Friday, May 22, 2015

Overview of Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) presentation available

Centers for Medicare & Medicaid Services (CMS) CPT, HCPCS, and Bundling 2015 presentation is available for review. The presentation provides an overview on CPT and HCPCS history, how changes in coding are determined, and how to use both manuals. The presentation also provides additional resources for agency staff that work with coding and billing.” [Source: CMS]

Articles & Publications and new resources

New Models of Integrating Behavioral Health and Primary Care
May 15, 2015 – The Colorado Health Institute

The Problem of Underinsurance and How Rising Deductibles Will Make It Worse
May 20, 2015 – The Commonwealth Fund

We’ve also added new resources to our website, including:
  • Consumer Reports has developed a library of infographic that can help you explain topics such as the benefits of health insurance, provider networks, co-insurance, co-pays and other topics.
  • USA Rx provides discounted prescription medications.
  • ICD-10 Fact Sheet: Basics for Small and Rural Practices
  • ICD-10 Provider Resources from the Colorado Department of Health Care Policy and Financing.
Visit the ClinicNET website for more Articles and Publications and Resources.

Thursday, May 21, 2015

REGISTER TODAY for our June 11th ClinicNET Affiliate Convening!

ClinicNET Affiliate Convening
June 11, 2015
8:30 am - 3:30 pm
Mile High Room at COPIC
7351 E. Lowry Blvd., Denver, CO
  
Please join us for a day of education and networking! Learn about current and upcoming practice transformation and innovation efforts in Colorado including the State Innovation Model (SIM)Transforming Clinical Practice Initiative (TCPI), ECHO Colorado, the State's eConsult/eReferral System, recent legislative changes and much more. Light breakfast and lunch will be served and there will be plenty of time to connect with your peers in the health care safety net. Click here to register today! (Please note this convening is rescheduled from March 20th.)

Institute for Healthcare Improvement (IHI) offerings for ClinicNET affiliates

Through a generous grant from Kaiser Permanente's Community Benefit Program, ClinicNET is pleased to be able to offer access to the Institute for Healthcare Improvement (IHI) offerings. This program offers contributing ClinicNET affiliates access to registration scholarships and travel support funding to participate in IHI activities. Click here to see current 2015 offerings.  Upcoming seminars and training can also be viewed on IHI's website.

If you are interested in a particular offering please contact Brooke Powers at brooke.powers@clinicnet.org or 720-863-7803. [Source: IHI]

Wednesday, May 20, 2015

Recorded Webinar: Criminal Justice 101 and the Affordable Care Act

The Colorado Criminal Justice Reform Coalition gave a webinar presentation on the criminal justice system in Colorado and shared resources for connecting justice involved people to care, including the Take Care Health Matters website. Click here to view the webinar recording (please note the recording begins about 3 minutes into the presentation). Audio and powerpoint slides from all ClinicNET webinars are available on the Affiliate Only section of the ClinicNET website.

Next ClinicNET Affiliate Practice Administrators Cohort July 8th

The next ClinicNET affiliate Practice Administrator Cohort is scheduled for July 8th 1:00-3:00pm at Kids First Health Care, 4675 East 69th Avenue, Commerce City. If you have not done so already, please RSVP to Brooke Powers at brooke.powers@clinicnet.org.

Tuesday, May 19, 2015

Denver Health Medicaid Choice (DHMC) Passive Enrollment Modification

“The Department of Health Care Policy and Financing (HCPF) in conjunction with Denver Health Medicaid Choice (DHMC) is modifying the DHMC passive enrollment process. The current DHMC passive enrollment process enrolls ALL Medicaid eligible Denver County residents into DHMC regardless of current plan or previous history with a non-Denver Health provider. This process has negatively affected some Medicaid population’s ability to receive services. DHMC and HCPF have collaborated and created a new process intended to decrease the roadblocks for those negatively affected.

During the month of May, the current MMIS DHMC passive enrollment logic will be removed and a new process will be implemented that prevents DHMC passive enrollment of the following:
  • Medicaid clients with existing attribution to a non-DHMC provider.
  • Refugee populations that utilize Volunteer Agencies addresses as residential addresses
  • Foster children
Removing these populations from the DHMC passive enrollment process does not restrict the client from selecting DHMC as a health plan; it merely provides the client with ability to choose their plan and not be defaulted into DHMC. The modified process will be implemented beginning June 1, 2015 and will be seamless to the client and health plans.

This new process will only be applicable to newly eligible Medicaid clients and will not affect currently enrolled clients. All other existing process and procedures related to enrollment are unchanged (e.g. open enrollment, etc.). If you have any questions or concerns please contact the Denver Health Contract Manager, Jeremy Sax at jeremy.sax@state.co.us or 303-866-3227.” [Source: HCPF]