View as Webpage Clinically Integrated Network Newsletter December 15, 2021

Happy Holidays From All at Mount Sinai Health Partners!   From all of us at MSHP, we wish you the very best this holiday season! We hope you take the time to relax and rejuvenate with your loved ones, and we are deeply appreciative of all the hard work you've put in this year. We look forward to accomplishing even more together in 2022!

Announcements

Register Now for the 2022 Mind Matters Anxiety Module Mind Matters ECHO will be back in January 2022 with a module on managing anxiety in primary care. Join us once a month for case presentations from your colleagues as well as expert didactic presentations on screening and treating anxiety in the primary care setting. Click on the links below to register for each session.  January 12, 2022 Barriers to Screening for Anxiety: Effective Solutions for Proactive Anxiety Management February 9, 2022 Effective Treatments for Anxiety: Psychotherapy March 9, 2022 Effective Treatments for Anxiety: Pharmacology April 13, 2022 Understanding and Managing Side Effects of Commonly Prescribed Anxiolytics

Register Now for MSHP’s January Town Hall! Mount Sinai Health Partners will be hosting a virtual Town Hall Gathering on Thursday, January 27 from 6:00 – 7:30 PM. During this Town Hall MSHP will discuss:  Mount Sinai Health System Updates COVID-19 Updates MSHP’s 2022 Clinical Integration Program Updates Colorectal Cancer Screening- Clinical Update   Click here to register for the Town Hall. We look forward to seeing you there!

Q3 PCP Care Coordination Payments Checks for Q3 PCP 2021 Care Coordination payments will be issued in late December.

Medical Malpractice Insurance Discount   As members of MSHP’s clinically integrated network, you are eligible to receive discounted rates on medical malpractice insurance offered by TDC Group, an organization founded and led by physicians. Please refer to this flyer for more information on this offer, including examples of premium rates. You may request a quote at thedoctors.com/nyquote or by contacting Brian Dalton at TDC Group at Brian.Dalton@thedoctors.com.

Mount Sinai Experts Explain What the Omicron Variant Means For Your Patients   Two of the Mount Sinai Health System’s leading experts, Judith A. Aberg, MD, Dean of System Operations for Clinical Sciences and Chief of the Division of Infectious Diseases, and Bernard Camins, MD, Medical Director for Infection Prevention explain what your patients need to know about the Omicron variant.

Deadline Extended! Submit Your Historical Colorectal Cancer Screening Reports by January 31, 2022 In early November, you should have received your Patient Opportunity Reports via your practice’s OneDrive account. This patient-level spreadsheet identifies any patient with a care gap and includes all gaps for that patient including chronic condition recapture, quality and patients who have not been seen. Upon reviewing your Patient Opportunity Report, if you find a discrepancy with colorectal cancer screening being completed in prior years (before 2021) and within the measurement acceptance period, please follow the instructions below to submit historical reports to the MSHP Quality Team by January 31, 2022.   It is important to submit these reports as it will help maximize your 2021 CI Index score/incentive potential.   Instructions to submit your historical colorectal cancer screening reports 1. Colorectal cancer screening reports: Please name the file <PracticeName_PatientLastName_PatientDOB> 2.  Upload your colorectal cancer screening reports by January 31 2022 “via OneDrive”: File directory: MSHP Quality Report > Practice folder Name > Quality Reporting>To MSHP Read this communication for details.

New York State is Permitting NPs and PAs to Sign Home Care Orders   Effective November 8, 2021, 18 NYCRR § 505.14 is revised to permit Nurse Practitioners and Physician Assistants (PAs) to sign home care orders. Learn more.

Payer Updates

Congress Passes Protecting Medicare and American Farmers from Sequester Cuts Act Last week Congress passed and the President signed into law the Protecting Medicare and American Farmers from Sequester Cuts Act that would prevent or delay numerous potential Medicare payment cuts that were scheduled to take effect in 2022.   The package’s Medicare provisions will:  Stop the 4 percent statutory Pay-As-You-Go (PAYGO) cuts through 2023 Extend the moratorium on the 2 percent Medicare sequester cut for the first three months of 2022, followed by a reduced 1 percent cut through June 2022 Provide a one-year rate increase of 3 percent for services delivered under the Medicare Physician Fee Schedule, which offsets much of the 3.75% decrease that was scheduled to go into effect in 2022. Learn more.

Preventive Care Updates from UnitedHealthcare Please take note of the latest preventive care services coverage determination guidelines from UnitedHealthcare.

Updates from Bright HealthCare Bright HealthCare has joined the InstaMed Network to deliver your payments via free electronic remittance advice (ERA) and electronic funds transfer (EFT). To receive Bright HealthCare payments as free ERA/EFT, register at www.instamed.com/eraeft. Read the FAQs Beginning 1/1/2022, a new team will conduct Utilization Management review for Bright HealthCare Medicare Advantage members. In the new year, providers can start submitting authorizations via phone and fax at the numbers listed below. You can access fax forms at brighthealthcare.com/provider/utilization-management. Provider Services phone: 1-844-926-4522 UM fax: 1-888-337-2174

Cigna Precertification Update Effective January 1, 2022, Cigna will require precertification for the gastroenterology procedures listed below for most Cigna commercial (non-Medicare) customers. Esophagoscopy/ Esophagogastroduodenoscopy Most capsule endoscopies Precertification requests Cigna has delegated precertification of these procedures to eviCore healthcare (eviCore). eviCore will begin accepting precertification requests on December 13, 2021 for services scheduled on or after January 1, 2022. There will be a two-week grace period for claims with dates of service between January 1, 2022 and January 15, 2022, when Cigna will process claims without precertification.

MOC Training for SNP Providers Aetna Participating providers in Aetna's Dual Eligible (DSNP) are required to complete annual Model of Care (MOC) training. Action Needed by December 31, 2021: Complete this training Complete this attestation form Learn more Bright HealthCare CMS requires all participating providers participating with Bright HealthCare’s D-SNP and C-SNP plans to complete annual Model of Care (MOC) training.  Action Needed by December 31, 2021: Complete this training by December 31, 2021 Complete this attestation form

Welcome New Members

Welcome New MSHP Providers!   We'd like to extend a warm welcome to all new provider members who recently joined our clinically integrated network.

Specialty Care Shilpi B. Ahuja, MD Internal Medicine Shilpi Ahuja Maspeth, NY   Beau A. DiCicco, MD Dermatology Bobby Buka MD, PC New York, NY   Anthony J. Terraciano, MD Ophthalmology P.A. Terraciano MD, PC Bronx, NY Daniel Zilberbrand, DPM Foot and Ankle Surgery Jay Kerner, DPM Rockville Centre, NY

Advanced Care Practitioners Saonjie F. Hamilton, CNM Certified Nurse Midwife Lower Manhattan Medical Care PC Brooklyn, NY Gabriela M. Hayes, PA Physician Assistant Ryan-NENA Community Health Center New York, NY   Yael Offer, CNM Certified Nurse Midwife Lower Manhattan Medical Care PC Brooklyn, NY

Tip of the Month

Diabetes December Tip This month we focus on the diabetic foot exam. Patients with diabetes should have an annual physical examination to assess for skin integrity, deformities, vascular perfusion including pedal pulses, and neuropathy/loss of protective reflexes. Learn more about diabetic foot care and treatment. Read all the Condition Management Tips of the Month

Reminders

COVID-19 Diagnosis and Testing Cost-sharing Waivers Remain in Effect Until 12/29/2021 The New York State Department of Financial Services has issued emergency regulations requiring that cost-sharing waivers associated with COVID-19 diagnosis and testing remain in effect until December 29, 2021. New York insurers will continue to be responsible for reimbursing hospitals for any applicable cost sharing. Read the bulletin.

Complete Your 2021 CI Program Requirements All providers must complete their CI program requirements by the end of the year to remain compliant with the Clinical Integration Program. Review the requirements here.

If you have any questions about any of our announcements, please contact your Population Health Manager, email Mount Sinai Health Partners at mshp@mountsinai.org or call us at 877-234-6667.

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Contact Us P: 877-234-6667 F: 646-537-1481 E: MSHP@mountsinai.org