REMINDER – DHCS Reporting Requirements related to Provider-Preventable Conditions

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: REMINDER – DHCS Reporting Requirements related to Provider-Preventable Conditions Business: Medi-Cal As of July 1, 2012 the Federal Affordable Care Act (ACA) requires that providers report all Provider-Preventable Conditions (PPCs) that are associated with claims for Medi-Cal payment or with courses of […]

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Health Plan of San Joaquin presents its annual HEDIS training – Modesto March 24th

When: Thursday, March 24, 2016 (12:00pm – 1:30pm) Where: HPSJ Community Room, 1025 J Street, Modesto CA 95354 What: Health Plan of San Joaquin presents its annual HEDIS training – Modesto March 24th Who: Providers, Office Managers, Medical Assistants, Billers 12:00pm Welcome: Agenda Overview Review packet 12:15pm Meeting purpose: How to improve your HEDIS rates […]

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Health Advisory – Zika Virus in Travelers and Pregnant Women

Date: 1 February 2016 to: Health Care Providers Subject: Health Advisory – Zika Virus in Travelers and Pregnant Women From: Julie Vaishampayan, MD, MPH, Assistant Health Officer Alvaro Garza, MD, MPH, Health Officer Background Zika virus is transmitted by the bite of infected Aedes aegypti and Aedes albopictus mosquitoes, which are aggressive day biters (also […]

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San Joaquin Board of Supervisors appoints two new commissioners for Health Plan of San Joaquin (HPSJ) governing board

(French Camp, CA) – San Joaquin County Director of Health Care Services Greg Diederich – chair of the San Joaquin Health Commission – has announced that the San Joaquin County Board of Supervisors has formally appointed two new members of the Health Commission, the governing board of Health Plan of San Joaquin (HPSJ). These new […]

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San Joaquin Board of Supervisors appoints hospital Chief Medical Officer as a new commissioner for Health Plan of San Joaquin (HPSJ) governing board

(French Camp, CA) – San Joaquin County Director of Health Care Services Greg Diederich – chair of the San Joaquin Health Commission – has announced that the San Joaquin County Board of Supervisors has formally appointed San Joaquin General Hospital (SJGH) Chief Medical Officer (CMO) Sheela Kapre, MD, FCCP, FACP, to the board of the […]

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Health Plan of San Joaquin (hpsj) taps talent from within for key claims department director post

French Camp, CA) – 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. […]

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Health Plan of San Joaquin presents its annual HEDIS training – March 17

When: Thursday, March 17, 2016 (12:00pm – 1:30pm) Where: HPSJ Community Room, 7751 S. Manthey Road, French Camp Who: Providers, Office Managers, Medical Assistants, Billers 12:00pm Welcome: Agenda Overview Review packet 12:15pm Meeting purpose: How to improve your HEDIS rates – Increase your opportunity for Provider Incentives 12:30pm Medical Management: Information & Updates related to […]

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February is National Children’s Dental Health Month

DID YOU KNOW?? National Children’s Dental Health Month is meant to raise awareness about the importance of oral health.  Why is this type of celebration—and year-round attention to children’s dental health–important? Despite the fact that it’s almost entirely preventable, tooth decay is the most common chronic disease in children. The good news is there are […]

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Notification of Mail Theft and Potential Fraud

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal, MCAP (Formerly known as AIM) In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your […]

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CHDP PM 160 Changes to the Current Billing Process – Reminder

To: Primary Care Providers (PCP) From: Health Plan of San Joaquin (HPSJ) Subject: CHDP PM 160 Changes to the Current Billing Process Product: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by the California Department of Health Care Services (DHCS) and […]

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