May 2013

In This Issue:

Contact Your Summa Health Network Staff

For assistance with any questions or concerns, please contact any of the Summa Health Network Team by clicking the link below.

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2013 Save the Dates

Please see our Save the Dates for our 2013 Events.

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Summa Health Network
168 E. Market St.
Akron, OH 44309
P: 330-996-8959
F: 330-996-8695

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Past Issues


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Summa Health Network is pleased to continue offering you seminars in 2013. Please view our Save the Dates document to see the full schedule of events.

WellCare Medicaid Termination

You may have recently received a notice from WellCare stating that effective June 30, 2013, WellCare of Ohio, Inc. Medicaid Managed Care Plan will no longer be providing Medicaid coverage to Ohio patients.

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Buckeye Community Health Plan: Electronic Claims Submission

The Payor ID number for electronic claims submissions will be changing effective July 1, 2013.

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Buckeye Community Health Plan: Claim Submission Policy Changes

Effective, April 1, 2013, Buckeye will be changing their policy as it pertains to the acceptance of black and white or copied UB-04 of HCFA-1500 paper forms and handwritten red forms to align with CMS.

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CGS A Celerian Group Company

CGS recently changed its name and logo to CGS A Celerian Group Company. TheCelerian groups is comprised of CGS, Instil Health, Palmetto GBA, Palmetto, and Trailblazer Health Enterprises.

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CMS: Temporary Delay in Implementing Phase II Ordering and Referring Denial Edits

Due to technical issues, the implementation of Phase 2 ordering and referring denial edits is being delayed.

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CMS: Physician Quality Reporting System (PQRS)

The Physician Quality Reporting System (PQRS) is a reporting program that uses a combination of incentive payments and payment adjustments to promote reporting of quality information by eligible professionals.

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United HealthCare: CSP Platform Changes

Legacy provider identifiers currently unique to each platform will be replaced with a Facets provider ID number; Medicaid and legacy IDs will be stored for reference and National Provider Identifier/ tax ID will be the primary identifier for claims processing.

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Availity Release Communications

Availity releases monthly updates of additions and changes to the Availity website.

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Emmi Educational Videos

Many patients feel apprehensive or nervous about upcoming procedures or are having difficulty managing chronic conditions. This is why Summa Health Network is proud to offer providers in the ambulatory care model access to free, online, educational Emmi videos.

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Summa Health System Mackan Acute Care Simulation Conference 2013

Register now and join your colleagues at the Michael D. Mackan Acute Care Simulation Conference sponsored by Summa Health System on June 6, 2013 at the Austen BioInnovation Institute in Akron.

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