2010 Issues

Current Issue

Incentive Programs

• PIP measure targets
• Questions about our incentive programs?
• Record BMI during visit
• Reminder cards
• Patient Profile can help
• Childhood immunizations due before second birthday
• Diabetic lab values – last one in 2010
  

News & Updates

• Spine Centers of Excellence – update to code set
• Efficient administration with online tools
• 2010 Academies cancelled
• Correcting previously billed claims
• Preventive care vs. diagnostic care
• Medicare crossover
• Labor Day Weekend system upgrade
• Smartphone app for ID cards
• Coding and billing update class
• Quality awards
• NCQA payment for PCMH recognized practices
  

Clinical Support

• Recent medical policy additions and revisions
• “Just Say No” to antibiotics for colds and flu
• Vaccines for Children program (VFC)
• Begin thinking now about flu and pneumonia shots!
• Priority Health Medicare pays for comprehensive physical exams annually
• Priority Health Medicare physician reimbursement
• Surgical decision making tool available
  

Pharmacy

• Improving generic prescribing
• Answers to questions about pharmacy benefits
• Generic copays for long-term controllers available
• Pharmacy and Therapeutics Committee Formulary Update
• Online resources for physicians
  

Behavioral Health

• Prior authorization for behavioral health visits removed
  

Questions?