january 2017 prohealth provider relations updatejanuary 2017 prohealth provider relations update...
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January 2017
P r o H e a l t h P r o v i d e r R e l a t i o n s
U p d a t e
I N S I D E T H I S I S S U E :
1 New & Terming Plans - 2017
1 New Provider Credentialing
2-3 New Providers, effective
2/1/2017
4 Termed Providers
5-6 2017 E/M Boot Camp
7-8 PMCC 2017
9 VHG - Healthcare & Business
Consulting
10 Provider Relations Staff
Directory
New Payors for CHNw Employed/CPN Providers:
CareSource Medicaid/HIP, effective 1/1/2017 - (ALL Employed/CPN providers, no PA’s or Ls)
CareSource Hoosier Choice (MarketPlace Exchange Plan), effective 1/1/2017- (ALL Employed /CPN providers)
IU Health Plan (Commercial/Employed Plan), effective 1/1/2017 - (ALL Employed/CPN Providers)
IU Health Marketplace (MarketPlace Exchange Plan), effec-tive 1/1/2017 - (ALL Employed/CPN providers)
Your Choice (MarketPlace Exchange Plan), effective 1/1/2017 - (ALL Employed /CPN providers)
Payors Terming, effective 12/31/2016:
Assurant Health Advantage 360
PHP Marquee Advantage HMO
UHC Marketplace St V-CHN EPO
New Partnership with Walgreens in 2017:
Community Health Network has partnered with Walgreens to provide more convenient pharmacy services for
employees and patients.
There are now three Walgreens stores located on the campuses of Community Hospitals East, North, and South. These
Stores make it easy for patients to fill their prescriptions as they leave provider appointments at adjacent medical
offices, or as they are discharged from the hospital. Walgreens also plans to expand the bedside delivery program at
Community hospitals to help patients successfully transition back to their homes.
Walgreens is now the preferred pharmacy provider for those on Community Health Network medical insurance plans
(Gold & Silver plans). Members receive the lowest copays when they fill their prescriptions at Walgreens, and have
access to 8,200+ Walgreens locations across the country, with many of them open 24/7. Walgreens is the preferred
specialty pharmacy as well.
Credentialing of New Providers:
*Please Note*
Credentialing through ProHealth for ALL new providers can take anywhere from 90-120 days from notification to completion.
The Credentialing fee has increased to $200 for ALL new providers wishing to join the Community/ProHealth network, effective 11/1/2016.
ProHealth Credentialing/Enrollment Supervisor:
Jenna White
Phone#: (317)621-9312
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Contract ing and Credentia l ing Corner Providers Joining ProHealth
We would like to welcome the following providers to the ProHealth Network effective February 1, 2017
Hospital affiliations will be listed with each provider.
Prime SCP
Blazak LMFT, Molly - Behavioral Health
Gallahue Mental Health Services (Employed)
Boyce MD, Debra - Family Medicine
Community South Hospitalists (Employed) - CHS
Clements MD, David - Family Medicine
Community South Hospitalists (Employed) - CHS
Graefnitz LCSW, LCAC, Laura L. - Behavioral Health
Community Howard Behavioral (Employed)
Hage LCSW, Kimberly W. - Behavioral Health
Oases Counseling Center
Heavilon MD, Jeffrey A. - Orthopedic Surgery
Central Indiana Orthopedics - CHS
Liegibel LCSW, Grace - Behavioral Health
Gallahue Mental Health Services (Employed)
Madison LMHC, Brittany M. - Behavioral Health
Gallahue Mental Health Services (Employed)
Malik MD, Muhammad F.S. - Family Medicine
Community South Hospitalists (Employed) - CHS
Moffatt LMHC, Heidi - Behavioral Health
Gallahue Mental Health Services (Employed)
Obichi MD, Michael - Family Medicine
Community South Hospitalists (Employed) - CHS
Reynolds LMFT, Ann L. - Behavioral Health\
Gallahue Mental Health Services (Employed)
Saliba MD, George - Internal Medicine
Pulmonary and Critical Care (Employed) - CHE/CHN, CHW, CHV
Siraj MD, Haris - Internal Medicine
Community South Hospitalists (Employed) - CHS
Taleb Abdellah MD, Ahmed S. - Internal Medicine
Community South Hospitalists (Employed) - CHS
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Prime SCP (continued)
Trenta LCSW, Amanda - Behavioral Health
Healing Sands Corp
West MD, Karen W. - Pediatric Surgery
Pediatric Surgical Care (Employed) - CHE/CHN, CHW, CHV
Yabrodi MD, Mouhammad - Pediatrics
Community Pediatric Hospitalists (Employed) - CHE/CHN, CHW, CHV
Prime PCP Advances Practice Practitioner
Bovenkerk NP, Kelli - Nurse Practitioner
Advanced Healthcare Associates
Conner NP, Linda A. - Nurse Practitioner
Family Medicine Care (Employed) - CHE/CHN, CHW, CHV
Marciniec NP, Katherine - Nurse Practitioner
Excell for Life Family Care and Pediatrics
Prime SCP Advances Practice Practitioner
Burns PA, Stephanie B. - Physician Assistant
Dermatology, Inc
Geary PA, Anne L. - Physician Assistant
Indianapolis Gastroenterology, Inc - CHS
Moon PA, Lynette R. - Physician Assistant
Indianapolis Gastroenterology, Inc - CHS
Poray NP, Masita - Nurse Practitioner
TouchPoint Senior Living (Employed) - CHE/CHN, CHW, CHV
Porter PA, Emily G. - Physician Assistant
Indianapolis Gastroenterology, Inc - CHS
Rasaki NP, Pricilla T. - Nurse Practitioner
MedCheck (Employed) - CHE/CHN, CHW, CHV
Reynolds PA, Ariana L. - Physician Assistant
Indianapolis Gastroenterology, Inc - CHS
Contract ing and Credentia l ing Corner Providers Joining ProHealth
We would like to welcome the following providers to the ProHealth Network effective February 1, 2017.
Hospital affiliations will be listed with each provider.
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Termed Providers The following providers will no longer be participating with ProHealth:
Braff MD, Steven P. - Radiology-Diagnostic, termed 1/31/2017
Summit Radiology, PC
Day LCSW, Sheila S. - Licensed Clinical Social Worker (LCSW), termed 1/31/2017
Gallahue Mental Health Services (Employed)
Dunning PA, Megan E. - Radiology-Neuroradiology, termed 1/31/2017
Orthopaedics Indianapolis, PC
Gill MD, Aman - Neurology, termed 1/31/2017
Josephson Wallack Munshower Neurology, P.C.
Haddad MD, Nasrallah - General Surgery, termed 1/1/2017
General Surgeons of Central Indiana (Employed)
Heitman MD, Joel T. - Radiology-Neuroradiology, termed 1/31/2017
Summit Radiology, PC
Huddleston MD, Hannah M. - Dermatology, termed 1/31/2017
Dermatology, Inc.
Hurlbut NP, Roger W. - Nurse Practitioner, termed 1/1/2017
Jane Pauley Community Health Center
Klein MD, Lawrence S. - Cardiology-Electrophysiology, termed 1/1/2017
CPN Heart and Vascular (Employed)
Langdon LMHC, Amanda L. - Licensed Mental Health Counselor, termed 1/31/2017
Gallahue Mental Health Services (Employed)
McKasson MD, Marilyn J. - Neurology, termed 1/31/2017
Josephson Wallack Munshower Neurology, P.C.
Phillipp MD, Stephen R. - Radiology-Diagnostic, termed 1/31/2017
Summit Radiology, PC
Villalta MD, Josue J. - Gynecology, termed 1/31/2017
Westside Gynecology, Inc
Wiseman NP, Cristina M. - Nurse Practitioner, termed 1/2/2017
MedCheck (Employed)
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Friday, March 3, 2017
8:00 am - 5:00 pm
6626 East 75th Street, Suite #200, Indianapolis, IN 46250
Presenter: Ann Silvia, CPC, CPC-I, CEMC
Topics
How To Find The Right Level
The Gray Areas
Audit The Record
Registration Information
Fee - $325.00, per attendee
To Register – Fill out registration form and include payment
Registration deadline – Monday, February 27, 2017
To register and pay with credit card, email
[email protected] or call 317.621.7197
To register and pay by mail, make checks payable to Visionary
Health Group or provide credit card information. Mail to VHG,
Attn: Deb Charrlin, 6626 East 75th Street, Suite #525, Indianapo-
lis, IN 46250
Presented by:
Visionary Health Group
Physician Services
6626 E. 75th St, Ste. 525
Indianapolis, IN 46250
O 317.621.7197
F 317.621.6989
www.Veicorp.com/consulting
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LOCATION –
6626 E. 75th Street Suite 200 Indianapolis, IN 46250
DATE -
Friday – March 3, 2017 TIMES - 8:00 AM – 5:00 PM PRESENTER – Ann Silvia,
CPC, CPC-I
REGISTRATION FEE -
$325.00 REGISTRATION DEADLINE – February 27, 2017
Fill out and sign where indicated and email entire form with deposit information to [email protected]; or
by US mail to: Visionary Health Group – Attn: Debbie Charrlin 6626 E. 75th St., #525, Indianapolis, IN 46250 or
to process via phone, 317.621.7197 or 877.413.4231
Practice (if applicable): ________________________________________
Workshop Date: March 3, 2017 Registration Deadline: February 27, 2017
Workshop Time: 8:00 am – 5:00 pm
Name of Attendee(s):
_________________________________ ___________________________________
_________________________________ ___________________________________
Payment Information - $325.00 per attendee
__________VISA Amount __________MC Amount __________Check Amount Enclosed
Card # _______________________________________________ Exp. Date __________
Name on Card _______________________________________
Billing Address/City/State/Zip ____________________________________________________
____________________________________________________________________________
Authorized Signature ________________________________________________
Phone Number w/Area Code (_____)________________________
Refund Policy: The registration fee is refundable if requested up thru the registration deadline. All cancellations and requests for refunds must be in writing by sending an email to [email protected].
2017 E/M BOOT CAMP Registration Form
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Details
Location:
6626 East 75 th St.Indianapolis, IN 46250
Days / Times
Thursday April 6 -
September 14, 2017
4:30 pm – 9:00 pm
Final Exam Friday September 22, 20178:00 am – 5:00 pm
Course Fee $3,100.00
$750.00 required with registration.
Fee will be applied to course fees.
10% Discount if paid in-full by the first class!!!
Community Health Network Employees qualify for a special discount
Certified Professional Coder - Registration Information
An Exam Preparation Course for 2017 - Presented by Visionary Health Group
Looking for an opportunity to reach a higher level of skill and recognition in the field of medical coding? We invite you to attend our comprehensive 24-week certification prep course.
The Professional Medical Coding Curriculum (PMCC) is geared toward learning the proficiency required to correctly code CPT®, HCPCS and ICD-10-CM for medical procedures performed by the physician. After passing the AAPC certification exam, students with at least 2-years previous work experience in the field will be recognized as a Certified Professional Coder (CPC). Those who have not yet gained this experience will be recognized as a Certified Professional Coder Apprentice (CPC-A). Upon completion of the 80+ hour PMCC course and one year experience has been obtained, the apprentice status will be removed by the AAPC.
This course is not an introductory class and is designed for those who have experience with medical billing, coding, physician office and/or have experience in a field using medical terminology, anatomy and physiology. Study time both inside and outside of class is required.
The $3,100.00 course fee includes:
24-Week Classroom Instruction by an AAPC Certified Coding Instructor
Professional Medical Coding Curriculum (PMCC) Medical Coding Train-ing Manual and Practical Application Lab Book
AAPC Student Membership
AAPC CPC Exam Fee
2017 CPT Professional Edition
2017 HCPCS Level II Expert
2017 ICD-10-CM Expert for Physicians, Vol. 1&2
How do I register?
Three easy ways to register. Email, US Mail or Phone. See “PMCC 2017-Registration Form” for details. Upon receipt of the registration and $750 deposit, you will receive confirmation with further information.
No registration will be confirmed without the deposit of $750.
How do I pay for the course?
The $750 registration deposit applies to the course fees.
We accept cash, checks, VISA, MasterCard, and Discover.
You may pay in-full, at any time, or we offer monthly and bi-weekly payment plans that are designed to pay-off before the end of the course. If interested, please ask for payment plan details.
SPECIAL INCENTIVE – PAY THE ENTIRE COURSE FEES BY THE
FIRST CLASS AND RECEIVE A 10% DISCOUNT!!
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PMCC 2017 – April Registration Form
Details Location : 6626 East 75th St. Indianapolis, IN Days / Times : Thursday – April 6 – Sept. 14, 2017 4:30 pm – 9:00 pm Final Exam : Friday, September 22, 2017 8:00 am – 5:00 pm Course Fee : $3,100.00 $750 deposit required with registration 10% discount if paid in-full by the first class!! Community Health Network employees qualify for a special discount
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Visionary Health Group veicorp.com/consulting Are you an independent practice that needs consulting/financial help? ...
Integrated physician consulting services
A division of VEI since 1987, Visionary Health Group (VHG), formerly known as Indianapolis Medical Management
(IMM), has provided physician practice management and consulting services for more than 20 years. VHG prides itself
in providing comprehensive, tailor-made services that meet and exceed the needs of its physician clients. VHG’s con-
sulting and evaluation services have been designed to objectively evaluate every aspect of a medical practice and to
provide realistic solutions to the challenges faced by physicians today. VHG offers a diverse team of skilled individuals
to assist you with your various practice needs.
*Complimentary business assessment available upon request*
Consulting and practice operations
Business healthcare consulting
Revenue cycle management
Documentation and coding experts
Financial consulting and reporting
Payer credentialing and enrollment Practice/business start-up
Full suite of human resource services
OSHA/HIPAA compliance
Project management
Process improvement
Development of policy and procedures
Please Contact: Joni A. Reed, MBA, BSBA, ASB, CMA Business Consultant Physician Services Ph#: (317)621-1539 [email protected] Anita Huse, RN, CAPPM Business Consultant Physician Services Ph#: (317)621-4090 [email protected] Jamie L. McAllister, MA Account Coordinator Ph#: (317)621-7521 Fx#: (317)957-2794 [email protected] Tara Reiman Director Provider Operations, Practice Management Ph#: (317)621-7066 [email protected]
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Department Staff
Jenny Bouck, Provider Relations Manager
Business Information Coordinator
Hollie Putzback, [email protected]
Provider Relations Coordinators:
Carol Boyd, [email protected]
Dawn Widgery, [email protected]
Amanda Bobo, [email protected]
Medicaid Program Manager:
Salena Woodson, [email protected]
Medicare Program Manager:
Lori White, [email protected]
Credentialing/Enrollment Supervisor: Jenna White, [email protected]
Credentialing Coordinators:
Kim Tibbets, [email protected]
Julia Chumbley, [email protected]
Julie Starr, [email protected]
Aletha Burnett, [email protected]
Credentialing Specialist:
Adrianne Stocks, [email protected]
Provider Enrollment Coordinators:
Amy Walls, [email protected]
Denise Smith, [email protected]
Dianne Castillo, [email protected]
Jessie Eskew, [email protected]
Sharon Harlan, [email protected]
Lori Jones, [email protected]
Provider Relations Department
6626 E. 75th St, #500
Indianapolis, IN 46250
Phone: 317-621-7581
www.ecommunity.com/prohealth