© Copyright San Juan Independent Practice Association, 2018. All Rights Reserved.
The information contained within this message is for your use, in order to inform you of any changes that may be occurring at the San Juan IPA, or within the medical community. Please read each message carefully, as they contain important information that may directly affect your practice.
All Presbyterian Contracted providers: Claim Denial (see impacted codes attached)
“CMS just released a new set of MUE’s (max frequency) to be set as zero. These services are services that PHP would pay for and are incorrectly denying for MUE’s. I have attached the codes that are impacted. PHP has submitted an urgent request to Change Healthcare to have the MUE’s for these codes go back to what they were prior to 7/1/18. We know this will impact many providers and members. Please let the providers and members know we are working very quickly to resolve this issue.
Once the fix is in production we will run a report to have the impacted claims adjusted.”
Lilly Aaron | Relationship Executive
Provider Network Management
PRESBYTERIAN HEALTH PLAN
All San Juan IPA Members and Staff: 3rd Quarter Round Table Meeting
PLEASE RSVP, San Juan IPA will be hosting our third quarterly “Round Table” meeting. The meeting are for all Members, Office Managers/Administrators and Billers, and any staff you believe may benefit. The next meeting is scheduled for Wednesday August 22, 2018 at 12:00pm-
This meeting’s agenda will focus on:
Introduction to Risk Management for Medical Practice
IT Security/Email Security
All Alamogordo, Albuquerque, Santa Fe, Las Cruces, Las Vegas and Gallup members are welcome to join remotely. You may access the meeting online. For access information please email Kami Calder (firstname.lastname@example.org) or Heather DeLaBarcena (email@example.com).
Did you know? The IPA can provide your practice 4 free hours of IT services a year? After that it is a low hourly cost to you. We also host your email services! We can transfer your current email, assist with the transition all throughout the process, and you won’t lose your existing email! We offer full collaboration within your organization such as group calendaring, secure web-