Connect Archives

May 2014

Thursday, May 15, 2014

HUMANA UPDATE

HFNI will host the Humana regional personnel during the second week of June as they assess our readiness to assume certain delegated functions. We continue to move forward with our discussions as we make progress toward our August 1 “go live” date for Medicaid Managed Medical Assistance.

CONGRATULATIONS TO E.L. ROCHE

We are pleased to announce the promotion of E.L. Roche from VP, Finance to Chief Financial Officer. This promotion is in recognition of the increased duties that E.L. has assumed following the termination of the HFNI contract with MED3000.

CAQH

Health First Network, Inc. is implementing the use of CAQH in an endeavor to make the credentialing process smoother. At this time, we do ask that if the provider is already on the CAQH system, please review the provider’s information to verify that CAQH is reflecting the most current data and documentation. If you have any questions, please contact the Credentialing Department at 850-438-0818.

HFNI WEBINARS

HFNI conducted its first in a series of webinars on Tuesday April 29th at 6:00 p.m. A number of topics were covered, including information on HFNI’s URAC accreditation process which includes the implementation of 2 Quality Improvement Projects, and information about transition of care codes and the wellness visit codes. For those unable to attend, the program is available on Health First Network’s YouTube channel. The slide deck is also available on the HFNI website. We plan on doing one program a month, and would like to cover issues that are important to the physicians and their offices, so if you have thoughts about what you would like to see, please call Dr. Whibbs at 850-434-8147. We are looking at topics like ICD-10 (and-11…woohoo!), the use of evidence based protocols in the individual practice, and the kinds of things that impact us in our specific Health Care Delivery Locale. We are also exploring the potential to use this tool as a CME vehicle as well. Any ideas or observations are welcomed.

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HFNI SHAREHOLDER MEETING RESULTS

The Annual HFNI Shareholder’s meeting was held on Monday, April 28, 2014 at 5:30 p.m.

The Shareholders have elected to:
1) Retain Warren Averett O’Sullivan Creel as HFNI’s external auditors.

2) Approve proposed change to the Stock Restriction Agreement

3) Elected to the Board were:
PCP:
Karen Snow, M.D.

RCP’s
Paula Pyle, M.D.
Paul LaRose, M.D.

HFNI SHAREHOLDER PAGE AVAILABLE ONLINE

As part of our continuous commitment to provide access to important information, Health First Network has added a new “HFNI Shareholder’s page” to the website. From this page you can access such things as, HFNI By-Laws, Stock Restriction Agreement, and Audited Financials.

If you are an HFNI Shareholder, please take a moment to register.

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ATHENA MEETING FOLLOW-UP

On April 22, 2014 Athena hosted a free dinner seminar. The seminar was titled “Remaining Independent Through Turbulent Times - Controlling the Future of Your Practice”.

Health First Network was pleased to be part of this presentation. Athena had a great response to this topic. It is clear that this is a concern throughout the medical community.

Stay tuned for our next co-hosted event in July where you can learn about Athena straight from physicians in the community. These invites will be posted on HFNI’s website.

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HEALTHSPRING MEDICARE ADVANTAGE HMO TRANSITION FOR CLAIM PROCESSING

Effective 1/1/14 Health First Network, Inc. (HFNI) / MED3000 is no longer 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 prior to January 1, 2014 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 for dates of service prior to January 1, 2014 will be denied timely, NO EXCEPTIONS will be made.

All claims for dates of service after December 31, 2013 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.

JOB POSTINGS PAGE

HFNI has created 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:

Clifton Wyrosdick, M.D. Family Practice
Mark Johnson, M.D. Radiology
Donald Wagnon, M.D. Radiology
Erlinda McCrea, M.D. Radiology
Venetia Vassiliades, M.D. Radiology
John Tabacco, M.D. Internal Medicine
Valerie Pruitt, M.D. Surgical Critical Care
Juanita Fleming, M.D. Family Practice
Dewey Torres, M.D. General Surgery
Daniel Sontheimer, M.D. Hospitalist
Robert Mason, M.D. Ophthalmology
Robert Fine, M.D. Therapeutic Radiology
Michael Miller, M.D. Vascular Surgery
Tiffany Kruger, M.D. Ophthalmology
Ted Matthews, M.D. Hospitalist

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

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