Tag: Staff Training
Nonphysician Practitioners and Scope of Practice
TMA Ask the Expert Virtual Event
August 17th at 1 PM
How to Delegate to Nonphysician Practitioners.
Nonphysician Practitioners and Scope of Practice, a TMA Ask the Expert virtual event, will teach participants how to comply with state laws and regulations on delegating and supervising prescriptive authority. Join Carra Benson, TMA manager of practice management and reimbursement services; Dan Finch, TMA vice president of advocacy; and Julian Rivera, health law partner at Husch Blackwell, on Aug. 17 at noon CT.
Sam.gov
You may have noticed Sam.gov has changed.
POET has been working to find an easy way for you to check for exclusion.
We haven’t given up just yet.
But for those of you that need a process in order to stay on your monthly schedule, follow the link below.
We understand this is a very redundant process.
However, every person in your employment has to be checked on all 3 government websites monthly.
Office of the Inspector General TX Health and Human Services
Cigna Updates
Cigna is pleased to announce we are expanding our Musculoskeletal and Pain Management Program to include select Cigna Medicare Advantage customers.
Beginning June 1, 2021, precertification requests for affected services, including major joint surgery services related to the hip, knee, and shoulder and interventional pain management procedures must be submitted to eviCore instead of Cigna.
CIGNA MEDICARE ADVANTAGE PRIOR AUTHORIZATION PROGRAM – ORIENTATION SESSION SCHEDULE.
Cigna Medicare Advantage has partnered with eviCore healthcare to provide patients with access to high quality, medically appropriate care that is consistent with evidence-based treatment guidelines.
The following procedures will require prior authorization for patients covered by Cigna Medicare Advantage
- Major Joint Services (Hip, Knee, Shoulder)
- Interventional Pain Management Procedures
eviCore healthcare will be leading online orientation sessions designed to assist you and your staff with the new program. For times and how to register click here.
Cigna Medicare Advantage Prior Authorization Program – Orientation Session Schedule
[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/05/Cigna-MA-MSK-Provider-Orientation-Invitation-03052021.pdf” download=”all” viewer=”google”]
Cigna Medicare Advantage Musculoskeletal and Pain Management Program is Expanding Beginning 6/1/2021
[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/05/Cigna-MA-Musculoskeletal-and-Pain-Management-Program-2021.04.23.pdf” download=”all” viewer=”google”]
Cigna MA 2nd Qtr News 5/11/2021
Feature Article: Engaging with Patients Virtually, Cigna’s Virtual Care Reimbursement Policy
Policy Updates:
- Preventive Care Services
- Precertification
- Clinical, Reimbursement, and Administrative
General News
- Claim Denial preventive tips
- Appeal Reminders
- and many more to numerous to add
Webinar Schedule for Digital Solutions:
| Topic | Date | Time (CT) | Length | Meeting # |
|---|---|---|---|---|
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, May 12, 2021 | 12:00 | 60 min | 179 626 8334 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Monday, May 17, 2021 | 11:00 | 60 min | 179 602 5133 |
| Online Appeal and Claim Reconsideration | Wednesday, May 19, 202 | 11:00 | 60 min | 179 487 2665 |
Website Access Manager Training | Wednesday, May 26, 2021 | 11:00 | 60 min | 179 079 6479 |
| CignaforHCP.com Overview | Tuesday, June 1, 2021 | 1:30 | 90 mins | 179 702 7790 |
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, June 9, 2021 | 11:00 | 60 min | 179 319 4586 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Wednesday, June 16, 2021 | 11:00 | 60 min | 179 225 1773 |
| Online Appeal and Claim Reconsideration | Monday, June 21, 2021 | 11:00 | 60 min | 179 162 7760 |
| Website Access Manager Training | Monday, June 28, 2021 | 11:00 | 60 min | 179 940 8512 |
Important, Time Sensitive
WEDI is hosting a day-long virtual meeting on Wednesday, April 28 to review the Information Blocking regulations, exceptions, and discuss compliance plans. Here you can find registration and the agenda for the event.
This event on Information Blocking is free for all members of the healthcare industry.
Regarding the Ever Changing Telemedicine Guidelines.
KZA Telehealth Solutions Center
An up-to-date, comprehensive resource regarding
the ever-changing telemedicine guidelines.
KarenZupko and Associates, Inc. has been around for a long time.
They have shared a link to their website for updates to telehealth on the MGMA Community.
Please note, they update materials as changes are made by CMS.
So check back often!
There is a very nice chart on Payor Telehealth Policies and
lots more.
Deadline to Comply with Information-Blocking Rule
Starting April 5, all practices must comply with so-called information-blocking rules that are part of the federal 21st Century Cures Act, which is designed to facilitate widespread access and sharing of health information among patients and physicians. Follow this link to view the TMA article.
21st Century Cures Act: Interoperability and Information Blocking Webinar: Free for TMA members and their clinical staff, this webinar will help you develop plans to prepare your practice to implement the information-blocking rule. The webinar has been accredited for 1.25 AMA PRA Category 1 Credits™
Eliminating Staff Gossip
Here are some tips to make your office a gossip-free zone.
Creating a winning team culture in an office is a key to success that cannot be overlooked. Most team builders come in with a lot of buzzwords, flashing lights, and games in order to engage staff members; often times their solutions dwindle and fade as fast as they arrived. There are simple solutions that create a unified team environment that can become permanent. One of the easiest ways to build team unity is a no gossip policy.
The policy is simple- gossip once and you will be warned, gossip again and you will be released. You could implement a few different versions, and with a problematic and bickering staff, you may have to add a few additional steps prior to releasing an employee.
Gossip is dishonest, contagious, and breeds disloyalty for your medical practice and within your team. All of the standard bullet points about building a great culture within your company are affected by gossip. Typically, team members that gossip about each other, gossip about everybody: staff, physicians, patients, and business. It is not “healthy” for your office to allow gossip and having an office full of gossip is a quick way to experience legal and professional ramifications.
When you bring a policy like this into an existing office dynamic, it is imperative that you don’t hand this out in a memo or e-mail. It is imperative to hold a team meeting, with a detailed explanation, and an opportunity for your team to ask questions.
This policy may not be well-received by all of your staff or team members at first. Your biggest culprits will be the most vocal and try to win over the others. Quality people do not gossip, and after the initial implementation phase of this policy, you will be left with quality people, who monitor and remind each other to remain gossip free.
To read the article on the web. https://www.physicianspractice.com/view/eliminating-staff-gossip-at-your-practice
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