July 15, 2016 / by Health Plan / Alerts
Date: July 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Access Standards for Appointments Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Recently, Health Plan of San Joaquin (HPSJ) sponsored a survey on the subject of timely access for appointments. Our results revealed that not all […]
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Health Plan of San Joaquin (HPSJ) announces new business intelligence director
July 15, 2016 / by Health Plan / Press Releases
Turning Mountains of Complex Data into Useful Information to Better Serve HPSJ Members (French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Randal M. Smith, has joined HPSJ as director of business intelligence, a new position for the growing, not-for-profit managed care public health plan with annual revenues of almost $1 […]
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Access Standards for Appointments
July 15, 2016 / by Health Plan / Alerts
Date: July 15, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Access Standards for Appointments Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Recently, Health Plan of San Joaquin (HPSJ) sponsored a survey on the subject of timely access for appointments. Our results revealed that not all […]
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Health Plan of San Joaquin (HPSJ) appoints Vice President of Provider Networks
June 29, 2016 / by Health Plan / Press Releases
(French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Pamela Newman, MBA, has joined HPSJ as vice president of provider networks. Newman has come to HPSJ with over 20 years of high level experiences in the healthcare insurance industry, including expertise in managed care contracting, provider relations, and business development of […]
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Formulary Update – Health Plan of San Joaquin (HPSJ) Physicians and Providers
June 27, 2016 / by Health Plan / Alerts
Date: June 14, 2016 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update – Health Plan of San Joaquin (HPSJ) Physicians and Providers Business: Medi-Cal, AIM Effective by 8/16/2016, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the […]
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REMINDER – Billing for Non-Physician Practitioners
June 27, 2016 / by Health Plan / Alerts
Date: June 15, 2016 To: Health Plan of San Joaquin (HPSJ) PCPs, Providers and Practice Billing Managers From: Provider Services Department Subject: REMINDER – Billing for Non-Physician Practitioners Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) To decrease the amount of claim denials to providers and incoming disputes to HPSJ, the following guidance is […]
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HPSJ Hosts Leadership Stockton Class of 2016 (Port O Call magazine, June 2016)
June 23, 2016 / by Health Plan / News
HPSJ CEO Amy Shin welcomed the Leadership Stockton (LS) Class of 2016 as they spent a day at Health Plan of San Joaquin for the LS Health Care Session. Speaking about HPSJ’s work to continuously improve the health of our community, she was joined by HPSJ Applications Manager David Emerson (LS Class of 2015) who […]
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Health Plan of San Joaquin Member Incentive Programs
June 23, 2016 / by Health Plan / Hedis
The Health Plan offers member incentive rewards in an on-going effort to motivate members to get their preventive healthcare services and influence behavior toward healthier choices. As part of our Quality HEDIS initiatives we are focusing on members that are eligible to receive the preventive services but have not, or their doctor visit has not […]
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Community Health Education and Engagement Referral (CHEER) Program
June 22, 2016 / by Health Plan / Alerts
Date: June 22, 2016 To: HPSJ Primary Care Physicians and Partner Organizations From: Provider Services Department Subject: Community Health Education and Engagement Referral (CHEER) Program Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) An effective health education system is essential to promoting HPSJ member involvement in health care decisions, effective use of healthcare […]
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NEW – DRE Quality Incentive Dashboard
June 22, 2016 / by Health Plan / Alerts
Date: June 22, 2016 To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Provider Services Department Subject: NEW – DRE Quality Incentive Dashboard Business: Medi-Cal, MCAP (Medi-Cal Access Program, previously known as AIM) Health Plan of San Joaquin (HPSJ) is pleased to announce the launch of the new Quality Incentive Dashboard, located in […]
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Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing
June 22, 2016 / by Health Plan / Alerts
Date: June 22, 2016 To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) There is nothing providers need to do, beyond what your practice […]
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