Month: November 2020

As you are likely aware, the HSConnect provider portal underwent an MHK integration on 10/30/2020. The MHK implementation team created an FAQ to reflect some recent questions and answers that a provider staff member may have. The updated provider portal document is available here on Ink, Just a click away.

_{Bill Dacey, MHA, MBA, CPC-I is principal in The Dacey Group, Inc., a consulting firm dedicated to coding, documentation and compliance concerns for physicians.} 

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Need to know where to begin:

• Financial Management – Billing and Collections
• Financial Management – General
• Personnel Management
• Marketing and Practice Promotion
• Self Development
• Leadership Skills

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BCBSTX and CHI (CommonSpirit) are clashing over their contract.

CHI has given termination notice to BCBSTX. The termination is effective after December 16, 2020 according to a letter received from BCBSTX.

This termination will affect physicians with privileges ONLY at CHI hospital and not with another in network facility. This is because physicians are required to have privileges with an in network facility.

If you also are “on staff” at Woodland Heights or another in network facility this does not affect your credentialing with BCBSTX.

Physicians may reach out for privileges with other in network facilities OR Physicians may have arrangements for care of their patients at other in network facilities if necessary.

POET has not mentioned this before because most of the time these situations are resolved at the last minute. We believe both parties need each other and therefore will find a solution.

We have had a few calls asking what physicians can do. Since BCBSTX has state employees, we suggested reaching out to your legislators. It seems unfair for patients and physicians to be caught in the middle of the clash of the titans.

MGMA, October 2020

The COVID-19 pandemic has amplified the previously growing importance of advanced practice providers (APPs) in care delivery and practice performance.

Increasing demands for healthcare point to a projected physician shortage, estimated to reach between 54,100 and 139,000 physicians by 2033.1 One strategy to address this shortage is to close gaps in primary care access through increased use of APPs. One estimate points to expanded use of nurse practitioners (NPs) could reduce primary care physician (PCP) shortages by 70%.2
Many practices already recognize the substantial boost that APPs can provide to practice performance, with APP utilization growing. MGMA data show that almost 67% of Better Performer practices employ APPs; for physician-owned practices, that rate jumps to
almost 87%.3

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Now you can submit appeals and claim reconsideration requests online for medical claims using the Cigna for Health Care Professionals website (CignaforHCP.com). This is an enhancement you’ve been asking for and we’ve been working hard to provide you with an easy-to-use tool

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You can’t afford to continue to look the other way.

SOME GREAT TIPS TO SHARE WITH YOUR STAFF.

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