January 2017 ProHealth Provider Relations UpdateJanuary 2017 ProHealth Provider Relations Update...

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January 2017

P r o H e a l t h P r o v i d e r R e l a t i o n s

U p d a t e

I N S I D E T H I S I S S U E :

1 New & Terming Plans - 2017

1 New Provider Credentialing

2-3 New Providers, effective

2/1/2017

4 Termed Providers

5-6 2017 E/M Boot Camp

7-8 PMCC 2017

9 VHG - Healthcare & Business

Consulting

10 Provider Relations Staff

Directory

New Payors for CHNw Employed/CPN Providers:

CareSource Medicaid/HIP, effective 1/1/2017 - (ALL Employed/CPN providers, no PA’s or Ls)

CareSource Hoosier Choice (MarketPlace Exchange Plan), effective 1/1/2017- (ALL Employed /CPN providers)

IU Health Plan (Commercial/Employed Plan), effective 1/1/2017 - (ALL Employed/CPN Providers)

IU Health Marketplace (MarketPlace Exchange Plan), effec-tive 1/1/2017 - (ALL Employed/CPN providers)

Your Choice (MarketPlace Exchange Plan), effective 1/1/2017 - (ALL Employed /CPN providers)

Payors Terming, effective 12/31/2016:

Assurant Health Advantage 360

PHP Marquee Advantage HMO

UHC Marketplace St V-CHN EPO

New Partnership with Walgreens in 2017:

Community Health Network has partnered with Walgreens to provide more convenient pharmacy services for

employees and patients.

There are now three Walgreens stores located on the campuses of Community Hospitals East, North, and South. These

Stores make it easy for patients to fill their prescriptions as they leave provider appointments at adjacent medical

offices, or as they are discharged from the hospital. Walgreens also plans to expand the bedside delivery program at

Community hospitals to help patients successfully transition back to their homes.

Walgreens is now the preferred pharmacy provider for those on Community Health Network medical insurance plans

(Gold & Silver plans). Members receive the lowest copays when they fill their prescriptions at Walgreens, and have

access to 8,200+ Walgreens locations across the country, with many of them open 24/7. Walgreens is the preferred

specialty pharmacy as well.

Credentialing of New Providers:

*Please Note*

Credentialing through ProHealth for ALL new providers can take anywhere from 90-120 days from notification to completion.

The Credentialing fee has increased to $200 for ALL new providers wishing to join the Community/ProHealth network, effective 11/1/2016.

ProHealth Credentialing/Enrollment Supervisor:

Jenna White

jwhite2@ecommunity.com

Phone#: (317)621-9312

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Contract ing and Credentia l ing Corner Providers Joining ProHealth

We would like to welcome the following providers to the ProHealth Network effective February 1, 2017

Hospital affiliations will be listed with each provider.

Prime SCP

Blazak LMFT, Molly - Behavioral Health

Gallahue Mental Health Services (Employed)

Boyce MD, Debra - Family Medicine

Community South Hospitalists (Employed) - CHS

Clements MD, David - Family Medicine

Community South Hospitalists (Employed) - CHS

Graefnitz LCSW, LCAC, Laura L. - Behavioral Health

Community Howard Behavioral (Employed)

Hage LCSW, Kimberly W. - Behavioral Health

Oases Counseling Center

Heavilon MD, Jeffrey A. - Orthopedic Surgery

Central Indiana Orthopedics - CHS

Liegibel LCSW, Grace - Behavioral Health

Gallahue Mental Health Services (Employed)

Madison LMHC, Brittany M. - Behavioral Health

Gallahue Mental Health Services (Employed)

Malik MD, Muhammad F.S. - Family Medicine

Community South Hospitalists (Employed) - CHS

Moffatt LMHC, Heidi - Behavioral Health

Gallahue Mental Health Services (Employed)

Obichi MD, Michael - Family Medicine

Community South Hospitalists (Employed) - CHS

Reynolds LMFT, Ann L. - Behavioral Health\

Gallahue Mental Health Services (Employed)

Saliba MD, George - Internal Medicine

Pulmonary and Critical Care (Employed) - CHE/CHN, CHW, CHV

Siraj MD, Haris - Internal Medicine

Community South Hospitalists (Employed) - CHS

Taleb Abdellah MD, Ahmed S. - Internal Medicine

Community South Hospitalists (Employed) - CHS

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Prime SCP (continued)

Trenta LCSW, Amanda - Behavioral Health

Healing Sands Corp

West MD, Karen W. - Pediatric Surgery

Pediatric Surgical Care (Employed) - CHE/CHN, CHW, CHV

Yabrodi MD, Mouhammad - Pediatrics

Community Pediatric Hospitalists (Employed) - CHE/CHN, CHW, CHV

Prime PCP Advances Practice Practitioner

Bovenkerk NP, Kelli - Nurse Practitioner

Advanced Healthcare Associates

Conner NP, Linda A. - Nurse Practitioner

Family Medicine Care (Employed) - CHE/CHN, CHW, CHV

Marciniec NP, Katherine - Nurse Practitioner

Excell for Life Family Care and Pediatrics

Prime SCP Advances Practice Practitioner

Burns PA, Stephanie B. - Physician Assistant

Dermatology, Inc

Geary PA, Anne L. - Physician Assistant

Indianapolis Gastroenterology, Inc - CHS

Moon PA, Lynette R. - Physician Assistant

Indianapolis Gastroenterology, Inc - CHS

Poray NP, Masita - Nurse Practitioner

TouchPoint Senior Living (Employed) - CHE/CHN, CHW, CHV

Porter PA, Emily G. - Physician Assistant

Indianapolis Gastroenterology, Inc - CHS

Rasaki NP, Pricilla T. - Nurse Practitioner

MedCheck (Employed) - CHE/CHN, CHW, CHV

Reynolds PA, Ariana L. - Physician Assistant

Indianapolis Gastroenterology, Inc - CHS

Contract ing and Credentia l ing Corner Providers Joining ProHealth

We would like to welcome the following providers to the ProHealth Network effective February 1, 2017.

Hospital affiliations will be listed with each provider.

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Termed Providers The following providers will no longer be participating with ProHealth:

Braff MD, Steven P. - Radiology-Diagnostic, termed 1/31/2017

Summit Radiology, PC

Day LCSW, Sheila S. - Licensed Clinical Social Worker (LCSW), termed 1/31/2017

Gallahue Mental Health Services (Employed)

Dunning PA, Megan E. - Radiology-Neuroradiology, termed 1/31/2017

Orthopaedics Indianapolis, PC

Gill MD, Aman - Neurology, termed 1/31/2017

Josephson Wallack Munshower Neurology, P.C.

Haddad MD, Nasrallah - General Surgery, termed 1/1/2017

General Surgeons of Central Indiana (Employed)

Heitman MD, Joel T. - Radiology-Neuroradiology, termed 1/31/2017

Summit Radiology, PC

Huddleston MD, Hannah M. - Dermatology, termed 1/31/2017

Dermatology, Inc.

Hurlbut NP, Roger W. - Nurse Practitioner, termed 1/1/2017

Jane Pauley Community Health Center

Klein MD, Lawrence S. - Cardiology-Electrophysiology, termed 1/1/2017

CPN Heart and Vascular (Employed)

Langdon LMHC, Amanda L. - Licensed Mental Health Counselor, termed 1/31/2017

Gallahue Mental Health Services (Employed)

McKasson MD, Marilyn J. - Neurology, termed 1/31/2017

Josephson Wallack Munshower Neurology, P.C.

Phillipp MD, Stephen R. - Radiology-Diagnostic, termed 1/31/2017

Summit Radiology, PC

Villalta MD, Josue J. - Gynecology, termed 1/31/2017

Westside Gynecology, Inc

Wiseman NP, Cristina M. - Nurse Practitioner, termed 1/2/2017

MedCheck (Employed)

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Friday, March 3, 2017

8:00 am - 5:00 pm

6626 East 75th Street, Suite #200, Indianapolis, IN 46250

Presenter: Ann Silvia, CPC, CPC-I, CEMC

Topics

How To Find The Right Level

The Gray Areas

Audit The Record

Registration Information

Fee - $325.00, per attendee

To Register – Fill out registration form and include payment

Registration deadline – Monday, February 27, 2017

To register and pay with credit card, email

dcharrlin@ecommunity.com or call 317.621.7197

To register and pay by mail, make checks payable to Visionary

Health Group or provide credit card information. Mail to VHG,

Attn: Deb Charrlin, 6626 East 75th Street, Suite #525, Indianapo-

lis, IN 46250

Presented by:

Visionary Health Group

Physician Services

6626 E. 75th St, Ste. 525

Indianapolis, IN 46250

O 317.621.7197

F 317.621.6989

www.Veicorp.com/consulting

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LOCATION –

6626 E. 75th Street Suite 200 Indianapolis, IN 46250

DATE -

Friday – March 3, 2017 TIMES - 8:00 AM – 5:00 PM PRESENTER – Ann Silvia,

CPC, CPC-I

REGISTRATION FEE -

$325.00 REGISTRATION DEADLINE – February 27, 2017

Fill out and sign where indicated and email entire form with deposit information to dcharrlin@ecommunity.com; or

by US mail to: Visionary Health Group – Attn: Debbie Charrlin 6626 E. 75th St., #525, Indianapolis, IN 46250 or

to process via phone, 317.621.7197 or 877.413.4231

Practice (if applicable): ________________________________________

Workshop Date: March 3, 2017 Registration Deadline: February 27, 2017

Workshop Time: 8:00 am – 5:00 pm

Name of Attendee(s):

_________________________________ ___________________________________

_________________________________ ___________________________________

Payment Information - $325.00 per attendee

__________VISA Amount __________MC Amount __________Check Amount Enclosed

Card # _______________________________________________ Exp. Date __________

Name on Card _______________________________________

Billing Address/City/State/Zip ____________________________________________________

____________________________________________________________________________

Authorized Signature ________________________________________________

Phone Number w/Area Code (_____)________________________

Refund Policy: The registration fee is refundable if requested up thru the registration deadline. All cancellations and requests for refunds must be in writing by sending an email to dcharrlin@ecommunity.com.

2017 E/M BOOT CAMP Registration Form

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Details

Location:

6626 East 75 th St.Indianapolis, IN 46250

Days / Times

Thursday April 6 -

September 14, 2017

4:30 pm – 9:00 pm

Final Exam Friday September 22, 20178:00 am – 5:00 pm

Course Fee $3,100.00

$750.00 required with registration.

Fee will be applied to course fees.

10% Discount if paid in-full by the first class!!!

Community Health Network Employees qualify for a special discount

Certified Professional Coder - Registration Information

An Exam Preparation Course for 2017 - Presented by Visionary Health Group

Looking for an opportunity to reach a higher level of skill and recognition in the field of medical coding? We invite you to attend our comprehensive 24-week certification prep course.

The Professional Medical Coding Curriculum (PMCC) is geared toward learning the proficiency required to correctly code CPT®, HCPCS and ICD-10-CM for medical procedures performed by the physician. After passing the AAPC certification exam, students with at least 2-years previous work experience in the field will be recognized as a Certified Professional Coder (CPC). Those who have not yet gained this experience will be recognized as a Certified Professional Coder Apprentice (CPC-A). Upon completion of the 80+ hour PMCC course and one year experience has been obtained, the apprentice status will be removed by the AAPC.

This course is not an introductory class and is designed for those who have experience with medical billing, coding, physician office and/or have experience in a field using medical terminology, anatomy and physiology. Study time both inside and outside of class is required.

The $3,100.00 course fee includes:

24-Week Classroom Instruction by an AAPC Certified Coding Instructor

Professional Medical Coding Curriculum (PMCC) Medical Coding Train-ing Manual and Practical Application Lab Book

AAPC Student Membership

AAPC CPC Exam Fee

2017 CPT Professional Edition

2017 HCPCS Level II Expert

2017 ICD-10-CM Expert for Physicians, Vol. 1&2

How do I register?

Three easy ways to register. Email, US Mail or Phone. See “PMCC 2017-Registration Form” for details. Upon receipt of the registration and $750 deposit, you will receive confirmation with further information.

No registration will be confirmed without the deposit of $750.

How do I pay for the course?

The $750 registration deposit applies to the course fees.

We accept cash, checks, VISA, MasterCard, and Discover.

You may pay in-full, at any time, or we offer monthly and bi-weekly payment plans that are designed to pay-off before the end of the course. If interested, please ask for payment plan details.

SPECIAL INCENTIVE – PAY THE ENTIRE COURSE FEES BY THE

FIRST CLASS AND RECEIVE A 10% DISCOUNT!!

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PMCC 2017 – April Registration Form

Details Location : 6626 East 75th St. Indianapolis, IN Days / Times : Thursday – April 6 – Sept. 14, 2017 4:30 pm – 9:00 pm Final Exam : Friday, September 22, 2017 8:00 am – 5:00 pm Course Fee : $3,100.00 $750 deposit required with registration 10% discount if paid in-full by the first class!! Community Health Network employees qualify for a special discount

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Visionary Health Group veicorp.com/consulting Are you an independent practice that needs consulting/financial help? ...

Integrated physician consulting services

A division of VEI since 1987, Visionary Health Group (VHG), formerly known as Indianapolis Medical Management

(IMM), has provided physician practice management and consulting services for more than 20 years. VHG prides itself

in providing comprehensive, tailor-made services that meet and exceed the needs of its physician clients. VHG’s con-

sulting and evaluation services have been designed to objectively evaluate every aspect of a medical practice and to

provide realistic solutions to the challenges faced by physicians today. VHG offers a diverse team of skilled individuals

to assist you with your various practice needs.

*Complimentary business assessment available upon request*

Consulting and practice operations

Business healthcare consulting

Revenue cycle management

Documentation and coding experts

Financial consulting and reporting

Payer credentialing and enrollment Practice/business start-up

Full suite of human resource services

OSHA/HIPAA compliance

Project management

Process improvement

Development of policy and procedures

Please Contact: Joni A. Reed, MBA, BSBA, ASB, CMA Business Consultant Physician Services Ph#: (317)621-1539 jareed@eCommunity.com Anita Huse, RN, CAPPM Business Consultant Physician Services Ph#: (317)621-4090 ahuse@eCommunity.com Jamie L. McAllister, MA Account Coordinator Ph#: (317)621-7521 Fx#: (317)957-2794 jschroth@eCommunity.com Tara Reiman Director Provider Operations, Practice Management Ph#: (317)621-7066 trieman@ecommunity.com

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Department Staff

Jenny Bouck, Provider Relations Manager

jbouck@ecommunity.com

Business Information Coordinator

Hollie Putzback, hputzback@ecommunity.com

Provider Relations Coordinators:

Carol Boyd, cboyd@ecommunity.com

Dawn Widgery, dwidgery@ecommunity.com

Amanda Bobo, abobo@ecommunity.com

Medicaid Program Manager:

Salena Woodson, swoodson2@ecommunity.com

Medicare Program Manager:

Lori White, lwhite4@ecommunity.com

Credentialing/Enrollment Supervisor: Jenna White, jwhite2@ecommunity.com

Credentialing Coordinators:

Kim Tibbets, ktibbets@ecommunity.com

Julia Chumbley, jchumbley2@ecommunity.com

Julie Starr, jstarr2@ecommunity.com

Aletha Burnett, aburnett@ecommunity.com

Credentialing Specialist:

Adrianne Stocks, astocks@ecommunity.com

Provider Enrollment Coordinators:

Amy Walls, awalls@ecommunity.com

Denise Smith, dasmith6@ecommunity.com

Dianne Castillo, dcastillo@ecommunity.com

Jessie Eskew, jeskew2@ecommunity.com

Sharon Harlan, sharlan@ecommunity.com

Lori Jones, ljones@ecommunity.com

Provider Relations Department

6626 E. 75th St, #500

Indianapolis, IN 46250

Phone: 317-621-7581

www.ecommunity.com/prohealth