Connect Archives

December 2013

Monday, December 16, 2013

MEANINGFUL USE BEING EXTENDED

CMS has delayed the start date for meaningful use stage 3 until 2017. This extension does not alter the timeline for stage 2 implementation. The penalties for failing to meet stage 2 requirements are still scheduled to begin on January 1, 2015.

PROVIDER ADD-ON SERVICES

HFNI is very pleased to announce a new relationship. We are proud to be working with athenahealth to bring you additional options for your office operations. Athenahealth offers a range of services including claims submission, lock-box, patient communications, appointment confirmation, eHR, Meaningful Use guarantees, and much more. We will be making more information available to you in the coming weeks.

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HEALTHSPRING MEDICARE ADVANTAGE HMO TRANSITION FOR CLAIM PROCESSING

Effective 1/1/14 Health First Network, Inc. (HFNI) / MED3000 will no longer be responsible for processing claims for Healthspring Medicare Advantage HMO.

Health First Network, Inc. will continue to work with Healthspring; giving support to our providers for that product.

It is very important that all claims with dates of service December 31, 2013 back are filed to HFNI / MED3000 no later than June 30, 2014 at the address below.

HealthSpring Medicare HMO
P. O. Box 11547
Pensacola, FL 32524

All claims received after June 30, 2014 will be denied timely, NO EXCEPTIONS will be made.

All claims for dates of service 1/1/14 forward should be filed to:

Healthspring Medicare Advantage HMO
P.O. Box 981804
El Paso, TX 79998
Electronic claims: Emdeon Payor ID 63092

Please contact Jenny Caillouet at 850-438-4487 if you have any questions.

NEW DATA SHOWS AFFORDABLE CARE ACT REFORMS ARE LEADING TO LOWER HOSPITAL READMISSION RATES FOR MEDICARE BENEFICIARIES

Over the past several years the Center for Medicare & Medicaid Services (CMS) and others have focused on reducing avoidable readmissions, including hospital-level improvement initiatives, community-based care transitions programs, and broad-based payment incentives like the Hospital Readmissions Reduction Program.

The all-cause 30-day hospital readmission rate among Medicare fee-for-service beneficiaries held constant from 2007 to 2011. A study published by CMS revealed good news about hospital readmissions: In 2012, when the Affordable Care Act’s reforms focused on reducing avoidable readmissions kicked in, this rate began to fall. After holding steady at 19 percent from 2007 to 2011 the all-cause-30-day hospital readmission rate among Medicare fee-for-service beneficiaries fell to 18.5 percent in 2012.

CMS reported that the decline in readmission rate is continuing into 2013. Preliminary claims data shows the Medicare readmission rate averaged less than 18 percent over the first eight months of 2013. This translates into an estimated 130,000 fewer hospital readmissions between January 2012 and August 2013.

NEW JOB POSTINGS PAGE COMING SOON

HFNI is in the process of creating a new “Job Postings page” in an effort to help our physician offices fill job vacancies.

If you would like to advertise open employment opportunities on the HFNI website, please contact Jenny Caillouet at 850-438-4487.

NEW PHYSICIANS JOINING THE NETWORK

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

John Dali, M.D. General Surgery
Edward Frisbee, D.C. Chiropractic
Jodi Picasso, M.D. Hospitalist
Elias Ayli, D.O. Dermatology
Heather Amos, D.O. Family Practice

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