Office Talk
Important news for Samaritan Health Plan Operations' network clinic and office managers.
April 2013
- Receive payment faster by submitting claims electronically
- Se habla español - We speak Spanish!
- Keep your information up-to-date by reporting changes to your credentialing department
- Help take the guesswork out of Medicare coverage
- Health & Wellness Tips for Your Practice
- It Pays to Know:
Select one answer: What is the ICD-10 implementation date?
A. October 1, 2013
B. September 1, 2014
C. October 1, 2014
D. September 30, 2014
Provide the correct answer by April 30 and be entered to win a prize!
For additional resources on ICD-10, visit the Centers for Medicare and Medicaid website.
March 2013
- Are you eligible for increased payments from InterCommunity Health Network CCO? Attest now!
- Paint a more complete picture of your patients' health with the new 5010 form
- Health and Wellness Tips for Your Practice
- Ensure compliance by reporting National Drug Codes on CMS-1500 & UB-04 claim forms
- February 2013 Question & Answer
- It Pays to Know:
Fill in the blank: InterCommunity Health Network CCO (IHN-CCO) Plus Plan members may use the ______________ medical transportation brokerage service that serves Linn, Benton and Lincoln County residents. Click here for the answer.
February 2013
- Risk Adjustment Chart Review reports to be viewed by office managers
- See more IHN-CCO patients when patients utilize non-emergent transportation services
- Health and Wellness Tips for Your Practice
- Easily access previous editions of Office Talk newsletter online
- January 2013 Question & Answer
- It Pays to Know:
Fill in the blank: Samaritan Advantage Health Plan HMO members wishing to change their Primary Care Provider (PCP) may do so by completing the ________ form. The member's request will be processed within ______ business day/s. Click here for the answer.
- Don't miss new features in each 2013 Office Talk newsletter
- Health and Wellness Tips for Your Practice
- New CPT codes mean changes in billing for psychiatry and psychotherapy services
- Updated preventive care services and immunizations guidelines now available online
- How you can help prepare for 2013 HEDIS chart reviews in your facility
- It Pays to Know:
True or false: As of January 1, 2013, Samaritan Health Plan Operations covers oral contraception (the pill), the shot (Depo-Provera), the ring (NuvaRing), contraceptive implants, diaphragms, cervical caps, and permanent contraceptive methods like tublal ligation at a $0.00 cost share to the member when rendered by a contracted provider. Click here for the answer.
- While the year 2012 comes to a close, take a moment to look back on all that has changed this year
- Celebrate the season with an easy holiday recipe
November 2012
- Helpful tips for billing for partial or full obstetric care
- Is it strep throat? A sore throat may not always require antibiotics
- Accurately using modifier 25 reduces risk of medical necessity review
- A new resource: Your reference guide for preventive services for Medicare patients
- It Pays to Know
True or false: CMS defines "physically present" to mean that the teaching physician is located in the same room, (or partitioned or curtained area, if the room is subdivided to accommodate multiple patients), as the resident and patient and/or performs face-to-face service. For psychiatric services, the teaching physician will be considered "present" during each visit for which payment is sought if the teaching physician observes the key portion of the visit through a visual device (e.g. one-way mirror, video equipment). Audio-only equipment does not satisfy the physical presence requirement. Click here for the answer.
October 2012
- Ensure claim payment for services performed by residents by meeting the proper criteria
- Accessing Medicare hospice benefits for your patients
- How to successfully report End Stage Renal Disease patient data
- October 2012 Office Talk Addendum - Download
- It Pays to Know
Fill in the blank: Rather than placing time-consuming phone calls or logging into several different websites for eligibility and the status of your claims and authorizations requests, sign on once at __________ and you are set! Click here for the answer.
August 2012
- How does IHN-CCO affect you?
- Receive approved claims faster with HIPAA 5010 compliance
- What you need to know about Samaritan Health Plan Operations' Fraud, Waste and Abuse Program
- Take advantage of our provider survey and be entered to win
- It Pays to Know
True or false: For all Medicare patients, the slate is wiped clean of all diagnoses on December 31 as it relates to CMS calculations. Chronic conditions must be reevaluated, documented and billed every new calendar year. Click here for the answer.
July 2012
- No-cost annual preventive exams for your Samaritan Advantage Medicare patients
- Get easy and secure access to provider sites of major local health plans, including Samaritan
- Learn how and when you can advocate for your patients
- Get answers quickly with your efficient provider tools
- It Pays to Know
What ICD-9-CM codes should be documented on a claim for an Annual Wellness Exam in order for SHPO members to receive a $0.00 cost share? Click here for the answer.
June 2012
- Welcome to Office Talk
- Help to take the guesswork out of Medicare coverage
- Reducing members' out-of-pocket expenses
- It Pays to Know
True or false: All Supplementary Classification of Factors Influencing Health Status and Contact with Health Services (V01-91) (V-Codes) are acceptable in the primary position in the professional setting. Click here for the answer.