JACKSON, Mich.--(BUSINESS WIRE)--Plexus Management Group, LLC (Plexus MG), a consulting service and practice management organization that identifies and solves the technical, operational and strategic challenges that face hospitals and physician groups, announces today that Plexus MG and one of their clients successfully advocated to BlueCross BlueShield (BCBS) of Minnesota to expand their restrictive medical necessity policy for anesthesia services for endoscopic procedures. This policy change further validates the presence of an anesthesiologist in the monitoring and treatment of patients in endoscopic procedures.
Effective 10/29/2015, BCBS of Minnesota will now automatically pay for any cases submitted (and justified) for ASA physical status II or higher. The previous version of the policy only paid for physical status III and higher and required provider groups to appeal medical necessity for other patients, including those with co-morbidities for which other BCBS plans would pay.
“We are thrilled that BCBS of Minnesota has agreed to modify their medical necessity policy to include ASA physical status II based, in part, on our advocacy efforts on behalf of our clients. A larger percentage of BCBS members will now benefit from access to a qualified anesthesia provider during their endoscopic procedure,” said Brian Ramos, Director of Practice Operations at Plexus Management Group. “Further, anesthesia providers can focus on treating their patients at bedside, rather than fulfilling administratively burdensome requirements to get paid for services rendered.”
Bob McIvor, President of Plexus Management Group, shares his thought on the decision, “Plexus MG is pleased to see our efforts reach fruition. We realize that anesthesia is a particularly complicated field and any assistance we can provide to simplify the effort for both our clients and the industry is a step in the right direction.”
Plexus MG is a subsidiary of MiraMed Global Services, LLC (MMGS). Plexus MG also works closely with Anesthesia Business Consultants, LLC, another MMGS subsidiary, to provide comprehensive services to the anesthesia and pain management industry. “Both Plexus MG and ABC are committed solely to the anesthesia and pain management markets” states Tony Mira, President and CEO of MiraMed Global Services. Mira continues, “Plexus MG and ABC work to become your partner, providing effective, lasting solutions to your most complex business issues.”
Plexus Management Group, LLC, a subsidiary of MiraMed Global Services, is a management services organization that identifies and solves the technical, operational, and strategic challenges that face hospitals and physician groups. They specialize in working with anesthesia and pain management practices throughout the United States in academic medical centers and other hospitals, private practice, and ambulatory surgical centers. For more information, email info@plexusmg.com or visit www.plexusmg.com.
Headquartered in Jackson, Michigan, MiraMed Global Services stands as the premier global provider of business process outsourcing solutions to healthcare organizations nationwide. MiraMed partners with hospitals, health networks, physician practices and related industry service organizations to provide a broad portfolio of customizable solutions, uncover and capitalize on hidden financial opportunities, improve productivity and ultimately increase profits. MiraMed has offices in Jackson, Michigan, Chicago, Illinois, Portland, Oregon, Thousand Oaks, California, Dallas, Texas, Boston, Massachusetts, Greenville, South Carolina, Baton Rouge, Louisiana, Chennai, India and Manila, Philippines.
MiraMed pairs healthcare industry experts with world-class processes, infrastructure and technology to deliver meaningful and measurable results. This proprietary model enables sustainable change by delivering a complete, customizable "end-to-end" solution devised to meet a client's own unique financial and organizational needs.
If you would like more information about this topic, please go to www.miramedgs.com or email info@miramedgs.com.
