Health Plan of San Joaquin provider Alerts

HEDIS Member Outreach

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department – Health Plan of San Joaquin Subject: HEDIS Member Outreach Products: Medi-Cal Managed Care Please help your patients who are HPSJ members when they contact you for an appointment to be seen before December 31. It’s HEDIS time for our HPSJ provider network […]

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Vantage Transport Services Deactivated by DHCS – Effective October 1, 2015

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Vantage Transport Services Deactivated by DHCS – Effective October 1, 2015 Products: Medi-Cal, AIM HPSJ has been informed by the Department of Health Care Services (DHCS) that it has “deactivated” Vantage Transport as a contracted, Medi-Cal transportation provider. As of October 1, […]

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ICD 10 Monthly Alert September 2015

Health Plan of San Joaquin (HPSJ) is here to help, however your practice must take steps to be ready for the change from ICD-9 to ICD-10 on October 1, 2015. For any claim submitted with incorrect code A clean claim should be submitted. Do not submit a provider dispute or a corrected claim. Prep Your […]

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New systems coming for fraud, waste and abuse capture, as well as claims editing

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: New systems coming for fraud, waste and abuse capture, as well as claims editing Products: Medi-Cal, AIM As part of ongoing oversight efforts, state and federal regulators have mandated that health plans, including HPSJ, adapt new state-of-the-art systems regarding both fraud, waste […]

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Alert ICD-10 Monthly alert August 2015

Health Plan of San Joaquin (HPSJ) is here to help, however your practice must take steps to be ready for the change from ICD-9 to ICD-10 on October 1, 2015. Prep Your Billing Service and/or Office Staff Government regulations do not allow HPSJ to correct coding errors or provide specific codes. If you have any […]

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Changes: HIPAA Code Conversion for Local Modifier ZS

To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Changes: HIPAA Code Conversion for Local Modifier ZS Products: Medi-Cal, AIM Effective Date: August 1, 2015 An article that published in the April 2015 Medi-Cal Update announced that the effective date for the discontinuation of local modifier ZS would be July 1, […]

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HPSJ Earns NCQA Award for Quality

To: Health Plan of San Joaquin (HPSJ) From: Provider Services Department Subject: HPSJ Earns NCQA Award for Quality Products: Medi-Cal/Medicaid The National Committee for Quality Assurance (NCQA) recently awarded HPSJ a Three-Year Health Plan Accreditation for its Medicaid/HMO line of business. The official award recognizes HPSJ as “ACCREDITED for service and clinical quality that meet […]

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ICD-10 Boot Camps – Happening Soon!

San Joaquin Medical Society, Aug 10-11, at Health Plan of San Joaquin (French Camp) Stanislaus Medical Socielty, Aug 12-13, at the Double Tree by Hilton (Modesto) Register at 1800-786-4262 or at www.cmanet.org/aapc-icd10 Prep Your Billing Service &/or Staff Government regulations do not allow us to correct billing code errors, or provide specific codes. HPSJ staff […]

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Specialist ICD10 Monthly Alert June 3, 2015

Testing Has Started Specialist ICD10 Monthly Alert – We have started the testing process so that you can be confident we will be ready to receive your ICD-10 claims on October 1st. Would You Like to Be a Beta Tester? You can test your own readiness, while helping our entire Provider Network get ready for […]

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Primary Care Provider ICD10 Monthly Alert June 3, 2015

Testing Has Started Primary Care Provider ICD10 Monthly Alert – We have started the testing process so that you can be confident we will be ready to receive your ICD-10 claims on October 1st. Would You Like to Be a Beta Tester? You can test your own readiness, while helping our entire Provider Network get […]

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