Effective May 1, 2017 the state has updated the Reconsideration and Appeals process for providers disputing a denial of payment to the KanCare Managed Care Organizations (MCOs). This is welcome news as the timeframe for the Reconsideration process is now consistent as well as optional, and extends the Appeal timeframe to 60 days – up from 30 days.
The Kansas Department of Health and Environment (KDHE) is seeking a Medicaid Medical Director (MMD). The MMD provides leadership and oversight for quality improvement and policy development, healthcare initiatives, medical review, pharmacy drug utilization and collaboration with partners.
The KanCare Managed Care Organizations (MCO) will be hosting a free collaborative session providing training for medical and institutional providers. All three MCOs will present and be available to answer questions and address issues you may be experiencing. Last year’s program was very well attended. This is a great opportunity for physician billing staff. The half-day programs will take place May 16 in Wichita and May 18 in Topeka. For more information about the program and to register check out the KMAP Bulletin.
The Kansas Healthcare Collaborative, in joint partnership with the Kansas Foundation for Medical Care, is pleased to announce the ninth annual Summit on Quality, scheduled for May 10, 2017 at the Hyatt Regency in Wichita, Kansas. Registration is open through May 6, 2017.
The CMS Open Payments Program is required to collect information about payments a physician receives when a drug or device company gives a physician stocks, money for research, gifts, speaking fees, meals and other payments. Data about the payments is then shared on a public website. Before releasing this information to the public, you are given a period of time to review (and dispute if needed) any data reported about you.