News

April 1, 2024   G-2211 Do’s and Don’ts DEFINITION: 2 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single, serious, or complex condition (add-on code, list separately in addition to office E/M visit, new or established)   BACKGROUND: G2211 includes services enabling practitioners to bui...

February 28, 2024   MPP KEY STAFF MEETING McLaren Physician Partners (MPP) provides Virtual Key Staff presentations quarterly. Please join us for our next live webinar: Wednesday March 13, 2024 12:00 p.m. Please invite any staff who would benefit from the information being presented.   Best Practices and Topics: MPP Updates: Get Ready for 2024! Guest Speaker: Chris Hurley from McLaren Palliative Care MPP Care Coordination Program Enhancements Clinical Integration Scorecard Updates for 2024 HED...

February 26, 2024   $ Clinical Integration Scorecard Vetting $   In an effort to improve the efficiency and accuracy of our payments from the Clinical Integration Program, MPP is asking all physicians to vet their individual CI scorecard available in Persivia, our population health software system.   The 2023 CI payment 2 will be issued this Spring 2024. The scorecard to be vetted for this performance period is the December 31, 2023, scorecard. Please sign in to Persivia to view your scor...

February 19, 2024   McLaren Physician Partners Recredentialing and 2024 W-9 Request   McLaren Physician Partners (MPP) is a National Committee for Quality Assurance (NCQA) certified organization for Credentialing and Recredentialing . This accreditation is designed to ensure that organizations provide a comprehensive framework to implement best practices that helps them accurately and efficiently credential and recredential health care professionals. NCQA requires MPP to recredential its membe...

February 14, 2024   MPP SPRING 2024 PHYSICIAN UPDATE   McLaren Physician Partners (MPP) provides physician update presentations bi-annually in the Spring and Fall. Please join us for our live webinar:   Wednesday, March 6, 2024 5:30 PM Whether you are a specialist or primary care physician our objective is to keep you abreast of what is happening in Population Health at the local and national levels and to answer any questions that you may have. Topics to be discussed include:   Popu...

January 15, 2024   Ten Coding Tips for Capturing Patient Risk and Ensuring Proper Payment   Report diagnosis codes for active diagnoses each year:  HCC codes reset annually, which means that each patient’s active diagnoses must be reported every year, regardless of how long the patient has had the condition, to be counted toward the patient’s overall risk. Annual wellness visits are a good time to do this. Be specific:  Most unspecified diagnosis codes don’t risk adjust (e.g., ICD-10...

January 11, 2024 Medigold Contract with McLaren   MPP is pleased to announce a new agreement has been executed with Medigold Medicare Advantage, a Medicare Advantage product.  This is a system wide agreement which includes all McLaren facilities and all active MPP providers.   The new contract agreement with Medigold Medicare Advantage is effective January 1, 2024.  Pursuant to your Master Membership Agreement with MPP, active members will be included in the provider network unless w...

January 1, 2024 HCC RECAPTURE – WHY IT’S IMPORTANT BACKGROUND: Recapture Rate is the rate at which providers capture (code) recurring (or Chronic) HCC diagnoses on an annual basis. A standard goal is 85% recapture rate. 1 The number (and severity) of chronic conditions is a predictor of costs, which are somewhat persistent from year to year. A drop in the risk score, possibly because of failures in capturing recurring diagnoses, could lead to lower financial benchmarks. This, in turn, could result in re...

December 27, 2023   The generic equivalents for Flovent HFA (fluticasone propionate inhalation aerosol) and Flovent Diskus (fluticasone propionate inhalation powder) are available, but coverage will vary by insurance. Make the change to the above recommended alternatives or the generic equivalents to avoid lapses in treatment.

December 11, 2023   McLaren ACO Members Fee For Service (FFS) Payment Increase   Reminder, McLaren ACO providers will receive a 7.36 % positive payment adjustment for services provided in Calendar Year 2024 based on our MIPS Quality score of 98.53.  These payment adjustments are applied on a claim-by-claim basis , to payments made for covered professional services furnished by a MIPS eligible clinician. The payment adjustment is applied to the Medicare paid amount (not the “allowed amount...