August 2014

In This Issue:

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Need to contact your SHN Account Executive?

Kelly Englert
(330) 996-0344

Amber Richards
(330) 996-0347

Eric Chojnacki
(330) 996-8798

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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2014 Fraud, Waste and Abuse Attestation Form

  • Summa Health Network (SHN) must maintain records for all SHN provider members and their staff on Fraud, Waste and Abuse (FWA) training as SHN contracted Medicare Advantage payers may request copies of these records at any time.  
  • Within the next week, provider offices will receive communication that includes a link to the electronic attestation form which is due September 26, 2014.
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Deadline for ICD-10 Has Been Set

  • The U.S. Department of Health and Human Services (HHS) issued a ruling finalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10.
  • This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.
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Electronic Prior Approval Available for Specialty Medications

  • To streamline the review process for medications requiring prior approval under medical benefits, Medical Mutual is providing access to ExpressPAth, an online application that furnishes a quick and efficient response to these requests.
  • If you are contracted with Medical Mutual, you are invited to participate in one of their upcoming provider webinars designed to help you and your staff become familiar with ExpressPAth, being offered on Thursday, September 18 from 8:30 a.m. to 9 a.m. EST.
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Summa Wadsworth-Rittman Community Services Directory

  • Summa Health System’s integrated medical campus located within the Wadsworth-Rittman community offers advanced patient care, including 24/7 emergency services, outpatient surgery, imaging (including MRI), rehabilitation, primary care, home health care, and orthopaedic and other specialty services. 

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Buckeye Provider Guide for Quantitative Drug Testing for Drugs of Abuse

  • Effective November 1, 2014, Buckeye Community Health Plan will begin requiring prior authorization as a condition of payment for Quantitative Testing for Drugs of Abuse.
  • The ordering provider should request prior authorization for Quantitative Drug Testing for Drugs of Abuse.
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Fall 2014 SHN Seminar Schedule

  • Updates have been made to 2014 Fall schedule of Summa Health Network seminars.
  • Please review the schedule and instructions on how to RSVP - we look forward to seeing you at the events!
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MyCare Ohio Plan Update

  • MyCare Ohio (dual eligible) participation is available through CareSource and UnitedHealthcare in both the East Central (Portage, Stark, Summit, and Wayne) and the Northeast (includes Medina) regions.
  • MyCare Ohio participation through Buckeye Health Plan is only available in the Northeast region (Cuyahoga, Geauga, Lake, Lorain and Medina counties).
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