Thank you for attending our 2020 Third Party Payer Day! All post-conference resources can be found on this page.
Presentation Slides & Handouts
- Medicare Administrative Contractor (MAC) - Mary Muchow, WPS Government Health Administrators
- Blue Cross Blue Shield of Michigan - Heather Peterson, BCBSM
- Medicare Plus Blue - Becky Harris, BCBSM
- Navigate Appeals Successfully: Details Make a Difference - Joe Rivet, Esq., Rivet Health Law
- Payer Panel: DIFS - Emily DeLaGarza
- Payer Panel: Priority Health - Jorri Smith
- Payer Panel: UHC - Susan Anspaugh
- Navigating the Latest Telehealth & Telemedicine Reimbursement Rules - Toni Elhoms, Alpha Coding Experts, LLC
CEUS
- ACMPE: Follow the instructions in our ACMPE Credit Worksheet to submit your ACMPE CEUs.
- AAPC: Personalized AAPC certificates have been emailed to all registered attendees. Please reach out to info@mimgma.org if you have not received yours.
Q&A
During the conference, some presenters may have taken questions that could not be immediately answered. Any answers that are provided to us by presenters will be posted below.
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Priority Health
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Q: Are remote monitoring devices ie. at home blood pressure cuffs, etc. covered via telemonitoring? What equipment is covered by remote monitoring? Cpt code 99453
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A: For our contracted providers, they can do a telehealth visit for any code within their fee schedule if, in their professional judgement and discretion, they feel it can reasonably be performed via telehealth. Our telehealth medical policy has a section on remote devises, so I recommend reviewing that document for more details about coverage: https://www.priorityhealth.com/-/media/priorityhealth/documents/medical-policies/91604.pdf?rev=3d1f1b90deee4f799768b8416ab6564b
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Blue Cross Blue Shield of Michigan
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Q: How can we find out who our provider rep is?
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A: Providers can find their Provider Consultant on our website. Here is the link- https://www.bcbsm.com/providers/help/contact-us/bcbsm-provider-contacts-physicians.html#content8d85e46b-6140-4def-873d-e5e6bdbf3a03.
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