Update – Refining Continues for System Identification for fraud, waste and abuse capture, as well as claims editing

Date: June 22, 2016 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) There is nothing providers need to do, beyond what your practice […]

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San Joaquin Physician Summer Issue: HPSJ stories

Dr. Sheela Kapre joins Health Commission (p.24) Terry Cumpian, now Claims Department Director (p.25) First Wave of HPSJ Health Career Scholarships for 2016 (p.25) California Health Care Foundation Planning Grant (p.26) Kids’ Oral Health, 2.0 – HPSJ Initiative (p.27) Salute to 2015 Health Careers Scholars (p.35) 2016 Annual Membership Dinner, honoring Patricia Hatton, MD (p.40) Read Article

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​HPSJ salutes San Joaquin General Hospital as now one of only three local hospitals to earn the coveted baby-friendly designation (Health Plan Alliance, June 1, 2016)

San Joaquin General Hospital (SJGH) has now capped a decade-long journey to be recognized by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) as a Baby-Friendly Hospital. SJGH recently joined the only two other San Joaquin County hospitals to have earned this designation: Dignity Health – St. Joseph’s Medical Center (awarded […]

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HPSJ salutes San Joaquin General Hospital (SJGH) as now one of only three local hospitals to earn the coveted Baby-Friendly designation

(French Camp, CA) – San Joaquin General Hospital (SJCH) has now capped a decade-long journey to be recognized by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) as a Baby-Friendly Hospital.  SJGH recently joined the only two other San Joaquin County hospitals to have earned this designation: Dignity Health – St. […]

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HPSJ Is Focus of New JAMA Dermatology Research– Promising Results Identified for Teledermatology & Not-for-Profit Plan’s Members (Health Plan Alliance, May 13, 2016)

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) today pointed to a new study funded by the California Healthcare Foundation and published May 4, 2016 in the research journal JAMA Dermatology that found reason to hope HPSJ’s innovative investment in technology resources can help expand members’ access to quality health care, provide more […]

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J code Medications – Carved-Out to Fee-for-Service (FFS) Medi-Cal

To: Health Plan of San Joaquin (HPSJ) Providers and Hospitals From: Provider Services Department Subject: J code Medications – Carved-Out to Fee-for-Service (FFS) Medi-Cal Business: Medi-Cal, AIM (now known as Medi-Cal Access Program) Effective July 14, 2016. Certain J code medications are carved-out and should be billed directly to FFS Medi-Cal. In order to determine […]

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Health Plan of San Joaquin (HPSJ) Is Focus of New JAMA Dermatology Research–Promising Results Identified for TeleDermatology & Not-for-Profit Plan’s Members

(French Camp, CA) – Health Plan of San Joaquin (HPSJ) today pointed to a new study funded by the California Healthcare Foundation and published May 4, 2016 in the research journal JAMA Dermatology that found reason to hope HPSJ’s innovative investment in technology resources can help expand members’ access to quality health care, provide more […]

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