JamesLHollyMD.com | Presentations | Provider Meeting Follow Up: October 15, 2013

	James L. Holly, M.D.

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Presentations - Provider Meeting Follow Up: October 15, 2013

IT

Follow up on HCAHPS survey questions completed by our Care Coordination Department to ensure data pulls to correct place. (Not all have 100% on questions)

Link PCP with NP and clinical coordinator plus unit clerk on the PCMH page. Margaret to provide Jon with the correct staffing information.

In addition to PCMH template, find an additional location to have the Medicare Competitive Bidding template.

For AAA home screen - code status - have same drop list as on PCMH page and if pick in either place first, populates both locations.

Also request for code status to be on Master GP.

To HPI screen, add who is with the patient this visit and patient goal this visit.

Make sure DASH diet is on plan template.

On Plan template, add when next scheduled visit is and with whom it is scheduled.

CBO

Need to research the following

Does Medicaid pay for transition of care codes?

Which private insurances pay for transition of care codes â€“ 99459; 99496

Can transition of care codes be used for nursing home patients if they are custodial and not in SNF?

99496 was billed 43 times, were we paid for those?

Is the annual wellness exams only for those over 65 years of age?

If transition of care code was billed and rejected, does the CBO re-bill at a 99214?

Transition of care codes can’t be billed until 30 days after the event, are we coding these correctly and are we being paid? Need clarification.

Operations

Margaret to get with Medical Records and unit clerks and reinforce checking items off on health maintenance screen when reports received.

Schedule nursing meeting to make sure they understand their role with Medicare Preventive and Transition of Care visits.

Pat/Margaret

Brainstorm ways to ensure the PCMH template gets completed and all data captured.

Front office

Make sure and update the patient’s PCP in the EPM as data will pull to PCMH template.

Encourage patients to give their email address and enter this into the EPM system.

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