Connect Archives

December 2011

Monday, December 12, 2011

HFNI ANNUAL SHAREHOLDER’S MEETING

The Annual HFNI Shareholder's meeting was held on Thursday, November 3, 2011, at 6:00 P.M. at Health First Network. The HFNI Board of Directors has ratified the Shareholder Election and the results are listed below.

The Shareholders have elected to:
Retain O'Sullivan, Creel as HFNI's external auditors.

Re-Elected to the Board were:
PCP: Karen Snow, M.D.
RCP: Paul Larose, M.D.

Elected Officers of the HFNI Board of Directors are as follows:
• Charles Brewer - President/CEO
• William Whibbs, M.D. - Chairman of the Board
• Warren Herron, M.D. – Vice-Chairman
• Karen Snow, M.D. – Secretary
• Sid Clements, M.D. - Treasurer

HEALTH CARE AFFORDABLE CARE ACT

The Health Care Affordable Care Act established a requirement for all Medicare enrolled Providers and suppliers to revalidate their enrollment information under new enrollment screening criteria. This revalidation effort applies to those providers and suppliers that were enrolled with Medicare prior to March 25, 2011. To retain your Medicare billing privileges, between now and March 23, 2013, Providers may be asked to revalidate their Medicare enrollment information. Failure to submit the required information may result in deactivation of Medicare billing privileges. Read the CMS MedLearn Matters article below for information.

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HEALTHEASE QUICK REFERENCE GUIDE

For HealthEase contact information, claims information, pharmacy information and Pre-Auth. requirements, click on the link below for the HealthEase quick reference guide.

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NEW CMS ARTICLE ON THE PROHIBITION ON BALANCE BILLING QUALIFIED MEDICARE BENEFICIARIES

CMS has released a new article through MEDLearn Matters, the CMS Provider Education website, titled, “Prohibition on Balance Billing Qualified Medicare Beneficiaries”. All Medicare Physicians, providers and suppliers who submit claims to Medicare for services and supplies provided to Qualified Medicare Beneficiaries (QMB’s) are affected. This includes providers of services to enrollees of Medicare Advantage Plans.

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WELLCARE NO AUTH. REQUIRED DRUG LIST

WellCare Health Plans have combined their Medical and Pharmacy injectable prior authorization code lists into one consistent list that they feel is aligned with current industry practice. This “No Auth. Required List” is effective for both WellCare and HealthEase members. Click on the link below to see the list.

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COVENTRY REVISED PRIOR AUTHORIZATION PROCESS AND GUIDELINES

Coventry Health Plans has refined their Prior Authorization Process and Guidelines. To promote preventive services for all Coventry members, there are new guidelines for Participating Providers to follow. Please see the 3 attached documents for information about facilities to use for Preventive Services, for the revised Medical Prior Authorization Request Form, and for the Coventry Pre-Authorization Quick Guide.

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CARING FOR OUR COMMUNITY

Health First Network and its employees take to heart a commitment to care for the communities they serve. Answering the call for assistance from MANNA Food Pantries, Health First Network employees joined together and donated 240 pounds of non-perishable food items. Health Fist Network also made a $100.00 donation. The gifts of food and a monetary donation, will help Manna Food Pantries in its mission to feed the hungry in Northwest Florida.