Mount Sinai Health Partners
Clinically Integrated Network Newsletter
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Provider Spotlight: Dr. Sonia Gidwani, Pediatrician
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Technology, Access, and Efficiency in Pediatric Care: MSHP Spotlight on Dr. Sonia Gidwani, Pediatrician and Member of MSHP’s Clinically Integrated Network (CIN)
After practicing pediatrics at St. Luke’s Roosevelt Hospital where she rose to Chief of Ambulatory Pediatrics, Dr. Sonia Gidwani opened a private practice on the Upper West Side and joined MSHP’s CIN. We spoke with her about how she leverages technology to manage her practice efficiently and provide her patients with enhanced access to care.
Read more
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Dr. Fields continues speaking with frontline providers about their work in private practice today. In this episode he and Dr. Sonia Gidwani, a pediatrician on the Upper West Side, discuss how she uses her staff to maximize her practice efficiency, how embracing technology has been key to her success, managing quality reporting, and more.
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July 19, 2019
2019 Provider Experience Survey
Deadline to complete 2019 Provider Experience Survey and be entered to win an iPad
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September 27, 2019
Both PCPs and Specialists must complete Program Engagement and Privacy Training requirements by this date. PCPs must also complete quality reporting for Q3 by this date
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How are we doing? Let us know by July 19th and be entered to win an iPad!
You should have received an email with our 2019 Provider Experience Survey from Mount Sinai Health Partners on June 18th. We would like to hear from you on the communications, services, and resources that we offer. Your feedback is important to us and will help shape strategies for MSHP to improve your experience at the CIN. We would appreciate it if you took a few minutes to share your thoughts with us by Friday, July 19th. Completing the survey will automatically enter you into a sweepstakes to win an iPad. Please click
here
to read the official sweepstakes rules.
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Congratulations to our 2018 Clinical Integration Index Award Winners
We are pleased to recognize our top performing providers in four areas: Most Improved Quality Performance Metric Score (EMR Submissions), Most Improved Quality Performance Metric Score (Manual Submissions), 2018 Top CI Index Score (EMR Submissions), and 2018 Top CI Index Score (Manual Submissions). We presented the following honorees with certificates at our Q2 2019 Town Hall:
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Most Improved Quality Performance Metric Score — EMR Submissions
- Primary PartnerCare
- Ryan Health
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Most Improved Quality Performance Metric Score — Manual Submissions
- Attia MD PC
- Jonathan Warman, MD
- David A, Kamlet, MD, PC
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2018 Top CI Index Score — EMR Submissions
- Primary PartnerCare
- LI Queens Medical Associates, PC
- Park Avenue Medical Professionals
- Ryan Health
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2018 Top CI Index Score — Manual Submissions
- Margaret Kearns-Stanley, MD PLLC
- Gina Greco Tartaglia
- Susan E. Klein, MD
- Dominick Bioh, MD, PC
- Mahyar Eidgah, MD
- Astoria Healthcare Associates, LLP
- Downtown Family Medicine, PC
- Pride Medical, PLLC
- Stat Medical Care, PC
- Bernard Schayes, MD, PC
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Check Out MSHP’s New Website Look and Key Resources
We are pleased to share the
upgraded MSHP website
with a new look and feel to its homepage and behind log-in provider portal landing page. This means you’ll be able to access resources and information quickly and easily.
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What’s new?
- A new navigation and layout on our homepage for easier access to key resources
- A Quick Links button on our home page for quick access to our care management and MSHP support services
- A rotating carousel on our home page highlighting our latest provider spotlights, podcasts, newsletters, and information about MSHP
- A new design for the provider portal where you can more easily click on resources that you need as a CIN physician such as:
- Viewing practice resources
- Accessing online courses
- Reviewing past e-mails sent by MSHP and much more!
For more information about available resources for CIN providers, please click
here.
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We hope these changes will help make your experience on our website better. If you have any questions or suggestions, please reach out to
tiffany.cheng@mountsinai.org.
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Mount Sinai Health Partners Meets with Delegates from the National Healthcare Group of Singapore
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Three MSHP executives, Dr. Robert Fields, Chief Medical Officer, Denise Prince, Senior Vice President and Chief Operating Officer for Population Health, and Edward Lucy, MA, Chief Contracting Officer, met with delegates from the National Healthcare Group of Singapore on June 21st. The Singapore Health System is currently under-bedded and looking to build the right number of hospital beds into their system. MSHP shared insights with the delegates on population health management and their views on where the United States health care system is going. Thank you to the delegates for their visit, we enjoyed meeting with you!
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Thank You for Your Feedback on the Q2 2019 Town Hall
Thank you to everyone who shared their feedback with us about the Q2 2019 Town Hall. Overall, you found the presentations useful and enjoyed the networking dinner — a suggestion we implemented based on previous survey comments. We value your suggestions as it helps us create experiences that are catered to your needs and hope to see you at future MSHP events. As always, feel free to email us at
mshp@mountsinai.org
with any additional comments or suggestions.
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Innovations in Care for Patients with IBD
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I-PrePP Program for IBD Patients Planning a Family
Women with Inflammatory Bowel Disease (IBD) face innumerable challenges managing their disease while trying to conceive, during pregnancy, and in the post-partem period. Since IBD commonly affects women in their reproductive years, we have developed a high-quality, interdisciplinary program designed to help them.
The Marie and Barry Lipman IBD Preconception and Pregnancy Planning (I-PrePP) program brings together our specially trained gastroenterologists and obstetricians who specialize in high-risk reproductive health care for women with IBD. They prepare an individualized plan for each mom-to-be to help minimize flares and provide adequate nutrition for both mother and baby. Our doctors are also experts in the impact of IBD on fertility and pregnancy outcomes as well as the safety of medications used to treat IBD.
If you have an IBD patient who is pregnant or planning to become pregnant, we encourage you to refer them to our I-PrePP program.
For more information please go to
this website
. To refer a patient, please call 212-241-8100.
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Wherever possible, Mount Sinai Health Partners (MSHP) makes an effort to measure your quality performance using data for your patients attributed to MSHP’s payer contracts. This is only possible when MSHP receives submissions either via EMR feeds where it can filter on attributed patients, or when providers report on claims data for attributed patients through Lumeris, ADSP.
There are a variety of methods we accept for quality reporting. The data used to calculate your 2019 quality performance depends, in part, on what method of reporting you employ.
Please refer to the table below to see how your data gets counted.
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EmblemHealth Updates: Pre-Authorization Changes, Medicaid Children’s Behavioral Health Services, and Long-Term Support Services
Pre-Authorization Changes
Beginning August 1, HIP’s Commercial and Medicaid lines of business will have 99 codes with site-of-service rules that identify procedures that do not require pre-authorization if performed in certain office settings or in an ambulatory service center.
Medicaid Children’s Behavioral Health Service
Beginning July 1, the EmblemHealth Enhanced Care plan covers more behavioral health services for children and youth.
Long-Term Support Services
EmblemHealth has a new fax number and email address for requests for Long-Term Support Service (LTSS) for Medicaid patients. Email LTSS at
longtermsupportservices@emblemhealth.com
or send a fax to 212-510-5248.
For more information about any of these EmblemHealth updates, please click
here
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New to Empire Blue Cross Interactive Care Reviewer: Check Clinical Appeal Status
You can now check the status of your request to appeal a denied authorization through the Availity portal. Once logged in, select Patient Registration | Authorizations and Referrals | Auth Referral Inquiry. From the ICR top menu bar select Check Appeal Status. Type the Appeal Case ID and Member ID in the allocated fields. You will find the Appeal Case ID on the acknowledgement letter mailed to your organization. Key in the case ID exactly as it appears on the letter, including dashes.
For more information on how to use the Empire BCBS Interactive Care Reviewer, click
here
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P: 877-234-6667
F: 646-537-1481
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