Your Practice Management Source Inside The
Health Care Financing Division
These services are available to assist physicians and their staff and are just a sampling of the full array of benefits available to our members. To join CMS, please contact Genni Pearman.

Practice Tracking Survey Are you or someone you know closing or opening a medical practice? Please take a minute to complete this short survey!

Educational Programs Brown Bag Teleconference, Quarterly Meetings, and more

CMS LiveWire Electronic Newsletter

Claims Resolution Assistance for issues relating to claims processing

Health Plan Complaints for general issues relating to a health plan


Special Alerts!


May 29, 2009

Come Meet the Medicare Recovery Audit Contractor
The Centers for Medicare & Medicaid Services (CMS) is presenting two (2) Medicare Recovery Audit
Contractor (RAC) educational sessions on May 18, 2009 and May 20, 2009 for the Colorado Medical
Society Members and their Staff. The purpose of these sessions is to provide information on the RAC
program and to introduce providers to Connolly Consulting, the RAC for the State of CO.

Click here for the handouts


May 23, 2008

Implementing C.R.S. 25-37-101 (SB 79) In Your Practice - It is important to be able to compare your “new” contracts to your existing contracts. Some payers may only be sending amendments to address issues of compliance with the Law. Others may be sending complete contracts that include the current requirements.

The purpose of the Law is to provide transparency around key contract provisions so physicians will have a clear idea of what they will be paid, how they will be paid and know that the payer cannot make changes unilaterally once the contract is signed. It is the obligation of the payers to bring contracts into compliance with the provisions of the Law; and it is the obligation of each practice to review the contracts for payer compliance with the Law. All payers doing business in Colorado must bring their contracts into compliance no later than December 31, 2008.

The Health Care Financing Division staff has put together some educational materials for physicians and their staff to use when evaluating these communications. These materials can be found on the Practice Management Community in the Contracting Neighborhood Resources.

CMS will be tracking health plan/payer/PPO, etc. compliance with all the provision of the statute. As issues are identified we will be working with the Colorado Association of Health Plans and/or the individual health plan/payer/PPO, etc.

Physicians and their staff are key to monitoring compliance! It is important for you to keep CMS informed:

If you have questions, contact the CMS Health Care Financing Division:
Marilyn Rissmiller, (720) 858-6328, fax (720) 859-7509 or marilyn_rissmiller@cms.org
Sandy Page, (720) 858-6321, fax (720) 859-7509 sandy_page@cms.org



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CMS Communities
The CMS Practice Management Community is designed as an interactive tool that allows physicians and their office staff to access news alerts, information on educational opportunities, self-help tools, resources, and discussions on practice management, billing, and reimbursement issues. If you are interested in joining the Practice Management Community or have any questions about this site, please contact Sandy Page.

Please note that by utilizing the community, you agree to accept and be bound by these guidelines. The Colorado Medical Society (CMS) may edit, delete, or screen any postings. CMS Communities are for subscribed users only. User Agreement


Other Links:

Colorado Division of Insurance

Colorado Division of Workers' Compensation

Medicaid

Medicare
___- Centers for Medicare and Medicaid Services
___- TrailBlazers Health Enterprises, LLC
______- Colorado J4 MAC Implementation

National Provider Identifier (NPI)

- National Plan & Provider Enumeration System (NPPES)
__ - NPI Registry

TriCare/TriWest

Health Plans

Other Web Sites


Questions or Comments?
Contact Sandy Page

Phone: 720-859-1001 or 800-654-5653
Fax: 720-859-7509
PO Box 17550
Denver, CO 80217-0550