A MONTHLY REPORT BY YOUR PEPS TEAM
TO:
GLMS Members & Practice Staff
FROM: Physician Education & Practice Support (PEPS)
Stephanie Woods, GLMS Practice Resource Specialist
RE:
Monthly Update
We look forward to sharing with you each month the most recent updates from the GLMS Insurance Issues Resolu-
tion Committees (IIRCs) that meet regularly on your behalf.
MARCH IIRC MEETINGS
CGS MEDICARE
» Quality Payment Program (QPP) Eligibility
For 2017, the QPP applies to providers who are in an Advanced APM or providers who bill Medicare more than
$30,000 a year AND provide care for more than 100 Medicare patients a year (both minimum billing and the num-
ber of patients must be met to be in the program). CGS will be sending letters to each individual Tax ID number
that will identify which NPI’s in their group are eligible to report in the MIPS program or APM and will be subject
to a potential payment increase or decrease on 2019 Medicare payments.
UNITED HEALTHCARE
» Provider Expo June 8
United Healthcare will host a Provider Expo on June 8 at the Kentucky Country Day School in Louisville. This is a
free event open to all providers, practice managers and office staff throughout Kentucky. GLMS staff will be one
of the many exhibitors participating in the provider expo. You can also expect seminars on timely topics from
United Healthcare. Invitations will be sent to providers in the near future.
» HEDIS Season is Underway
United Healthcare is working with 3 organizations including Advantmed, Altegra Health and BACTES Imaging
Solutions to coordinate collection of HEDIS data. Providers are required to submit the information in accordance
with their contract. There does not have to be a separate HIPAA release. Find