UHC Newsletter

Sam.gov

You may have noticed Sam.gov has changed. 

POET has been working to find an easy way for you to check for exclusion. 

We haven’t given up just yet.

But for those of you that need a process in order to stay on your monthly schedule, follow the link below.

We understand this is a very redundant process.

However, every person in your employment has to be checked on all 3  government websites monthly.

Office of Inspector General

Office of the Inspector General TX Health and Human Services

Sam.gov

 

Information blocking requirements now in effect: Is your practice in compliance?

Hear what you need to do to comply with new information blocking regulations firsthand from the Biden Administration’s top health technology official, Micky Tripathi, the National Coordinator for Health Information Technology. MGMA will host an information blocking webinar to review the regulations along with a live Q&A on June 17 at 1PM. Senior Vice President of Government Affairs Anders Gilberg will host this interactive session with Dr. Tripathi to help medical groups comply with ONC’s information blocking requirements that went into effect in April. Reserve your spot today.

POET has registered for this webinar.  If you are interested in joining us to watch, please call to reserve a spot.

HOSPITALS ARE REQUIRED!!

As of May 1, hospitals are now REQUIRED to electronically share their admit, discharge, and/or transfer (ADT) notices with the patient’s established primary care physician (pcp), group, or other practitioner identified by the patient. 

As part of the same rule, PHYSICIANS ARE REQUIRED to update their digital contact information in the National Plan and Provider Enumeration System so hospitals have the information they need to electronically send the ADT notices.

TMA

Aetna OfficeLink Update 6/1/2021

UHC Waives Cost Sharing

UnitedHealthcare (UHC) is waiving cost sharing for Medicare Advantage plan members for primary care services through Dec. 31. This applies to in-network and covered out-of-network COVID-19 and non-COVID-19 visits, whether they are conducted in office or via telemedicine.

UHC Waives Cost Sharing….

Provider Roster Update

Who’s On First?

Or should we say “Who’s in What” 

This roster includes all the POET physicians and list what insurance plans they have opt’ed into.

It is a great tool to keep at your front desk or download for the person who makes the referrals in your office. 

Oh, just google  “Who’s on first” and watch the clip, for a little slap stick humor. 

From CMS.Gov

Critical Care Evaluation & Management Services: Comparative Billing Report in May

In late May, CMS will issue a second letter in the Special Edition Comparative Billing Report (CBR) series on Part B claims for critical care evaluation & management services. Use the data-driven tables to compare your billing and payment patterns with peers in your state and across the nation.

The public can’t view CBRs. Look for an email from [email protected] to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System to ensure delivery.

Special Enrollments Periods

SEP for Individuals Affected by a Disaster or Emergency

Effective January 1, 2021, an SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.