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Clinically Integrated Network Newsletter
September 23, 2020
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Please Join Us October 28th for our Next MSHP Town Hall
We will share the latest health system, clinical, and financial updates, including government practice support, vaccine developments, and more. We encourage you to submit questions when registering and we will save time for Q&A discussion.
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In order to remain compliant with the CI Program requirements, you must attend at least one virtual or in-person meeting per year, and both virtual Town Halls and MSHP CME events fulfill this obligation
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Wednesday October 28th
6:00 - 7:30pm
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Save the Date! MSHP CME Event on November 11th, 6:30 pm-8:00 pm
We are pleased to announce our upcoming CME event, Frontline Excellence in Ambulatory Chronic Disease Management, a complimentary three-module series designed to bring you up to speed on multidisciplinary approaches to chronic condition management, with attention to comorbidities and complex cases in the outpatient setting. The first module, focused on congestive heart failure and diabetes mellitus, will cover medication considerations, multidisciplinary team care, and HF subtypes. We encourage PCPs, cardiologists, endocrinologists, mid-level providers, CDEs, and RNs to attend. Keep an eye on your inbox for a formal invitation and registration information in the upcoming weeks.
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We Want to Hear From You! Provider Experience and Office Manager Surveys
Check your email inbox tomorrow, September 24th, for your annual Provider Experience Survey. We value your feedback as it helps drive many of our strategies to improve services, outreach, and communications. For the first time, we will also be surveying your office manager to gain a better understanding of their communication needs. They will receive their survey tomorrow as well.
We look forward to receiving feedback from both surveys to better our network!
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MSHP Uses CAQH Proview to Access Practitioners’ Data for Credentialing—Keep Your Profile Up to Date
We require that all members of the IPA have an active profile and authorize MSHP to have access their proview provider profile. MSHP will access practitioners’ profile during the initial credentialing process or initial membership enrollment, as well as every 36 months for recredentialing. We highly recommend that all members keep their attestation up to date. CAQH requires providers in New York State reattest every 120 days. This will reduce inquiries from the MSHP staff in reference to reattestation of your profile.
Here are some CAQH videos that may be helpful to members and/or their administrators:
If you have any issues with the CAQH Proview, you should contact the CAQH Help Desk via live chat or by calling 888-600-9802. Live chat can be accessed by logging in to your account and clicking the chat icon at the top of the pages.
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Mount Sinai Health Partners Home Health Care Team Connects Your Patients with Home Health Care Services
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Complete Your Privacy Training and Program Engagement Requirements This Month
All providers must complete the 2020 HIPAA compliance training module in CILC by the end of this month. Additionally, first year MSHP CI Program providers must fulfill the Program Engagement requirement by the end of September.
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Sign up to Receive Inpatient/ED Alerts for your Patients
Be in the know every time your patients are admitted or discharged from the hospital or the ED by subscribing to the Subscription Notification Management web tool on MSHP’s Provider Portal. The tool is designed to allow you to self-select your preferences to receive real-time patient hospitalization alerts sent directly to you via EMR direct message, email and or/text message.
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Clinical Documentation Excellence |
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Commonly Missed Diagnosis: Peripheral Vascular Disease
PVD remains one of the top overlooked diagnoses during routine physical exams. CMS recognizes PVD as a high-risk medical condition. Common physical indicators are signs such as: decreased pedal pulses, skin that is cold to touch, loss of normal skin texture, hair loss on legs and feet, leg muscle pain and cramping, numbness, and poor wound healing. Risk factors also increase in patients above the age of 60, and in patients who smoke, and in those who have atherosclerosis, hypertension, high cholesterol, or diabetes. Be sure to assess patient for any signs and symptoms, and if they do have PVD, document the diagnosis in the Plan of Care.
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Updates and Revisions to the CPT Code Set
The AMA has made several recent updates to the CPT Code Set including:
- E/M office visit modifications intended to simplify coding and documentation, proposed for adoption by CMS on January 1, 2021
- 329 editorial changes, 206 new codes, 54 deletions, and 69 revisions
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COVID-19 additions and revisions that have been approved for immediate use and published for the 2021 CPT code set
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ICD-10 Annual Updates Effective October 1
The American Association of Family Physicians outlines important updates for primary care providers.
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Provider Resources from EviCore, Cigna’s Exclusive Radiology Provider
Find clinical guidelines, prior authorization information, video tutorials, and more on the EviCore Provider’s Hub. EviCore also distributes a monthly provider newsletter; sign up on the Provider’s Hub if you’re interested.
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Orthology Physical Therapy and Sports Medicine is in Mount Sinai’s Top Tier Network
Effective Tuesday, September 15, 2020, Orthology Physical Medicine and Sports Medicine is a “Top Tier” provider in the Mount Sinai Health System employee health benefit plan. Enrolled employees and their families who use Top Tier providers will have lower out-of-pocket expenses when receiving care at Orthology, depending on their plan. For information on Orthology’s services, click here.
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MSHP in the News and Media |
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COVID-19 Shines Light on How Healthcare is Leaving At-Risk Populations Behind
Dr. Robert Fields, Chief Medical Officer of Mount Sinai Health Partners, wrote an article for Medical Economics on the failures of the healthcare system for vulnerable populations during the pandemic. Dr. Fields discusses structural problems including access to the internet, social determinants of health, and disparities in technological literacy – all of which play a major part in our newly remote-first world. He concludes with actionable strategies to address these problems.
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Becker’s Healthcare Podcast with Denise B. Prince
Denise B. Prince, SVP and Chief Operating Officer for Population Health, Mount Sinai Health Partners, discusses her career journey leading to her current leadership role and trends in population health management.
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P: 877-234-6667
F: 646-537-1481
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