Connect Archives

January 2013

Wednesday, January 16, 2013

ACO UPDATE

1) ACC of NWFL has received a list of an additional 1200 Medicare beneficiaries who have been attributed to us. HFNI’s Provider Relations Representative, Amy, has sent lists of the patients to the appropriate offices for the additional information. If you receive a list from Amy, please respond with the missing information as soon as possible.

2) CMS has released a list of 106 additional ACOs which became effective January 1, 2013. Of these, 16 are in Florida.

3) CMS has decided to re-write the Drug & Alcohol Opt In letter, but it is not ready yet. This had led to us needing to use a new Information Opt Out letter. Please use the Opt Out letter below if you need to provide a copy of the letter to your Medicare beneficiary patients.

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HEALTHSPRING CLAIMS TRANSITION

Effective 4/1/13 Health First Network (HFNI)/MED3000 will no longer be responsible for processing claims for the HealthSpring product.

It is very important that all claims for dates of service prior to April 1, 2013 are filed to HFNI/MED3000 no later than July 31, 2013.

Claims for dates of service after March 31, 2013 should be submitted directly to HealthSpring at the following address:

HealthSpring
PO Box 981804
El Paso, TX 79998

All claims received after July 31, 2013 will be denied as not timely filed, NO EXCEPTIONS will be made.

Please contact Jenny Caillouet at 438-4487 if you have any questions.

CONTINUING EDUCATION FOR OFFICE STAFF

Health First Network continues to be focused on how we can support our Physicians and their office staff. At a recent informal luncheon for HFNI office managers, one office inquired if Health First Network could fill a need for their clinical staff by providing continuing education sessions for nurses and other clinical staff in the office, and offer educational sessions on topics related to practice management skills for other staff members in the office to benefit both clinical and back-office staff.

Health First Network appreciated the suggestion from this office and is open to this idea. We’d like to determine if there is interest from other offices in these types of educational “lunch and learn” or a “class-act breakfast” sessions. Please let us know your thoughts and some suggestions for topics that you feel would benefit office staff, and what times would be convenient for you and your staff so Health First Network can assist each office in providing the training needed to be and to have great well-trained, professional employees. HFNI will also need to know the professional association(s) of the office staff members who may be attending so that we may apply for the appropriate continuing education credit for them.

Topics submitted by the original requesting office include the following: when to call HRS or DCF; assertiveness training; communication skills; sterilization procedures for instruments used in the office. We need other suggestions from you.

For these in-services, Health First Network will provide the speakers and food. We need your suggestions on topics and times. Please contact Jenny Caillouet at 438-4487 or Pat Ast at 434-6087 to send along your suggestions.

FEBRUARY 2013 DEADLINE FOR CMS EHR INCENTIVE

The Medicare and Medicaid EHR Incentive Programs provide incentive payments to eligible professionals, eligible hospitals and critical access hospitals (CAHs) as they adopt, implement, upgrade or demonstrate meaningful use of certified EHR technology. Eligible professionals can receive up to $44,000 through the Medicare EHR Incentive Program and up to $63,750 through the Medicaid EHR Incentive Program.

Eligible professionals who participated in the Medicare Electronic Health Record (EHR) Incentive Program in 2012 must complete an attestation for the 2012 program year by February 28, 2013.

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PROVIDER UPDATES/CHANGE REQUEST

In order to assist your office in reporting provider updates and changes in a more efficient manner. Health First Network has added a "Provider Updates/Change Request" page to the HFNI website. The Provider Update/Change Form can be completed on line. Please note, an updated W-9 must be faxed to 850-438-0298 in order for the changes to be completed.

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ADDITIONAL SERVICES

Financial Planning – Health First Network is pleased to announce another added benefit to your membership. Beginning this month, our physicians will have access to the planning services of North Florida Financial (NFF) at no cost to you. With over fifty years of history in Pensacola, NFF specializes in coordinating strategies for protecting assets, minimizing taxes, and efficiently and effectively build wealth.

Their advisors offer a visibly intuitive tool, The Living Balance Sheet, which displays an integrated view of your financial world. This advanced web technology will help you be better organized, protect your future, and see your entire financial world in one easy-to-use dashboard. For more information on this tool, please visit www.thelivingbalancesheet.com.

Our representative, Barrie Arnold, holds a Master of Science in Health Administration from the University of Alabama at Birmingham and brings a wealth of health care experience from his prior career at Baptist Health Care.

Barrie and his colleagues are available to discuss your goals and share more details with you about this exclusive program for Health First Network providers. His email is barrie_arnold@northfloridafinancial.com and he can be reached by phone at 850.476.3491. Please make sure to mention that you are a member of the Health First Network.

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NEW PHYSICIANS JOINING THE NETWORK

Health First Network would like to welcome the most recent physicians to join the Network:

Adrian Jefferson, M.D. - Hospitalist
Amy Armstrong, M.D. - Internal Medicine
Krystin Baker , M.D. - Neurology
Teri Lord, M.D. - Hospitalist
Sherif Ibrahim, M.D. - Medical Oncology/Hematology
Monica Nall, M.D. - Family Practice
Alexander Coleman, M.D. - Orthopaedic Surgery
Ronald Maddux, M.D. - Family Practice
Monica Montoya, M.D. - Family Practice
Dimitry Olivier, M.D. - Hospitalist

** To determine which health plans each physician is participating in check the “Find A Doctor” section on the HFNI website.