We offer a comprehensive list of associations, organizations, government agencies and other general health resources..
