March 2015 BULLETIN Available Online

Articles

2015 March Bulletin

Click to read online

Materia Medica ……………….. 116

Long-awaited revisions to pregnancy, lactation labeling have arrived

Karen Fancher, PharmD, BCOP

Legal Report ………………….. 120

Narrow network contracting: Are we finally poised to make progress?

Michael A. Cassidy, Esq.

Special Report ………………. 123

Updates from the ACHD

Kristen Mertz, MD, MPH

Special Report ………………. 124

National Healthcare Decisions Day

Marian Kemp, RN

Judith S. Black, MD, MHA

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Consumer Help Line for Highmark/UPMC Patient Complaints

Pennsylvania Attorney General Kathleen Kane announces

Consumer Help Line for Highmark/UPMC Patient Complaints

Call 844-743-2015 -M-F    8:30 AM – 5 PM

Be ready to describe “in as much detail as possible” your conflict with UPMC or Highmark

Help line staff can help with questions about the consent decrees and the availability of UPMC services to Highmark insured patients


 

Resources:

Stayinformed.pa.gov – PA Information site on the Highmark/UPMC split

Tribune Review Coverage of the Help Line Announcement

Post-Gazette Coverage of the Help Line Announcement

 

 

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Medicare and Medicaid Revalidation Made Simple

 

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Medicare and Medicaid Revalidation Made Simple

Revalidation for Medicare and Medicaid – the Centers for Medicare and Medicaid Services (CMS) requirement for a physician to certify the accuracy of their enrollment information—can be a confusing process.

Physicians and practice managers often ask us what they need to do to avoid expiration of their enrollment and disruption to their reimbursement. The Affordable Care Act (ACA) requires that physicians be screened under new program integrity rules. Complying with these requests within the specified time is crucial to avoid deactivation of billing privileges.

Resources from PAMED

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Allegheny County Medical Society
713 Ridge Avenue
Pittsburgh, PA  15212
412-321-5030  FAX 412-321-5323