PCCM Behavioral Health Advisory Subcommittee Meeting

Mark your calendar! The next PCCM Behavioral Health Advisory Subcommittee meeting will be  Wednesday, August 7th, 2013.  This meeting begins at 12 noon.
Teleconference number 1-877-900-4832, conference # 7100, conference code 2384#.

Exciting speakers and topics include:

*Introduction of the new IHC Medical Director, Dr. Alvia Siddiqi, MD

*Telepsychiatry and Telehealth by Meryl Sosa, Executive Director of IL Psychiatric Society

*Alzheimer Assoc. and Medical & Scientific Advisory Committee by Dr. Raj C. Shah, MD, Family Medicine Rush Alzheimer's Disease Center.

*Care Coordination Entities and Behavioral Health Services Integration:  Molly Siegel, Project Manager, Care Coordination Entities, IL Dept. Healthcare and Family Services.

Please plan to attend!  Your participation is appreciated!

 

Increased Payment for Primary Care Services Provided by Advanced Practice Nurses-HFS notice of July 29, 2013

The purposed of this notice is to inform providers of the department's policy regarding services provided by Advanced Practice Nurses (APNs) and the Affordable Care Act (ACA) increased payments for certain primary care services.  The March 4, 2013 Informational Notice, Increased Payment for Primary Care Services (pdf), outlined the eligibility requirements for physicians. 

Services performed by APNs under the personal supervision of an eligible physician who assumes professional responsibility (and legal liability) for those services will be reimbursed at the increased rate for primary care services. Such services must be submitted under the National Provider Identifier (NPI) of the eligible, supervising physician as the rendering provider. 

Billing instructions for these services are as follows:

Services Billed Electronically: 837P

•     Loop 2310B, Rendering Provider must contain the NPI of the supervising, professionally responsible physician.
•   HCPCS Modifier “SA”, “Nurse practitioner rendering service in collaboration with a physician” must be entered into the modifier field for each service line.

Services Billed on a Paper Claim: (HFS 2360)

•     The individual NPI of the supervising, professionally responsible physician must be entered in field 30, and the corresponding physician name must be entered in field 31.
•   HCPCS Modifier “SA”, “Nurse practitioner rendering service in collaboration with a physician” must be entered into the modifier field for each procedure code.

Medicare Crossover Services Billed on a Paper Claim (HFS 3797)

•     The individual NPI of the supervising, professionally responsible physician must be entered in field 23, and the corresponding physician name must be entered in field 22.
•   HCPCS Modifier “SA”, “Nurse practitioner rendering service in collaboration with a physician” must be entered into the modifier field 12 for each procedure code. 

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565, option 3, and then option 1.

Join the Illinois Health Reform Outreach Coalition

Join the Illinois Health Reform Outreach Coalition

 

 

August 28, 2013
1:00-3:00pm
Downtown Chicago
Location TBA

Register online today
http://acacoalitioncookcollar.eventbrite.com/

 

September 4, 2013
12:00-2:00pm
Belleville, IL
Location TBA

Register online today
http://acacoalitionsouthernillinois.eventbrite.com/

**Special ACA 101 Presentation from 10:00-11:30am will provide an introduction for those still trying to understand the Affordable Care Act

 

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With only a few months until the new health insurance Marketplace opens, it is more important than ever that we all work together to educate the people of Illinois on new opportunities available to access affordable health insurance.

The Illinois Health Reform Outreach Coalition is dedicated to connecting communities to coverage by bringing together health care providers, social service providers, faith leaders, business leaders, and other community stakeholders from across the state to:

1. Promote and share best practices for outreach and enrollment;
2. Improve the effectiveness of enrollment systems through the development of a real-time feedback loop; and
3. Harness the power of personal stories to build a positive dialogue about the ACA.

All coalition members will have access to special tools and resources to support outreach and education activities, including:

• Access to a special members only portal on Illinoishealthmatters.org;
• First notice of important ACA related policy updates from the Illinois Maternal and Child Health Coalition;
• Early registration for select ACA events and trainings, including enrollment trainings hosted between September and November; and
• The opportunity to be featured on the Illinois Health Matters blog and social media pages.

Coalition members should include any individual or organization with an interest in promoting the Affordable Care Act or taking an active role in outreach, education, and/or enrollment initiatives. This includes health care providers, social service providers, faith leaders, and business leaders, including In-Person Counselors, Navigators, and Certified Application Counselors.

This initiative is funded by Community Catalyst and co-hosted by the Illinois Maternal and Child Health Coalition, Health & Disability Advocates, the Campaign for Better Health Care, and the Southern Illinois Healthcare Foundation.
 

If you have questions or you are unable to attend, but would like to receive future updates, please contact Kathy Waligora at the Illinois Maternal and Child Health Coalition by emailing kwaligora@ilmaternal.org or calling 312-491-8161 x29.

2013 Illinois Rural Health Association Annual Educational Conference

2013 IRHA ANNUAL EDUCATIONAL CONFERENCE
AUGUST 22-23
KELLER CONVENTION CENTER, EFFINGHAM, IL

 For sponsorship opportunities visit our Sponsorship page or contact Margaret Vaughn at mvaughn@springnet1.com or 217-280-0206.

 

SCHEDULE AT A GLANCE

Wednesday, August 21
7:00-9:00 P.M.         Pre-Conference Welcoming Reception
                            Firefly Grill • 1810 Avenue of Mid-America, Effingham
                            Sponsored by Principal Financial Group

Thursday, August 22
7:30-9:00 A.M.        Registration & Breakfast Buffet & Exhibit Hall  
9:00-9:30 A.M.        Welcome - Annual Meeting          
9:30-9:45 A.M         Break & Exhibit Hall          
9:45-Noon              Morning Concurrent Sessions A & B      
Noon-12:45 P.M.      Lunch & Exhibit Hall  
                            Lunch sponsored by Gibson Area Hospital & Health Services
12:45-2:15 P.M.       Medicaid Expansion / ACA Implementation  
2:30-4:45 P.M.         Afternoon Concurrent Sessions C & D
5:00-7:30 P.M.         Healthcare Awards Reception undefined “A Night in Hollywood”
                            Sponsored by Illinois Hospital Association
                            *Break refreshments sponsored by
                             Illinois Society of Advanced Practice Nurses
Friday, August 23
8:30-9:00 A.M.        Breakfast & Prize Drawings  
9:00-9:15 A.M.        Overview  of IDPH We Choose Health Program
9:15-10:15 A.M.      Communicating with Individuals Who are Deaf in various Practice Settings
10:20-11:20 A.M     Violence Prevention in Rural Health Occupations
11:20-11:30 A.M.    Conference Wrap-Up and Evaluations

 Visit the www.ilruralhealth.org website for registration forms and sponsorship information

Illinois Rural Health Association                  www.ilruralhealth.org                      217-280-0206

(HFS RELEASE) Claims Forms Hand-Delivered to HFS Offices

This notice serves as a reminder to providers about the department's instructions for submitting paper claim forms for adjudication.

The Chapter 200 series of Provider Handbooks is available on the department's website.  Each handbook's appendices contains mailing instructions that identify the HFS-supplied preaddressed envelope that providers may use, or the correct Post Office box address to which providers may submit their claim forms.  Providers are asked to mail their claims to the appropriate Post Office box to ensure proper handling and prompt entry of claims into the claims processing system.  This submittal process is also in place to ensure that patients' Proteced Health Information is accurate.

HFS will not accept claim forms delivered to HFS office buildings by providers or their billing entities.  HFS will return all hand-delivered claims to the provider identified on the claim form

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at
1-877-782-5565