Monday, April 13, 2015

CCHAP Practice Manager Newsletter - Higher Medicaid Payments Approved for 2015

Medicaid 2015 fee schedule: CMS has approved the rate increase to E&M and vaccination codes, bringing them on par with Medicare rates published in December 2014. These rates took effect on January 1, 2015, but Medicaid was unable to pay the rates until CMS approval was received.  The rates are currently being loaded into the MMIS claims system. Once loaded, any qualified E&M or vaccination claim will be paid at the new rate. Providers are not required to attest to providing primary care. All qualified claims from January 1st, 2015 will be mass adjusted and repaid at the higher rate. Click here for the fee schedules.

ICD-10 implementation presentation: This presentation is for providers, managers, and staff on April 23rd noon-1pm. The presenter is a national expert on ICD-10 and we are excited to be able to bring his expertise to medical home practices in Colorado. You may attend in person or via webinar remotely. RSVP by emailing joanie.muzzulin@childrenscolorado.org. The meeting will be held at Fitzsimons Village, 13100 East Colfax Avenue, Aurora, CO 80045, Silverton Conference Room - 6th Floor.

Instructions to join the meeting remotely:
1. Open a web browser and enter URL: www.readytalk.com
Enter participant access code: 2093166
2. Dial in by phone for the audio portion of the conference: 1-866-740-1260
Enter the participant access code: 2093166

National Correct Coding Initiative Challenges: The National Correct Coding Initiative (NCCI) was introduced to Medicaid claims processing for claims filed on and after October 1, 2010. The NCCI consists of code edit files and a manual that provides instruction on reporting multiple procedures and services or multiple units of a procedure, service, or supply. The Medicaid NCCI manual for 2015 was published in November 2014 and can be downloaded here: Medicaid NCCI Reference Documents. Click here for more information about how to use the NCCI procedure-to-procedure code edit files and examples of commonly used modifiers.

Developmental Screening in Practice: Are you interested in using standardized developmental screening tools to improve screening for developmental delays?  Birth to 5: Watch Me Thrive! is a guide for primary care providers, which includes information about healthy development, developmental concerns, how to select an appropriate screening tool, where to go for help, how to talk to families and tips on how to best support children.” [Source: Colorado Children’s Healthcare Access Program’s Practice Manager Newsletter]

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