Reimbursement

One of the most frustrating issues facing members of the Society is overdue payments, especially rejections for approved drugs in approved tumor types by approved methods. These issues are being addressed head on through laision committees at the carrier level. This allows us to combine the efforts of our membership to pinpoint and prioritize issues to be addressed by insurance companies. Our main goal is to get insurance companies to correct system problems so future claims will be paid on first submission.

Please keep in mind that MSHO cannot directly submit status claims for our member offices. The liaison process is not to get a single claim paid, but to prevent system errors.

MSHO works directly with our member practices to provide a mechanism to educate and support our reimbursement personnel throughout the state. If your practice is a member of MSHO and you are involved in reimbursement, please be sure to check the MSHO event page to obtain information on the next MSHO Reimbursement Meeting.

MSHO Reimbursement meetings are held twice a year, as well as several webinars throughout the year.

AAPC

AAPC LogoAAPC is the world’s largest training and credentialing organization for the business of healthcare, with more than 175,000 members worldwide who work in medical coding, medical billing, clinical documentation improvement, medical auditing, healthcare compliance,revenue cycle management, and practice management.

Practice Management Institute (PMI)

Pmi Logo Med ResPractice Management Institute® works with health care systems, hospitals, medical societies, provider organizations, and learning institutions nationwide to provide training for administrative staff working in outpatient facilities. Classes address the latest updates relevant to medical office coding, billing, operations and compliance. Since 1983, thousands of medical office professionals have attended PMI training; nearly 20,000 have earned one or more PMI certifications in their area(s) of expertise.