Connect Archives

May 2015

Tuesday, May 26, 2015

CHRONIC CARE MANAGEMENT SERVICES PILOT PROGRAM

Health First Network, Inc. is always looking for ways to help our physicians take maximum advantage of new programs. As of January 01, 2015, the Centers for Medicare and Medicaid Services (CMS) approved a Chronic Care Management code (CPT 99490) that allows eligible providers to bill for non-face-to-face time invested by members of the clinical care team. HFNI is piloting a program to assist our physician practices to provide, document, and bill for this new service, which has the potential to appropriately reimburse for a critical need that all of our Physicians, but especially our Primary Care Physicians, have provided without specific compensation.

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REGULATORY UPDATES

Recently, the Office of Inspector General of the US Department of Health and Human Services (OIG) released “Practical Guidance for Health Care Governing Boards on Compliance Oversight.” This document is aimed at Boards of Directors for all health care entities, public or private.

The guidance addresses: “(1) roles of, and relationships between, the organization’s audit, compliance, and legal departments; (2) mechanism and process for issue-reporting within an organization; (3) approach to identifying regulatory risk; and (4) methods of encouraging enterprise-wide accountability for achievement of compliance goals and objectives.”

Key Take-aways
1. Boards must act in good faith, including making probing inquiries.
2. There is an abundance of data that Boards can use to define their roles in the Compliance Program.
3. The Compliance Program must be appropriate to the size and complexity of the entity.
4. There must be a formal plan for keeping the Board abreast of changes in the regulatory environment.
5. Committee Charters (i.e. audit, compliance, finance, etc) must include functional boundaries and expected collaborations.
6. The Board should set and enforce expectations for receiving particular types of compliance-related information from various members of management.
7. Regulatory risk areas common to most health care organizations include: “…referral relationships and arrangements, billing problems…, privacy breaches, and quality-related events.” “The Board should ensure that management and the Board have strong processes for identifying risk areas.”
8. Risk assessment plans should be monitored, audited and updated regularly.
9. Compliance programs should encourage self-reporting by the organization.

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HFNI ANNUAL SHAREHOLDER’S ELECTION RESULTS

The Annual HFNI Shareholder's meeting was held on Monday, April 27, 2015, at 5:30 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:
Approve Warren Averett Certified Public Accountants and Advisors, as auditors for the corporation for the fiscal year ending December 31, 2015, either directly or, if independence is compromised, through a subcontractor.

Re-Elected to the Board of Directors were:
Primary Care Physicians:
Robert Flurry, M.D.
D. Bruce Young, M.D.

Retired Provider:
Keith Shearlock, M.D.

Non-Providers:
Ed Ranelli, Ph.D.
Alice Cartee

SHARES FOR SALE

HFNI is working with our attorneys to define a mechanism by which we can help our participating physicians who wish to purchase shares identify physicians who are willing to sell their shares. This is a complicated process as we do not wish to run afoul of the SEC, FTC, or other acronymic agency. We will let you know when the mechanism has been defined.

MIRTH, LLC TAPPED BY HFNI FOR POPULATION HEALTH AND RISK MANAGEMENT

Health First Network, Inc. has selected Mirth Care Enterprise as a critical component of their healthcare information technology strategy. HFNI will use Mirth Care Enterprise to support the delivery of high-quality care across their patient populations; improve health outcomes and reduce operational costs. Through this relationship, the organizations will build and sustain new healthcare delivery models while preserving physician membership independence.

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2015 HOSPITAL SAFETY SCORES PROVIDED BY THE LEAPFROG GROUP

The Leapfrog Group recently released their Spring 2015 Hospital Safety Score. Gulf Breeze Hospital, Santa Rosa Medical Center, Fort Walton Beach Medical Center, and South Baldwin Regional Medical Center all received a score of “A”. Follow the link below for the full report.

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AAFP URGES CMS TO PRESERVE MEDICARE BENEFICIARIES' CARE CONTINUITY

Medicare's annual wellness visit (AWV), established as a preventive service available to Medicare beneficiaries effective Jan. 1, 2011, aims to help keep senior patients healthy.

So when the AAFP and six other national organizations learned that some commercial entities that purport to offer services above and beyond those offered by most primary care physician practices were possibly "subverting that benefit" they called on CMS to investigate.

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FLUBLOK® AVAILABLE THROUGH HENRY SCHEIN

With the official influenza season closing in, Henry Schein Medical, Inc., through a collaborative agreement with Health First Network, Inc. (HFNI) is offering a line of influenza vaccines which includes Flublok®, which is formulated via genetic technology to avoid eggs, particulate virus, and preservatives, and has been unanimously recommended by the Advisory Committee on Immunization Practices (ACIP) for patients with egg allergy.

For special pricing available as a benefit to HFNI members, please contact Adam Davidson at Henry Schein Medical (850-377-8463).

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10 FREE CME CREDITS FOR NURSE PRACTITIONERS (NPS) AND PHYSICIAN ASSISTANTS (PAS)

Health First Network, Inc. members can follow the link below to earn 10 complimentary CME's from Henry Schein. Each of the 10 interactive presentations is 1 CME credit and can be accessed from any computer or device at any time.

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ADDITIONAL SERVICES

Health First Network, Inc. is pleased to announce our newest strategic partner, TransAct. This partnership will provide your practice with revenue enhancement opportunities and reinforces our pledge to help our members improve bottom line results.

TransAct’s National Association Program (NAP) clearly demonstrates the value of collective purchasing power within our industry. TransAct has directly partnered with Paychex, Chase Paymentech, Legal Shield, Colonial Life, and others, to deliver a suite of services, at most favored pricing, that improve profitability, efficiency, and practice well-being.

As you look to optimize your profitability, we encourage you to get in contact with TransAct. Our primary point of contact is Tom Batchelor, and he may be reached at 832.539.6002 or tbatchelor@transactnap.com.

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ADDITIONAL SERVICES

Patient notification solutions are a must for healthcare practices when communicating with today’s patient. People’s lives are busier than ever before; plus they have multiple devices they are plugged in to most all of the time.

Effectively reaching these patients is key for physicians who want to reduce no-shows, improve patient engagement, boost staff morale and increase operational efficiency. But doing so requires understanding how to navigate today’s communication methods and implementing an automated system that can effectively manage appointment reminders.

ClientTell can provide the insight and the tools to help, and it’s what they do best. After 16 years in business with considerable healthcare technology experience among its senior leadership team, ClientTell solutions are trusted by more than 65,000 providers to deliver important messages and reminders impacting their patients’ health. A majority of adults use email, own a smartphone and use text messaging, and half of homes aren’t using a landline anymore. Reminder Manager offers a comprehensive suite of phone, text, email and smartphone push notifications to allow patients to quickly confirm or cancel their appointments or receive recall reminders and last-minute office announcements–no matter what communication method they use.

Contact them to learn more about how ClientTell patient messaging can help streamline your practice at 855-600-6046.

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ADDITIONAL SERVICES

Health First Network, Inc. is pleased to announce another added benefit to your membership. We have partnered with GROUPSOURCE Purchasing and Henry Schein Medical to offer discounts on medical products and services such as 35% or more off of your medical waste disposal or 15-20% average savings through Office Depot.

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THE FIRST STEPS TO TAKE TO PREPARE RECORDS FOR A MEDICAL PRACTICE CLOSURE

Medical practices house some of the most important information that exists. Patient medical records and important business documents are necessary components of a medical practice. Family physicians, dentists and psychiatrists all must follow guidelines and laws to remain compliant with confidential records at their medical practice. With all of this information at stake, what happens when a medical practice closes? Whether a doctor is retiring, the office is moving to a new location or the practice is closing, practice managers and physicians must take important steps to make sure they are properly handling documents and records.

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