Connect Archives

November 2014

Friday, November 14, 2014

URAC UPDATE

Health First Network, Inc. (HFNI), regarding its stages of URAC Accreditation, has successfully uploaded all documents to meet Core, Network, and Credentialing standards into URAC’s Accreditnet program for Desk Top Review. This means all our documents are being reviewed by surveyors on all 80 standards we have addressed.

Currently HFNI is in a stage of Request For Information (RFI) for further documentation and/or clarification prior to their onsite review. The onsite review will take place January 13th and 14th. This is a very exciting now that we are getting closer to the final stage. We appreciate all the efforts in making this a reality.

To date, our Quality Improvement Programs (QIPS) are being very successful in falls and depression areas of patient safety.

We will continue to keep you informed as we move closer to our Network goals of full URAC Accreditation. Please do not hesitate to contact us with any questions you may have.

NEW REFERRAL AND AUTHORIZATION PROCESS FOR HUMANA MEDICAID

Humana Medicaid has refined their Referral and Authorization Process for Humana Family Medicaid Plans in Regions 1 and 6 effective October 1, 2014. Please see the attached document for details.

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HEALTH FIRST NETWORK, INC. PROVIDER SURVEY

Health First Network, Inc. is committed to providing the highest level of service to you. We would like to know your opinion about how Health First Network's administrative process is working for you. In addition, Healthplan standards require an annual Provider Satisfaction Survey to evaluate services.

Please follow the link below to complete a short Provider Satisfaction Survey.

Your answers to the survey questions will help us to assure that the high standards we set for assisting our providers are maintained.

Please respond no later than November 19th.

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CREDENTIALING UPDATE

Health First Network, Inc.’s Credentialing Department is working on several new updates. One that we hope will streamline our communication with our many contacts, is to introduce our new Credentialing email address. At this time, we’re asking that any credentialing information (Provider Applications, Inquiries & Updates, or Responses to our Inquiries) be sent to: Credentialing@hfni.com. Our expectation is to decrease many of the delays in our response time when it comes to our providers and the needs of our network.

If you have any questions, please contact us at credentialing@hfni.com or call us at 850-438-0818.

In the very near future Credentialing information and updates will be available on the HFNI website.

25% DISCOUNT ON ALL GILMORE SERVICES FOR NETWORK PROVIDERS

As announced last month, we have a strategic relationship with Gilmore Services, which is offering all of our members a 25% discount on their services. They offer Document Shredding, Secure Document Storage, Retention Management, Records Compliance, Document Imaging and Commercial Moving. Gilmore has a lot of experience helping healthcare practitioners streamline their information management systems and keeping PHI documents secure and compliant.

Because strict guidelines associated with healthcare laws, like HIPAA, carry high penalties for violations and noncompliance, document management systems must balance between being secure and accessible. Gilmore Services helps protect, retain, scan or shred your sensitive information, keeping physicians in compliance.

Please contact Brandy Dyer at 850-549-2722 or bdyer@gilmoreservices.com for additional information.

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HFNI PARTICIPATES IN STAND DOWN DAY

On Friday, October 24, 2014, Health First Network, Inc. staff joined forces with other volunteers to partner with the VA Gulf Coast Veterans Health Care System as they hosted a Homeless Veteran Stand Down Day, at the Joint Ambulatory Care Center.

The Stand Down Event is a cooperative event between the Veterans Administration, local military and Veteran Organizations, and community organizations to provide resources, services and information to local homeless Veterans and the families of Veterans.

This year’s event provided health screenings, educational material, legal assistance, clothing, comfort kits and a hot meal.

INVITATION TO OUR NEW QUESTION AND ANSWER SEGMENT

Health First Network, Inc. has been providing you with informative network news, but we would like to broaden our interactions with you by featuring a Question & Answers segment in each issue of Connect.

The organization’s leadership hopes to promote open lines of communications in order to address any questions that you may have.

We invite you to submit your questions to Jenny Caillouet at Jcaillouet@hfni.com. We will post our responses in the following months issue of Connect.

We look forward to this new interactive format, and hope that it will serve a useful tool.

CARE COORDINATORS CORNER

Care Coordinator: Janet Blough-Black, RN ( 850) 324-9296
John Brown DO
William Howe MD
Hillary Hultstrand MD
David Kellen MD
Jennifer Miley MD
Paul Pandolfi MD
Karen Pennington MD
Karen Snow MD
Anita Westafer MD
Wayne Willis MD
William Wilson DO
William Zimmern MD


Care Coordinator: Pamela Shelton, RN, BSN (850) 572-0214
Manuel Abendan MD
Earl Crosswright MD
Samuel Greenlee MD
Manning Hanline MD
Ronald Maddox MD
Mary Salib MD
Rogelio Samson MD
George Smith MD
George Soliman MD
Lourdes Virtusio MD

Care Coordinator: Robin Abbott, RN (850) 382-3818
Elias Banuelos MD
Flora Cabreros MD
Robert Flurry MD
Bach-Uyen Le Thi MD
Janet Lewis MD
Dennis Mayeaux MD
C. David Smith MD
John Smith MD
Michael Smith MD

URAC QI Coordinator, Falls & Depression Screenings: William (Bill) Dreis, RN (850) 572-9839

NEW PHYSICIANS JOINING THE NETWORK

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

Carol Sekhon, M.D. Pediatrics
Mark Onady, M.D. General Surgery
Lynn Keefe, M.D. Pediatrics

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

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