July 31, 2015 / by Health Plan / 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
HPSJ Earns NCQA Award for Quality
August 3, 2015 / by Health Plan / 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 Health Plan / 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 Health Plan / 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 Health Plan / 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 Health Plan / 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 Health Plan / 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 Health Plan / 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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DHCS Reporting Requirements related to Provider-Preventable
May 5, 2015 / by Health Plan / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: 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 treatment furnished […]
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Provider Alert – HEDIS Lunch/Learn 4/29/15
April 16, 2015 / by Health Plan / Alerts
Date: Wednesday, April 29, 2015 Time: Noon-1:30 pm Place: Health Plan of San Joaquin/Community Room Audience: Medical Assistants and Office Managers From: Health Plan of San Joaquin How to Improve HEDIS Rates and increase your Provider Incentive Please RSVP to Amanda Y (209) 469-8333 or Crystal (209) 461-2283 no later than Friday, April 24, 2015. […]
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Provider Alert – ICD-10 is coming 10/1
April 14, 2015 / by Health Plan / Alerts
April 8, 2015 edition – In an ongoing effort to keep our Providers informed of upcoming changes, HPSJ would like to take this opportunity to once again remind you of the coming transition to ICD 10. We hope you’re ready! Why change? The periodic revisions of ICD-9-CM mirror changes in the medical and healthcare field. […]
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