Provider Newsletter

The Navigator

Important news for Samaritan Health Plan Operations' network physicians and health care professionals.

Current issue

January 2013
Important plan changes, updates and announcements
  • New psychotherapy codes
  • SHPO no longer administers COHO Benefits Plan
  • Patient Centered Primary Care Home's (PCPCH) new web portal
  • Fungal Meningitis outbreak
  • Updates to preventive care services and immunizations guidelines

Provider resources

  • The importance of early detection and prevention for women

Newly paneled providers

October 2012
Important plan changes, updates and announcements

  • Samaritan Advantage Health Plan (SAHP) 2013 premium and benefit changes
  • IHN-CCO launches
  • Oregon Patient Centered Primary Care Home (PCPCH)
  • ICD-10 finalized
  • Currently approved Evidence Based Clinical Practice Guidelines-September 2012

Provider Resources

  • Importance of coding to specificity
  • InterCommunity Health Network refund requests
  • Current SHPO Quality Projects

Newly paneled providers


July 2012
Important plan changes, updates and announcements

  • Planning the future of health care in your county
  • Updates to Preventative Care Services Guidelines
  • Oregon Patient Centered Primary Care Home (PCPCH)
  • ICD-10 update
  • The Vaccines for Children Program (VFC)

Provider resources

  • Correct Prior Authorization or Medical Exception Form for Pharmacy
  • Understanding CMS Perspective Payment system pricing
  • What is Fraud, Waste & Abuse (FWA)?
  • Make sure you are 5010 compliant

Newly paneled providers


April 2012
Important plan changes, updates and announcements

  • Request for Primary Care Provider (PCP) change
  • Oregon Patient Centered Primary Care Home (PCPCH)

Provider resources

  • Reimbursement audits
  • Lab unbundling
  • Multiple physician visits on the same day
  • Claims submission reminders

Newly paneled providers


January 2012
Important plan changes, updates and announcements
  • Preventive benefits updates
  • New preventive services covered by Medicare
  • Modifier SG no longer required
  • Oregon Patient Centered Primary Care Home (PCPCH)
Provider resources
  • Risk Adjustment and how you can help
  • Claims submission reminders
  • Modifiers 62 & 66
  • National Correct Coding Initiative (NCCI) edits
  • Referring to non-contracted providers
  • V-Codes diagnosis
Newly paneled providers