Quick Read
Maryland MGMA Legislative Delegation Meets with Federal Legislators
On June 4, members of the Maryland MGMA legislative delegation met with staff members of our federal legislators to discuss the impending cuts in Medicare reimbursement. More information will be provided upon their return.
UnitedHealthcare Provider Outreach
In an effort to better relations with providers, UnitedHealthcare will supply Maryland MGMA with resources and information regarding their products and service. Numerous resources are available in the Members Section, including:
Claim Reconsideration Request Form: A revised UnitedHealthcare Claim Reconsideration Request Form
is now available for immediate use by contracted physicians,
hospitals and other health care professionals when requesting a claim
reconsideration or formal appeal for members enrolled in commercial
benefit plans administered by UnitedHealthcare and Medicare benefit
plans administered by SecureHorizons and Evercare.
New United Voice Portal Call Flow: Like to contact UnitedHealthcare by phone? If you do, we have the
tool for you. We recently created a Quick Reference tool on navigating
the United Voice Portal. This tool is posted on UnitedHealthcareOnline.
com as a handy reference. Physicians and health care professionals
can save time by obtaining accurate answers to their questions using
the United Voice Portal. The Quick Reference gives a process overview
of the call routing as well as step-by-step instructions on obtaining
specific information.
Pay As Medicare Pays Announcement: As part of bringing greater consistency and clarity to provider reimbursement
for SecureHorizons® MedicareDirect® Private Fee-For-
Service plans, we’re pleased to announce an important enhancement to
our automated claim process.
May Network Bulletin
Highmark Medicare Services
The Highmark Medicare Services J12 MAC Transition Newsletter
dated 5/23/2008 has been posted to the J12 MAC Transition web site.
This newsletter is being published for the Medicare Part A and B
providers in Delaware, Maryland, New Jersey, Pennsylvania and the
District of Columbia including Part B providers in the city of Alexandria
and Arlington and Fairfax Counties in Virginia. Provided below
is a direct link to the newsletter for your convenience. http://www.highmarkmedicareservices.com/transition/j12/pdf/jippnewsletter-
052308.pdf
Articles in the May/June issue of MediNews
The New Kid on the Block: Or, How to Successfully Integrate a New Physician into the Practice - Written by the administrative team of Digestive Disease Associates, P.A., this article provides an outline of the major components which require attention once a physician employment agreement is finalized.
Notes from the Executive Forum - This includes a synopsis of both the CareFirst and Highmark presentations at the May Executive Forum.
Third Times a Charm: How to Overcome the Release of Information Challenge - Read how an orthopaedic practice in Lancaster, PA dealt with ROI processing.
Legislative Issues affecting Employers in Maryland: Amendments to Maryland's Article 49B- This is the first of a series of articles which will focus on the ACMPE domains. This month's domain is Human Resource Management.
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