March 4, 2016 / by HPSJ / Alerts
Date: 1 February 2016 to: Health Care Providers Subject: Health Advisory – Zika Virus in Travelers and Pregnant Women From: Julie Vaishampayan, MD, MPH, Assistant Health Officer Alvaro Garza, MD, MPH, Health Officer Background Zika virus is transmitted by the bite of infected Aedes aegypti and Aedes albopictus mosquitoes, which are aggressive day biters (also […]
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Health Plan of San Joaquin provider Alerts
Health Plan of San Joaquin presents its annual HEDIS training – Modesto March 24th
March 7, 2016 / by HPSJ / Alerts, Hedis
When: Thursday, March 24, 2016 (12:00pm – 1:30pm) Where: HPSJ Community Room, 1025 J Street, Modesto CA 95354 What: Health Plan of San Joaquin presents its annual HEDIS training – Modesto March 24th Who: Providers, Office Managers, Medical Assistants, Billers 12:00pm Welcome: Agenda Overview Review packet 12:15pm Meeting purpose: How to improve your HEDIS rates […]
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Health Advisory – Zika Virus in Travelers and Pregnant Women
March 4, 2016 / by HPSJ / Alerts
Date: 1 February 2016 to: Health Care Providers Subject: Health Advisory – Zika Virus in Travelers and Pregnant Women From: Julie Vaishampayan, MD, MPH, Assistant Health Officer Alvaro Garza, MD, MPH, Health Officer Background Zika virus is transmitted by the bite of infected Aedes aegypti and Aedes albopictus mosquitoes, which are aggressive day biters (also […]
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Health Plan of San Joaquin (hpsj) taps talent from within for key claims department director post
February 29, 2016 / by HPSJ / Alerts, Press Releases
French Camp, CA) – Health Plan of San Joaquin (HPSJ) has announced that Terry R. Cumpian has been promoted from HPSJ senior claims manager to claims department director. Cumpian, who joined HPSJ at the beginning of 2015, has extensive insurance claims experience ranging from billing, coding and adjustments, to physician office outreach and customer service. […]
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Health Plan of San Joaquin presents its annual HEDIS training – March 17
February 24, 2016 / by HPSJ / Alerts
When: Thursday, March 17, 2016 (12:00pm – 1:30pm) Where: HPSJ Community Room, 7751 S. Manthey Road, French Camp Who: Providers, Office Managers, Medical Assistants, Billers 12:00pm Welcome: Agenda Overview Review packet 12:15pm Meeting purpose: How to improve your HEDIS rates – Increase your opportunity for Provider Incentives 12:30pm Medical Management: Information & Updates related to […]
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Notification of Mail Theft and Potential Fraud
January 20, 2016 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Notification of Mail Theft and Potential Fraud Business: Medi-Cal, MCAP (Formerly known as AIM) In keeping with our Fraud, Waste and Abuse policies, HPSJ wants to keep you informed of a potential mail theft or fraud that may impact you or your […]
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CHDP PM 160 Changes to the Current Billing Process – Reminder
January 14, 2016 / by HPSJ / Alerts
To: Primary Care Providers (PCP) From: Health Plan of San Joaquin (HPSJ) Subject: CHDP PM 160 Changes to the Current Billing Process Product: Medi-Cal Managed Care As a valued HPSJ provider, we want to make you aware of several billing changes. These changes are required by the California Department of Health Care Services (DHCS) and […]
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Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing
January 13, 2016 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) As part of ongoing oversight efforts, state and federal regulators mandate that health plans, including […]
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Provider Satisfaction Survey Arriving This Month
January 6, 2016 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Providers From: Provider Services Department Subject: Provider Satisfaction Survey Arriving This Month Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) HPSJ values our providers and appreciates your participation in our network. In mid-January you will receive our Provider Satisfaction Survey. We ask that you take a few […]
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Changes to Prior Authorization Requirement for Dispensing of Ear Molds
December 30, 2015 / by HPSJ / Alerts
To: Health Plan of San Joaquin (HPSJ) Audiologists, Speech Pathologists and Hearing Aid Dispensing Providers From: Provider Services Department Subject: Changes to Prior Authorization Requirement for Dispensing of Ear Molds Business: Medi-Cal Effective: Retroactively to January 1, 2014 Code V5264 used for ear molds, which are needed in conjunction with hearing aids, no longer require […]
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Provider Alert Regarding HPSJ preventive Health guidelines
December 28, 2015 / by HPSJ / Alerts
“It takes time and careful consideration to plan preventive care for each patient. As a Health Plan of San Joaquin provider we want to support you in your efforts to provide preventive care to all members in a timely fashion. With our new age specific Preventive Health Care Guidelines you can quickly reference and determine […]
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