GLMS Practice Support Department­­­­­­­­­­­­­­­­­­­­­­­­­­­­



March 15, 2019

Send Us Your Medicaid Questions and Issues for the GLMS Roundtable
GLMS will be hosting its 6th Annual Medicaid Roundtable on Wednesday, April 10 at 7:30 a.m. at the Foundation for a Healthy Kentucky with representatives from Aetna Better Health, Anthem Medicaid, Humana CareSource, Passport Health Plan, WellCare and the Kentucky Department for Medicaid Services. The purpose of this meeting is to promote ongoing communication and exchange of information between practices and payers. Panelists and other payer representatives will be available immediately following the meeting to talk with attendees individually on specific issues.

To prepare for an effective meeting and give panelists the ability to research issues and prepare responses, we need your help collecting issues and topics for discussion before the meeting. RSVP and Submit your question/issue at the links below.


Passport Advantage Behavioral Health Claims
At this time Passport Advantage WILL NOT be changing claim vendors for Behavioral Health Providers as previous mentioned. Moving forward please continue to submit claims as you CURRENTLY do now. Passport Advantage Payer ID is 66008. To submit paper claims: Passport Advantage Claims, PO Box 3805 Scranton, PA 18505. However, for behavioral health authorization requests and case management, please contact Beacon Health Options, 866-502-6809.


Deadline approaching: Submit MIPS 2018 performance data
MGMA reminds members that the deadline for submission of 2018 performance year data for the Merit-based Incentive Payment System (MIPS) is April 2, 2019 at 8:00 p.m. ET. MIPS participants must submit data and receive a minimum of 15 points in order to avoid a negative payment adjustment in 2020. MGMA encourages all members to log into their HCQIS Access Roles and Profile (HARP) accounts as soon as possible and make sure they are on track to complete all data submissions by this deadline. Reach out to MGMA’s Government Affairs team with any questions or concerns about submitting your MIPS performance data. 


GLMS Practice Management Discussion Forum March 19
GLMS will be hosting a Practice Management Discussion Forum on Tuesday March 19 at 8:00 a.m. at GLMS; 328 E. Main Street, 40202. Current healthcare issues and topics will be discussed. For more information, or to RSVP, email practice.support@glms.org or call 502-736-6350


CGS Medicare - Reminder: Level of Appeals
Recently, we have noticed an increase in the number of initial appeal requests sent as a Reconsideration before a Redetermination has been requested. When appealing our claim decisions, please keep in mind that you must go through the appeal levels in order, starting with a Redetermination. Check here for more information.


Want To Pay Less for Homeowners and Auto Insurance?
Did you know that you qualify for lower homeowners and auto insurance rates through the GLMS plan with our partner, Byrne Insurance Group of Louisville? Join us Tues March 19th at 6pm for drinks and apps and save money on your home and auto coverage! RSVP at link below.  Physicians, practice managers and admins all welcome. https://byrneinsurancegroup.com/glms/ 


For practice support questions or to opt-out of receiving these emails, contact practice.support@glms.org or call 502-736-6350.


Click below to view the most recent Weekly Updates:

March 15, 2019
March 8, 2019
March 1, 2019
February 22, 2019