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Society efforts boost attestation

The Wisconsin Medical Society has been working with the Department of Health Services (DHS), physicians and providers during the past several months to ensure that eligible physicians self-attest to receive a significant, temporary Medicaid primary care pay increase. And those efforts are paying off.

Nearly 3,100 physicians and advanced practice providers (APPs) self-attested through September, but Society analysis of data from DHS determined that many more potentially were eligible for the estimated 78 percent pay increase. The Society notified all providers and groups employing providers who had not self-attested that they may be eligible for the increase based on board specialty or sub-specialty. In less than a month, nearly 2,000 more Wisconsin physicians and APPs have self-attested, bringing the total to 5,100.

Physicians eligible for the temporary pay increase must complete online attestation by October 31 to receive retroactive pay before the end of the year. Physicians who attest in November and December will not receive the retroactive pay until next year, and those who attest on or after January 1, 2014, will forfeit the pay increase for qualifying services provided in 2013.

An eligible physician is one who specializes in general internal medicine, family medicine or general pediatrics or an included subspecialty as defined by the American Board of Medical Specialties (ABMS), American Board of Physician Specialties (ABPS) or American Osteopathic Academy (AOA) by fulfilling at least one of the following:

  • Certification from an ABMS, ABPS or AOA member board.
  • 60 percent of services provided in the last calendar year (or prior month for newly eligible physicians) are billable under CPT codes 90460-90749 and 99201-99499.

 
Chris Rasch, the Society’s director of state and federal relations, will address eligibility and attestation requirements for this pay hike tomorrow during a complimentary webinar: Medicaid Primary Care Rate Increase Update. This one-hour webinar begins at noon Friday, October 25. Although there is no cost to participate, registration is required via the Society’s Continuing Education Center.

For more information, contact Chris Rasch.

Back to October 24, 2013 Medigram