MHK’s Post

PAYER EVALUATION AND RANKING   Some folks have asked me if we have a scorecard when evaluating MCOs. To generate valuable insight into individual payer performance, a scorecard is an effective tool to measure payer performance across various payment methodologies. These statistics are important to evaluate individual payers and will serve as the foundation for future negotiation processes.   CodeToolz created this Payer Evaluation and Ranking Excel spreadsheet to assist contract management staff in evaluating payers. Use it at your leisure. Enjoy.   You do not need a Box account to access this resource. Here you go:   https://lnkd.in/gddeBJs5

Completing an #MSA is the first step in the CMS submission process. Our Medicare Lien/Conditional Payment services help clients secure CMS approval for settlements: http://ow.ly/N6Uq50AKDh4 #ExamWorks #MSPCompliance #IME #MedicareCompliance #ConditionalPayments

PAYER EVALUATION AND RANKING   Some folks have asked me if we have a scorecard when evaluating MCOs. To generate valuable insight into individual payer performance, a scorecard is an effective tool to measure payer performance across various payment methodologies. These statistics are important to evaluate individual payers and will serve as the foundation for future negotiation processes.   CodeToolz created this Payer Evaluation and Ranking Excel spreadsheet to assist contract management staff in evaluating payers. Use it at your leisure. Enjoy.   You do not need a Box account to access this resource. Here you go:   https://lnkd.in/ge_eEjyg

CPT-Category II codes !!💥👣 CPT-Category II codes are four-digit numeric codes ending in the letter F, used primarily for performance measurement. These codes help Medicare and other payers document the quality of care provided to patients and populations, aiding in provider performance assessment. Their widespread adoption could decrease the need for manual chart reviews by automating performance documentation.

Join us for our next nationwide webinar on March 21st. You can reserve your spot now by registering with the link below. #ecs #medicarecompliance #webinar

𝐃𝐢𝐬𝐩𝐮𝐭𝐞 𝐩𝐞𝐫𝐢𝐨𝐝 𝐮𝐩𝐝𝐚𝐭𝐞 - One more week (May 15) for HCP's and HCO's to dispute transactions prior to the #cmsopenpayments data is published. - Three more weeks for manufacturers to investigate and resolve disputes brought forth by HCP's and HCO's. (May 30) While you should get an email when there is a dispute initiated, you can always log into CMS Open Payments and check before the deadline. #transparencyreporting

Ensuring compliance and avoiding audits is crucial for healthcare providers. This is a great reminder to review your coding practices and stay ahead of potential risks. Reach out to learn more about how our team can help. #HealthcareCompliance #CodingPractices

KLAS recently published another CMS Payer Interoperability report that focused on where the market lies currently and what use cases beyond compliance are being used, and how payer organizations are finding value in those solutions. Read the blog by Ruirui Sun, Ph.D and Tyson Blauer about the CMS market here: https://lnkd.in/dxcwd3kR

Join us for an informative webinar on March 21st at 2 PM ET / 11 AM PT as we delve into the latest updates and best practices in Medicare Secondary Payer compliance, with a special focus on Medicare Set-Asides (#MSAs). Hosted by ECS experts Marty Cassavoy and Annie M. Davidson, this session will equip you with essential insights to navigate the ever-evolving landscape of MSAs. Learn how to streamline your compliance program, stay ahead of regulatory changes, and ensure seamless settlement processes. Register here: https://ow.ly/KMuz50QUGoP #ECS #MSPCompliance #MedicareSecondaryPayer #Webinar

Hope you can join me and Martin Cassavoy this Thursday for another installment of our ECS on MSP Webinar Series! We'll be discussing MSA best practices and tips on evolving your MSP compliance program in advance of the April 2025 CMS requirement for #Section111 mandatory insurer reporting of WCMSA amounts at the time of settlement. #ECS #MSPCompliance