Have You Downloaded 2023 Provider Roster?
This is a great tool for the person in your office that has the responsibility of referrals.
2023 Arcadia 360 Is Up and Running
Medicare Advantage
- The 2023 Arcadia 360 is ready and available for providers. There are no form content changes for 2023 at this time. (Providers have already begun submitting 360s through Arcadia for 2023.)
- One known issue: pre-population from 2022 forms into 2023 forms is not currently working. This will be resolved with a new release coming this week. Exact release details and timing will be communicated once tested and confirmed. This applies to the following fields: past medical history, surgical history, allergies, medications, family history.
- The conditions tab and measures tab will populate with data as expected, if applicable.
Imagine 360 – POET Alert!
Please notify POET if you are having issues of any kind with claims from Imagine 360.
If you have submitted paper or electronic claims to Imagine 360, please check to see if they have been received by them.
Thank You.
Is Your Medical Practice Compliant?
HOW MGMA HELPS YOU
STAY COMPLIANT
Staying compliant with ever-changing policies and guidelines can become exhausting and downright confusing. MGMA is here to ensure you can easily track your compliance and stay on top of your checklists.
Take a look at some of our industry-leading compliance resources:
Beware of Phony TMB, DEA Agents
The Texas Medical Board (TMB) continues warning physicians to be on alert for scammers involving criminals who pose as officials from TMB or other state and federal agencies.
“In some instances callers may claim to be employees with the Texas Medical Board, DEA, FBI or other law enforcement entity and may even attempt to spoof agency phone numbers or send documents on official-looking letterhead demanding money,” TMB said in its alert. “Please know the TMB would never call and make such requests for sensitive information over the phone or send demand letters for money to reinstate licenses or threaten the arrest of licensees. The TMB does not suspend licenses at the direction of the DEA, FBI or other federal entity. Additionally, the TMB has no authority to issue, cancel, or influence arrest warrants as some scams have indicated.”
According to the DEA notice, the criminals mask their telephone number on caller ID by displaying the DEA Registration Support 800 number. A real DEA employee would not contact a registrant and demand money, or threaten to suspend someone’s registration over the phone, the DEA says. FBI has issued similar fraud alerts.
If you receive such a call from someone claiming to be either a DEA or TMB official, report it using the DEA’s online extortion scam reporting form here.
New Claim Tool for UHC
TrackIt
There are many reasons to love TrackIt. But this time of year, its ability to save you time ranks pretty high. Need to add information to a claim or check a prior authorization status? Skip the phone or waiting for the mail. You can find all that and more in TrackIt. The tool makes it easy to stay on top of your UnitedHealthcare tasks by showing what items need attention, so you can take action in real time — and get back to your holiday to‑do list faster.
UHC Relief At Last!!
Finally, Some United HealthCare Relief!
As of this morning POET has acquired a list from UHC regarding the products for our Agreement.
If you are having issues with any par plans on this list. Please email a copy of the card and patients date of birth to [email protected]. Include a brief description of the issue.
Remember this information is confidential and pertains only to the POET Agreement.
UHC Network News
Policy and Protocol Notice
Get the latest updates, legal mandates, state-specific news, trainings and more for Medicare Advantage, Medicaid and Commercial plans.
City of Lufkin Added to Provider Roster
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Your Office Copy Today.
Great Front End and Referral Resource!
2023 Medicare Physician Fee Schedule Final Rule
On November 01, 2022, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates and policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, effective on or after January 1, 2023.
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