Handoffs Along the Continuum of Care: Lessons Learned in Litigation

Medicuse Malpractice Insurance - LogoAll active IntegraNet providers are invited to attend a Risk Management CME Presentation, presented by Medicus Insurance Company.

Join us for a Risk Management seminar at no cost and earn 2 CME credits. If you are a current Medicus client, you can earn 5% credit on your Medicus premium.

All medical industry professionals are welcome to attend.

Educational Objectives:

This presentation will support your ability to:

•    Adhere to policies, procedures and/or processes to standardize patient hand-offs.
•    Apply risk management strategies to improve communication during hand-offs and reduce professional liability risk.

Where:
Houston Marriott at the Texas Medical Center
6580 Fannin Street
Houston, TX 77030

When:
Thursday, September 6, 2012
6:00 to 8:00 p.m.

Space is limited so please RSVP as soon as possible.


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NORCAL Mutual Insurance Company is the parent company of Medicus Insurance Company. NORCAL Mutual Insurance Company is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

NORCAL Mutual Insurance Company designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity. The faculty member-Dr. Charles William Bailey-has no relevant financial relationships to disclose. The planners for this activity have no financial relationships to disclose: Jo Townson (Supervisor, Continuing Medical Education, NORCAL) and Kendra Heredia (Marketing Coordinator, Medicus Insurance Company).

*If you require reasonable accommodations pursuant to the American Disabilities Act (ADA), please make arrangements when you enroll.

Register Now!

Online:  www.IntegraNetHealth.com/CME/

You may contact  Kendra Heredia at Medicus directly with any questions. We look forward to seeing you!

Kendra A. Heredia
Marketing Coordinator
Medicus Insurance Company
rsvp@medicusins.com
512-879-5190

All IntegraNet PCPs who currently participate in Bravo Health, Universal Health Care or WellCare of Texas via our network are invited to attend one of the following IPO meetings:

Tuesday, July 31, 2012
North, Northeast, Northwest

The Greenspoint Club
16925 Northchase Drive
Houston, TX 77060

Wednesday, August 1, 2012
Central, Southwest, West

Maggiano’s Restaurant
2019 Post Oak Boulevard
Houston, TX 77056

Thursday, August 2, 2012
East, Baytown, Bay Area, South, Southeast

Cullen’s All American Grill
11500 Space Center Boulevard
Houston, TX 77059

Buffet begins at 6:30 p.m.
Presentation begins at 7:00 p.m.

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Planning on attending TexMed 2012 in Dallas, Texas on May 18-19, 2012? If so, stop by Booth 421 (near the “Fun Zone”!) and meet the IntegraNet Team.

TexMed 2012 is always a great show with exhibitors showing off all kinds of products and services to physicians practicing in Texas.  Check out the Conference Highlights here:

TexMed 2012 Schedule of Events

Be sure to stop by Booth 421. We’re looking forward to meeting you!

All IntegraNet PCPs who currently participate in Bravo Health, Universal Health Care or WellCare of Texas via our network are invited to attend our quarterly meeting to be held on Thursday, May 10, 2012 at the Four Seasons Hotel, 1300 Lamar Street, Houston, Texas  77010 (at the intersection of Lamar and Caroline).  The buffet dinner begins at 6:30 p.m., with the meeting scheduled to start at 7:00 p.m.

Map/Directions to The Four Seasons Hotel


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Join our qualified team of Meaningful Use Consultants on Thursday, April 26, 2012 at 6:00 p.m. for a no-cost, no-obligation webinar regarding Meaningful Use Criteria for Federal EHR incentive eligibility, including an open-forum Q&A session.

Register here now: IntegraNetHealth.com/Register

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Planning on attending the Harris County Medical Society Spring Business Expo? If so, stop by Booth M (near the Seminar Registration tables) on Saturday, April 14th and meet the IntegraNet Provider Relations Team.

The HCMS Expo is always a great show with exhibitors showing off all kinds of products and services to physicians practicing in the Houston metropolitan area.  Check out the invitation and Schedule of Events here:

Spring 2012 HCMS Business Expo Schedule

Be sure to stop by Booth M. We’re looking forward to meeting you!

 

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UT HealthElectronic Medical Resources (EMR) and IntegraNet have entered into a partnership with the University of Texas Health Science Center at Houston, along with the Gulf Coast Regional Extension Center, to offer the following program:

Transform Your Practice and Enhance Your Use of EHR

Our services help providers transform their practice and enhance their use of EHRs to achieve Meaningful Use. This includes individualized assessments, planning and project management support, workflow analysis and redesign if needed.

Access to Educational Materials and CMEGulf Coast Regional Extension Center

Program enrollment will offer providers access to valuable educational materials as well as 20 hours of Continuing Medical Education (CME) regarding quality improvement through EHR use.

Meet Meaningful Use Requirements

Our experienced Meaningful Use Consultants will assist providers with meeting Meaningful Use criteria for Federal EHR Incentives for Medicare or Medicaid.

Gain from our Health Informatics Expertise

Each provider is assigned a Meaningful Use Consultant, experienced in health informatics and EHR software, providing support and education during the implementation and Meaningful Use process.

Contact us today to get started!

All IntegraNet PCPs who currently participate in Bravo Health, Universal Health Care and/or WellCare are invited to attend our IPO Pod Meetings.  Please click on the Pod Name below for detailed information:

Southeast IPO – Wednesday, February 8, 2012
Central IPO – Thursday, February 9, 2012
Bay Area & South IPOs – Wednesday, February 15, 2012
North, Northwest & Northeast IPOs – Thursday, February 16, 2012
Baytown & East IPOs – Tuesday, February 21, 2012
Southwest & West IPOs – Thursday, February 23, 2012

 


 

Southeast IPO

Wednesday, February 8, 2012
Registration begins at 6:30 p.m.
Presentation begins at 7:00 p.m.

Texas Land & Cattle
11900 Dickinson
Houston, TX 77089
1-45 South and Beltway 8, exit Fuqua, next to Home Depot


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Central IPO

Thursday, February 9, 2012
Registration begins at 11:30 a.m.
Presentation begins at 12:00 noon

Sullivan’s of Houston
4608 Westheimer
Houston, TX 77027
Westheimer Just Inside the 610 Loop


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Bay Area & South IPOs

Wednesday, February 15, 2012
Registration begins at 6:30 p.m.
Presentation begins at 7:00 p.m.

Pappas Seafood
19991 I-45 South
Webster, TX 77598
1-45 South between Nasa Rd. 1 and Bay Area Boulevard


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North, Northwest and Northeast IPOs

Thursday, February 16, 2012
Registration begins at 11:30 a.m.
Presentation begins at 12:00 noon

Kirbys Prime Steaks and Seafood
1111 Timberloch Place
The Woodlands, TX 77380
I-45 North, Just South of The Woodlands Mall


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Baytown and East IPOs

Tuesday, February 21, 2012
Registration begins at 11:30 a.m.
Presentation begins at 12:00 noon

Pappas Seafood House (East Houston)
12010 I-10 East
Houston, TX 77029
I-10 East at Federal Road


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Southwest and West IPOs

Thursday, February 23, 2012
Registration begins at 11:30 a.m.
Presentation begins at 12:00 noon

Pappadeaux Seafood
10499 Katy Freeway
Houston, TX 77024
I-10 West Just Inside Beltway 8


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In an effort to administratively simplify Medicaid claims submission, the Texas Health and Human Services Commission (HHSC) is creating a single source claims portal that Community Health Choice (CHC) Providers may use to submit claims. The claims portal was announced in an article published on December 1, 2011 on the TMHP Web site.  Read the article on CHC’s website at www.CHCHealth.org > Provider News.

Summary

Effective for dates of services on or after March 1, 2012, Providers will be able to submit electronic claims to TMHP for services to Medicaid clients whose benefits are administered by a Medicaid managed care Organization (MCO). TMHP will accept Medicaid claims submissions and forward the claims as necessary to the correct MCO based on the client’s eligibility on file.

Providers who have contracted with more than one MCO plan will no longer need to separate their Medicaid claims for submission through different channels.  Providers can choose to continue to submit claims directly to the appropriate entity. When submitting claims directly to CHC, Providers must follow the guidelines established by CHC for claims submissions.  Review CHC’s guidelines on their website at www.CHCHealth.org > Providers > Claim Center.

Exceptions

TMHP will not forward the following claims submissions. They must be submitted directly to CHC or to the dental plan that administers the client’s Medicaid managed care benefits:

  • Paper claim forms
  • Children’s Health Insurance Program (CHIP), including CHIP Perinatal

Please refer to the TMHP article for additional information.

If you have any questions, please contact your IntegraNet Provider Relations Representative.

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EFFECTIVE January 1, 2012

MM/ HM/ MP – Medicare Masterpiece HMO and HMO-POS Members are now required to obtain a PCP REFERRAL for an office visit to an in-network specialist*.   The REFERRAL can be submitted via the website OR by sending a PCP Fax Referral Form to Universal.

HR/ SA/ SC/ SE/ SN – Premier and Special Needs Members now require a REFERRAL (formerly an authorization) for an office visit to an in-network specialist. The REFERRAL must now be submitted via the website OR by faxing a PCP Referral Form to Universal.

* A Referral is NOT required for any of the plans above for the following in-network Specialists: Dermatologist, Chiropractor, Podiatrist, Optometrist, Ophthalmologist or GYN (for annual Well Woman visit only).

INSTRUCTIONS:  Go to Universal’s website at http://www.univhc.com/doctors/pcpref/.  Complete the PCP Referral Form and submit.  You will receive an immediate response with the confirmation number.  Print the form and either give to the Member to take to the Specialist or fax directly to the Specialist.     

You may also utilize the PCP FAX Referral Form and send to 1-855-589-1564. Upon receipt, you will receive an automated fax reply with a confirmation number.  Write the confirmation number on your original PCP Referral Form and either give to the Member to take to the Specialist or fax directly to the Specialist.  You may only send one request per fax; the confirmation will not indicate the referral information; i.e. member name, etc.   The Referral Form cannot be used for Out-of-network Specialist office visits or services requiring an authorization.

You will find more details and the PCP FAX Referral Form in the 2012 Provider Quick Reference Guide on Universal’s website at https://www.univhc.com/doctors/.  If you have any questions, please call Provider Services at 1-877-661-3920 or send an email to providers@univhc.com.

Coming Soon:   The online version of the PCP Referral Form will be moving to and available through Universal’s NEW Provider Portal, which is scheduled to launch in mid-January.   Your individual provider Username and Password will then be required to complete the on-line form.   Send an email with provider’s full name, address, individual NPI and TIN to providers@univhc.com if you need your Username and Password.

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