General

Humana Military – Tricare:

Humana Military – Tricare:

Humana Military has purchased the Health Net Provider Network and is in the process of transitioning the Tricare contract from Health Net to Humana, effective January 1, 2018. Wisconsin Physicians Service (WPS) is the new TRICARE East Region claims processor.

All providers submitting Electronic Data Interchange (EDI) claims directly to WPS, must complete a self-registration process that includes an initial registration and the necessary request forms and business agreement(s).

The self-registration link and more information can be found here: https://www.humanamilitary.com/provider-east/emc

EDI Helpdesk Team              1-800-782-2680 (option 1)

EDI Marketing Team             1-800-782-2680 (option 2)

FAX                                       1-608-223-3824

eMAIL                                    edi@wpsic.com         

Provider Self-Service portal:

By registering you can:

  • Check patient profile including – verify eligibility, patient claims, coverage, & referral status
  • Create new referral authorization requests
  • Check status or update approved referral authorization requests
  • CPT and DX code look up
  • Claims status by patient
  • Provider location addresses, specialties by location, types of service by location, and more

Register for Provider self-service portal:

https://infocenter.humana-military.com/South/HGBProvider/ProviderPortal/Account/LogIn/

 

Medical Society of the State of New York – MSSNY

Medical Society of the State of New York – MSSNY

The Medical Society of the State of New York (MSSNY) is an organization of approximately  30,000 licensed physicians, medical residents, and medical students in New York State.  Members participate in both the state society and in their local county medical societies.

MSSNY is a non-profit organization committed to representing the medical profession as a whole and advocating health related rights, responsibilities and issues. MSSNY strives to promote and maintain high standards in medical education and in the practice of medicine in an effort to ensure that quality medical care is available to the public.

For more information and to join MSSNY click here: http://www.mssny.org

 

 

Welcome New JPO Members:

Welcome New JPO Members:

Ashley K. Rodgers, OD – Watertown Eye Center – Optometry

Ariana Brooks-James, MD – Samaritan Medical Center – Physical Medicine & Rehab

Sara J. McGee, MD – Samaritan Medical Center – Oncology Hematology

Scott W. Mollison, MD – Samaritan Medical Practice, PC – Orthopedic Surgery

Deana E. Pauley, DO – Samaritan Medical Practice, PC – Plastic Surgery

Brougan M. Shoeneman, MD – Samaritan Family Health Center – Family Medicine

Su Yien Zhaz Leon, MD – Samaritan Family Health Center – Rheumatology

 

JPO AAPC Corporate Membership

JPO AAPC Corporate Membership

In May of 2015, the JPO worked with AAPC to become an AAPC Corporate Member, through which JPO members could join the AAPC at a reduced rate.

The JPO Management Committee is dedicated to the support of continued education and increased professionalism within its member practices.  To that end, the JPO is pleased to announce it will once again, pay the AAPC/JPO Corporate Membership for member practice personnel; a $170 per person value, if you were to enroll directly as a non-corporate member.

This JPO membership benefit is available to all Practice Managers, Billing Managers and AAPC Certified Coders who are required to have CEUs to maintain their AAPC certification.  

The JPO Management Committee is pleased to provide this JPO Membership Benefit to support the JPO member practices and staff.

Thank you for your hard work and personal dedication to providing high quality services to the patients in our medical community!

For more information or to enroll under the AAPC JPO Corporate Membership, call the JPO Administrative Office at 315-788-8169.

Quality Payment Program

Quality Payment Program

What’s the Quality Payment Program?

“The Quality Payment Program improves Medicare by helping you focus on care quality and the one thing that matters most — making patients healthier. The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) ended the Sustainable Growth Rate formula, which threatened clinicians participating in Medicare with potential payment cliffs for 13 years. If you participate in Medicare Part B…” read more https://qpp.cms.gov/

Quality Payment Program training videos:

Click here…..https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/Value-Based-Programs/MACRA-MIPS-and-APMs/Quality-Payment-Program-training-videos.html

 

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