March 8, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Zika Virus Provider Alert Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Zika virus is the latest serious, international threat to public health. While it raises many questions, we currently have few answers. For the coming months, Zika likely will remain […]
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Health Plan of San Joaquin (HPSJ) taps talent from within for key claims department director post (Health Plan Alliance Member News, March 15, 2016)
April 11, 2016 / by Health Plan / News
Health Plan of San Joaquin (HPSJ) has announced that Terry R. Cumpian has been promoted from HPSJ senior claims manager to claims department director. Cumpian, who joined HPSJ at the beginning of 2015, has extensive insurance claims experience ranging from billing, coding and adjustments, to physician office outreach and customer service. Health Plan Alliance Read […]
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ADVICE – Proper use of billing modifiers 25 and 59
April 11, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) PCPs, Providers and Practice Billing Managers From: Provider Services Department Subject: ADVICE – Proper use of billing modifiers 25 and 59 Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) To advise providers on the proper use of modifiers 25 and 59 – and to decrease the amount […]
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Provider Alert Formulary Update – 5/20/2016
April 11, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Provider Alert Formulary Update – 5/20/2016 Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective 5/20/2016, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Oral Contraceptives (no […]
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World Health Day is April 7, 2016
April 8, 2016 / by Health Plan / Hedis
World Health Organization (WHO) is focusing the next World Health Day, on 7 April 2016, on diabetes because: The diabetes epidemic is rapidly increasing in many countries. A large proportion of diabetes cases are preventable. Simple lifestyle measures have been shown to be effective in preventing or delaying the onset of type 2 diabetes. Maintaining […]
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April 4-10, 2016 is National Public Health Week
April 8, 2016 / by Health Plan / Hedis
FACTS FOR THE WEEK Changing our health means ensuring conditions that give everyone the opportunity to be healthy. Join us in celebrating National Public Health Week 2016 and become a part of the movement for change: Build a nation of safe, healthy communities Health must be a priority in designing our communities, from healthy housing […]
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Planning grant to meet challenges of opioid dependency received by Health Plan of San Joaquin (HPSJ) from California Health Care Foundation (CHCF)
March 31, 2016 / by Health Plan / Press Releases
Opioid overuse has been a long-standing, major problem, both nationally and in California. According to the CDC * (Centers for Disease Control and Prevention), 14,000 Americans died in 2014 as a result of prescription opioid overdose. In 2015, Health Plan of San Joaquin implemented several safety measures to prevent overuse and promote appropriate use of […]
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Prenatal and Postpartum Provider Incentives
March 22, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Prenatal and Postpartum Provider Incentives Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) HPSJ is pleased to announce 2016 Provider incentives for prenatal and postpartum care. This provider incentive is valid from January 1, 2016 through December 31, 2016. The $25 incentive is […]
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Changes to Prior Authorization Requirements – CT Scans, Ultrasounds and Mammograms
March 8, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Changes to Prior Authorization Requirements – CT Scans, Ultrasounds and Mammograms Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective June 15, 2016. Our providers are important partners in delivering care to our patients. As we seek more ways to streamline […]
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Zika Virus Provider Alert
March 8, 2016 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Zika Virus Provider Alert Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Zika virus is the latest serious, international threat to public health. While it raises many questions, we currently have few answers. For the coming months, Zika likely will remain […]
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Collaborative Asthma control improvement plan
March 7, 2016 / by Health Plan / Alerts
To: HPSJ Provider Network Primary Care Providers (PCPs) From: HPSJ Medical Management and Pharmacy Departments Subject: Collaborative Asthma control improvement plan Business: Medi-Cal, MCAP (Formerly known as AIM) You soon will receive a letter from us outlining the HPSJ Improvement Project geared specifically towards improving asthma control for our members who are your patients. We […]
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