July 31, 2015 / by HPSJ / Alerts
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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Health Plan of San Joaquin provider Alerts
New systems coming for fraud, waste and abuse capture, as well as claims editing
August 27, 2015 / by HPSJ / Alerts
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
August 27, 2015 / by HPSJ / Alerts
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
August 18, 2015 / by HPSJ / Alerts
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
August 3, 2015 / by HPSJ / Alerts
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!
July 31, 2015 / by HPSJ / Alerts
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
June 5, 2015 / by HPSJ / Alerts
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
June 5, 2015 / by HPSJ / Alerts
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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DMHC and DHCS have scheduled a routine annual joint medical audit of HPSJ
June 3, 2015 / by HPSJ / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Subject: 2015 DMHC/DHCS Joint Audit Products: Medi-Cal Managed Care California’s Department of Managed Health Care (DMHC) and the Department of Health Care Services (DHCS) have scheduled a routine annual joint medical audit of Health Plan of San Joaquin (HPSJ). The medical audit will consist […]
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CHDP PM 160 Changes to the Current Billing Process
May 28, 2015 / by HPSJ / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: CHDP PM 160 Changes to the Current Billing Process Products: Medi-Cal Managed Care Effective: June 30, 2015 As a valued HPSJ provider, we want to make you aware of several coming billing changes. These changes are required by the […]
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Alert Formulary RX Update
May 15, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Physicians and Providers From: Health Plan of San Joaquin Pharmacy and Therapeutics Committee Subject: Formulary Update Products: Medi-Cal, AIM Effective 4/1/2015, the Pharmacy and Therapeutics Committee has approved the following changes: Additions to the Formulary: Zoledronic Acid (Reclast 5mg IV) – PA required. Reserved for patients with documentation […]
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