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Sequestration Reduces Medicare Reimbursements by Two Percent

On April 1, 2013, provisions of the Budget Control Act of 2011, also known as sequestration, took effect. Sequestration includes a 2 percent reduction of payments under the Medicare program, including payments to Medicare Advantage plans.

CMS began applying the reduction to claims with dates of service or dates of discharge on or after April 1. Peoples Health is also implementing the reduction to payments made to our providers as of that date.

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Click here for the May issue of the Physician Bulletin.

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The Provider Portal is a Web-based portal that offers a secure, password-protected, centralized location where providers can view and download important resources for all their Peoples Health communications needs.

You can log on to the Provider Portal at providers.peopleshealth.com using your Member Viewer ID and password or a Peoples Health-assigned ID and password. Member Viewer has been incorporated into the Provider Portal, and if you’re accustomed to using Member Viewer, you will continue to access the same information in Member Viewer in its new location. You will simply have additional resources at your fingertips.

Via the Provider Portal, you can:

• Access patient clinical information in Member Viewer.
• Reference and download important resources, such as Medical Necessity and Pharmacy Request forms; Provider Reference Guide, Physician Team Referral Guides and Quick Reference Guides; all plan documents; policy and procedure guidelines; and current and past issues of Peoples Health publications, including the Provider Quarterly and Physician Bulletin.
• Access quick links to network hospital and provider listings and to the Peoples Health Authorization Requirements Search, where providers can search authorization requirements for specific procedure codes.
• Stay up to date on the latest Peoples Health news. The Provider Portal’s home page is updated regularly with important news and reminders about changes in processes or tools available to providers.

Provider Relations representatives will deliver information packets, outlining the benefits of the portal, to all network providers in the coming weeks. If you have any questions about using the Peoples Health Provider Portal or would like to request access, please contact your Provider Relations representative at (504) 849-4500, (225) 346-6380 or toll-free at (800) 631-8443.