updates - parkview medical center - parkview medical center · 2014. 12. 3. · colorado healthop...
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April 2014
Updates
**PHC has Moved** The Pueblo Health Care office has moved. We are now located at 425 W. 15
Beaumont/Yaklich House. The phone and fax numbers remain the same.
ParkCare Plus/RCI Effective 3/1/2014, Emdeon will no longer be
serviced by Smart Data Solutions instead of Emdeon.
Smart Data’s EDI support phone number at
MultiPlan MultiPlan currently has some physicians aligned with both the PHC Group contract, as well as individual contracts
physician’s intent is to only be aligned with PHC and not an individual contrac
Unfortunately, since these are direct agreements, PHC is unable to terminate on the physician’s behalf
additional information.
PHC 2014 Notebooks The updated PHC Contracting Notebook inserts have been delivered.
comments please let us know. There is a correction for
apologize for the confusion.
ICD-9 to ICD-10 crosswalksPHC has access to .pdf documents that crosswalk from ICD
are interested in a copy, please contact PHC. The following specialties are available:
Cardiothoracic, Dermatology, Emergency, Family Practice
lower and upper, Otolaryngology, Pediatrics
Office Manager Roundtables/ICDIn preparation for the transition to ICD-10, PHC will be hosting
presented by the ICD-10 Coalition. The webinars are from 12
invites which will indicate the location of the meeting. We will schedule the meeting until 1:30 pm to allow time for
discussion.
***PHC has created an Office Manager group email list. It is a great way
beneficial to your office. If you currently do not receive emails from us and
let us know.***
Your Pueblo Health Care Staff:Ann Bellah, Executive Director (
Sandra Proud, Provider Relations/Member Services (
400 W. 16
Editors: Sandra Proud and Ann Bellah
The Pueblo Health Care office has moved. We are now located at 425 W. 15th
St. (corner of 15
phone and fax numbers remain the same.
Effective 3/1/2014, Emdeon will no longer be RCI’s vendor for EDI claims. RCI will keep the same payer ID, but it will be
serviced by Smart Data Solutions instead of Emdeon. If you have questions or are having issues with EDI claims
at 855-297-4436.
physicians aligned with both the PHC Group contract, as well as individual contracts
intent is to only be aligned with PHC and not an individual contract, the individual contract
Unfortunately, since these are direct agreements, PHC is unable to terminate on the physician’s behalf
The updated PHC Contracting Notebook inserts have been delivered. If you did not receive one or have questions or
There is a correction for RMHP. Timely filing should reflect 120
10 crosswalks PHC has access to .pdf documents that crosswalk from ICD-9 to ICD-10 of top 50 codes for 15 different specialties. If you
contact PHC. The following specialties are available: Anesthesia,
Family Practice, Gastro, General Surgery, Internal Medicine
Pediatrics, Urology.
Office Manager Roundtables/ICD-10 Webinars and Email list PHC will be hosting group meetings for most of the ICD
10 Coalition. The webinars are from 12-1pm every third Tuesday of the month. Watch for your
location of the meeting. We will schedule the meeting until 1:30 pm to allow time for
group email list. It is a great way for us to send information
currently do not receive emails from us and would like to be included on the list, please
Your Pueblo Health Care Staff: Ann Bellah, Executive Director (ann_bellah@parkviewmc.com)
Phone: 584-4371
Sandra Proud, Provider Relations/Member Services (sandra_proud@parkviewmc.com
Phone: 584-4642
400 W. 16th St. Pueblo, CO 81003
Main Phone: 584-4806
Fax: 584-4038
Editors: Sandra Proud and Ann Bellah
St. (corner of 15th
and Greenwood) in the
will keep the same payer ID, but it will be
If you have questions or are having issues with EDI claims, call
physicians aligned with both the PHC Group contract, as well as individual contracts. If the
, the individual contract should be termed.
Unfortunately, since these are direct agreements, PHC is unable to terminate on the physician’s behalf. Contact Ann for
If you did not receive one or have questions or
imely filing should reflect 120 days, not 180 days. We
10 of top 50 codes for 15 different specialties. If you
Anesthesia, Behavioral, Cardiology,
Internal Medicine, OBGYN, Ortho-
Email list most of the ICD-10 webinars
day of the month. Watch for your
location of the meeting. We will schedule the meeting until 1:30 pm to allow time for
to send information that we feel may be
be included on the list, please
sandra_proud@parkviewmc.com)
Educational In-ServicesPueblo Health Care recently offered the following in
PHC Annual Report/ICD Complete Practice Resources, presented two different sessions on
ICD
focused on
transition
negative) and the importance of proper documentat
session “Achieving
administrators, physicians and staff
free, successful ICD
available for both
20 Certified
sessions.
Colorado HealthOp/ParkCare Plus/PMC Wellness WorksHealthOp representatives, Freda Montoya and
HealthOp Plans, Providers, ID Cards, Claims addresses, Payor ID numbers and
resources. Jeanne Garman, PMC Benefits Administrator
Stephanie Arellano, PMC Employee Wellness Co
to easily assess ergonomics and prevention st
ICD-10 Implementation (February 27National ICD-10 Program Director, presented From “ICD
Do-10”. He gave an ICD-10 Overview including Myth Busters,
Implementation and UHC’s partnership commitment through the
transition. Six Certified Coders received CEU credits for atte
this presentation.
Work Flow Improvements of Performance Improvement, introduced process improvement principles,
identified eight different kinds of waste and explained
reduce waste in the office. He gave the attendees a new prospective on
daily tasks,
at work and at home.
Upcoming In-services: April 10 – ICD-10-CM Coding Extravaganza
June 24 – Liability Issues w/EMR’s (COPIC/CME)
July 10 – HIPAA Update (Doctor’s CO/CME)
August 5 – CMS Update
Services Pueblo Health Care recently offered the following in-services:
PHC Annual Report/ICD-10 (January 9Complete Practice Resources, presented two different sessions on
ICD-10. The morning session “ICD-10 Starts with Physicians”
focused on engaging physicians and staff in tackling the ICD
transition by educating on the realities of ICD-
negative) and the importance of proper documentat
session “Achieving ICD-10 Success” was designed for practice
administrators, physicians and staff and focused on having a
free, successful ICD-10 implementation . CME and CEU
available for both sessions. 22 Physicians received
20 Certified Coders received CEU credits for attending one or both
sessions.
/ParkCare Plus/PMC Wellness Works (February Freda Montoya and Judy VanCleave, presented an overview of the Colorado
Op Plans, Providers, ID Cards, Claims addresses, Payor ID numbers and additional
resources. Jeanne Garman, PMC Benefits Administrator, provided a ParkCare Plus plan update.
llano, PMC Employee Wellness Coordinator, presented the importance of ergonomics, how
to easily assess ergonomics and prevention strategies for ergonomic injuries in the office.
February 27) Aaron Saap, MPS, UHC
10 Program Director, presented From “ICD-10?” To “I Can
10 Overview including Myth Busters,
partnership commitment through the
Certified Coders received CEU credits for attending
Work Flow Improvements (March 20) Bryan Eckhart, PMC of Performance Improvement, introduced process improvement principles,
identified eight different kinds of waste and explained
reduce waste in the office. He gave the attendees a new prospective on
daily tasks, ways to identify waste in all forms and how to reduce waste
at work and at home.
CM Coding Extravaganza
Liability Issues w/EMR’s (COPIC/CME)
HIPAA Update (Doctor’s CO/CME)
**** REMINDER ****
It is important if you sign up to attend a PHC
sponsored in-service that you show up. If you have
responded but cannot attend or if you would like
information from an in-service that you did not
attend please let us know.
January 9) Denny Flint, CEO,
Complete Practice Resources, presented two different sessions on
10 Starts with Physicians”
staff in tackling the ICD-10
-10 (positive and
negative) and the importance of proper documentation. The noon
designed for practice
and focused on having a stress-
CME and CEU credits were
ons. 22 Physicians received CME’s credits and
edits for attending one or both
February 20) Colorado
overview of the Colorado
additional helpful
provided a ParkCare Plus plan update.
rdinator, presented the importance of ergonomics, how
rategies for ergonomic injuries in the office.
Bryan Eckhart, PMC Director
of Performance Improvement, introduced process improvement principles,
identified eight different kinds of waste and explained simple ways to
reduce waste in the office. He gave the attendees a new prospective on
ways to identify waste in all forms and how to reduce waste
**** REMINDER ****
It is important if you sign up to attend a PHC
service that you show up. If you have
responded but cannot attend or if you would like
service that you did not
Membership Additions Pueblo Health Care’s membership total is currently at 2
our network:
Dr. William Jennings (Pueblo Women’s Center, LLC)
Please welcome this physician to the community and to the Pueblo Health Care Network.
Membership Changes
Dr. Puls and Dr. Mann moved from Jerry Murphy offic
Dr. Wilson has moved from SCC Urgent Care
If your office is planning on having any demographic changes, please provide PHC with this new
information. For your convenience, we have placed a demographic change form on our website. We
will notify all PHC Health Plan P
remittances and correspondence are delivered to the proper address. We will request an updated W9 and CMS 1500
(HCFA) reflecting these changes, as some plans require us to submit these forms with the change req
are planning on having a physician join your practice, please notify us as soon as possible so we can send out new PHC
member information, along with a Pueblo Health Care
www.pueblohealthcare.com Don’t forget our website. The calendar displays all scheduled in
updated to include many helpful links such as
more.
Messenger Model PHC is an Independent Practice Association that operates
Messenger model. PHC does not negotiate rates but does provide contract
language support. PHC’s role is to act as a messenger between
and physician practices.
“Working with Physicians,
Mission: The mission of Pueblo Health Care, Inc. is to
provide our physician partners the highest level of service
and support in terms of physician contracting, appropriate
educational in-services and administrative support for the
Pueblo Market Area. Understanding that maintaining
physician contracts is an on-going process, all efforts under
the model in which we conduct operations will be focused on
communication with our physician partners.
ership total is currently at 270. We are excited to announce the following
William Jennings (Pueblo Women’s Center, LLC)
to the community and to the Pueblo Health Care Network.
Dr. Puls and Dr. Mann moved from Jerry Murphy office to 1316 N. Grand.
Dr. Wilson has moved from SCC Urgent Care on Ivywood Lane to SCC Family Practice at 3676 Parker Blvd.
REMINDER!! If your office is planning on having any demographic changes, please provide PHC with this new
information. For your convenience, we have placed a demographic change form on our website. We
all PHC Health Plan Partners of these changes on your behalf. This will help ensure that
remittances and correspondence are delivered to the proper address. We will request an updated W9 and CMS 1500
(HCFA) reflecting these changes, as some plans require us to submit these forms with the change req
are planning on having a physician join your practice, please notify us as soon as possible so we can send out new PHC
Pueblo Health Care application.
Don’t forget our website. The calendar displays all scheduled in-services and meetings. The resources tab has been
updated to include many helpful links such as ICD-10 Coalition, Health Plans, AAPC, Colorado Medical Society and many
PHC is an Independent Practice Association that operates according to the
model. PHC does not negotiate rates but does provide contract
ct as a messenger between health plans
“Working with Physicians,
for Physicians!”
The mission of Pueblo Health Care, Inc. is to
provide our physician partners the highest level of service
and support in terms of physician contracting, appropriate
services and administrative support for the
Pueblo Market Area. Understanding that maintaining
going process, all efforts under
the model in which we conduct operations will be focused on
physician partners.
Vision: Our vision is to exceed the
expectations of our physician partners in
the areas of communication and education,
as it relates to Physician Relations, Employer
Relations and Payor Relations.
. We are excited to announce the following recent addition to
to SCC Family Practice at 3676 Parker Blvd.
If your office is planning on having any demographic changes, please provide PHC with this new
information. For your convenience, we have placed a demographic change form on our website. We
on your behalf. This will help ensure that
remittances and correspondence are delivered to the proper address. We will request an updated W9 and CMS 1500
(HCFA) reflecting these changes, as some plans require us to submit these forms with the change request. Also, if you
are planning on having a physician join your practice, please notify us as soon as possible so we can send out new PHC
services and meetings. The resources tab has been
lans, AAPC, Colorado Medical Society and many
Our vision is to exceed the
expectations of our physician partners in
the areas of communication and education,
as it relates to Physician Relations, Employer
Relations and Payor Relations.
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