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Clinically Integrated Network Newsletter
August 24, 2022
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Upcoming Events
September 8, 2022
September 14, 2022
October 12, 2022
November 9, 2022
December 14, 2022
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Your 2021 CI Index Score
You should have received a report of your 2021 Clinical Integration (CI) Index Score on August 4, 2022 in your practice’s OneDrive account. Providers who earn a CI Index score of 60 or above and who have met their 2021 CI participation requirements are eligible for a 2021 performance-based incentive payment. The 2022 and 2023 CI Program will be revised to better align with value-based contract performance targets.
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PCPs: Review Your Customized Reports
Voluntary PCPs in our network received customized value-based care performance reports in their One Drive accounts on August 10. Please be sure to view these reports to see how you’re performing on quality, clinical documentation, and efficiency metrics for patients under value-Based Care contracts. The patient opportunity report includes patient-level information on care gaps and includes all gaps for that patient including chronic condition recapture, quality and patients who have not been seen. Use this report to inform your patient outreach strategy.
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Advise your patients to text or call 988 to reach trained crisis counselors
988 is the new three-digit dialing code connecting people to the existing National Suicide Prevention Lifeline (now the 988 Suicide and Crisis Lifeline) where compassionate, accessible care and support is available for anyone experiencing mental health-related distress — whether that is thoughts of suicide, mental health or substance use crisis, or any other kind of emotional distress.
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Clinical Considerations for the Monkeypox Outbreak
Currently, monkeypox seems to be most prevalent among men who have sex with other men. Most cases are mild and get better on their own. However, monkeypox can be very painful, and depending on where it appears and the extent, the rash can lead to permanent scarring. Click here for patient-friendly information on monkeypox.
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Commercial laboratory testing is now available in New York City. Providers should submit specimens through commercial labs if possible, however testing will continue to be available at the NYC Public Health Laboratory (PHL), with prior approval, by calling the Provider Access Line at 866-692-3641. Click here for more information on laboratory testing at the NYC PHL.
Bernard Camins, MD, Mount Sinai Health System's Medical Director for Infection Prevention, has been on top of this outbreak since it started. He wants to assure everyone that health care workers are not at risk of becoming infected with monkeypox while providing care if they consider the diagnosis and wear the appropriate PPE. Monkeypox is not as transmissible as COVID-19. Most transmission occurs as a result of skin-to-skin contact with infectious lesions. If you wear an N95 respirator, eye protection, gown, and gloves when you care for patients with suspected or confirmed monkeypox, you will avoid any high-risk exposures.
Review the following resources for providers to learn more:
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Register Now: MSHP Town Hall Gathering on September 8, 2022
Join Mount Sinai Health Partners for a virtual Town Hall Gathering on September 8, 2022. During this Town Hall MSHP will discuss:
- Mount Sinai Health System Updates
- Viral Diseases update (COVID-19 and Monkeypox)
- Quality, CDQI and Efficiency Performance to Date, Next Steps for 2022
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Join Us! Mind Matters ECHO
Dr. Jill Sisselman will present the case of a young adult with diagnoses of depression and anxiety along with current passive suicidal ideation. Dr. Sisselman is seeking feedback on when to send a patient to the ED versus when it is more appropriate to work on an outpatient plan.
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Dr. Robert Fields, Chief Population Health Officer for the Mount Sinai Health System, will then speak briefly on his experience as a physician losing a patient to suicide before Dr. Jonathan DePierro gives a didactic presentation on managing suicidality in primary care.
Mind Matters ECHO is appropriate for any clinician who encounters behavioral health needs or challenges in their practice.
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Keep Care in Network with Our Provider Search Tool
Use our Provider Search tool to find referrals for your patients within the Clinically Integrated Network. Search by zip code or name and filter by specialty and/or health plan. You can also prepare a directory by county, specialty, or payer.
To learn more about how to use Provider Search, watch this brief video or review this quick guide.
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The Passing of Allan Kornblau
We are deeply saddened to report the passing of Allan Kornblau. An attorney as well as the practice manager and husband of our CIN colleague, Dr. Michelle Li, Allan was an active and kind member of the MSHP community. We will fondly remember his participation and smile at MSHP events and are sending our condolences to Dr. Li and all of Allan's loved ones.
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Michael Berger, Vice President and Chief Data and Analytics Officer at Mount Sinai Health Partners Named One of 40 Chief Data and Analytics Officers Making an Impact in Healthcare by Becker's Hospital Review
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COVID-19 Updates and Reminders from Cigna
Cigna shared their updated COVID-19 vaccine coverage policy, including CPT codes for recently approved pediatric vaccinations and boosters.
Cigna would also like to remind providers of guidelines for billing Place of Service (POS) for virtual care:
- Providers should use Place of Service (POS) 02 for virtual care services
- Providers will receive 100 percent of face-to-face reimbursement for covered virtual care services when using POS 02
- Patients may also pay a lower cost-share for the virtual services they receive due to a recent change in some plan benefits
- Providers should not bill POS 10 (or Modifiers 93 or FQ) for virtual care at this time
- POS 10 should not be denied nor reduce reimbursement, but it will not reduce patients' cost-share
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Emblem August Provider Newsletter
Emblem shared their August provider newsletter. Please review for details on the annual special needs model of care (SNP MOC) training among other important updates.
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Cigna Q3 2022 Network News
- Effective July 1, 2022 providers should bill all virtual care services billing code Place of Service (POS) 02
- Codes added and removed from preauthorization list
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UnitedHealthcare Policy and Protocol Updates
UnitedHealthcare updated some policies and protocols. View benefit, medical, reimbursement, and specialty drug updates here.
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Chronic Condition Management |
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Medications to Avoid in Patients with Heart Failure |
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Certain medicines may cause clinical worsening in patients with heart failure. Follow the below guidelines to avoid further damage.
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NSAIDs should not be used in all types of heart failure
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Third generation calcium channel blockers such as amlodipine may be used for blood pressure control in heart failure with reduced ejection fraction (HFrEF)
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Other calcium channel blockers such as verapamil, diltiazem, and nifedipine should be avoided in patients with HFrEF
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Routine use of nitrates should be avoided in patients with heart failure with preserved ejection fraction (HFpEF)
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Sign up for clinical event notifications and perform timely post-discharge follow up
Clinical event notifications alert you to patient ED and hospital admissions and discharges via text message, EMR direct message, and/or secure email. This will help you coordinate outpatient services for your patients, leading to a higher quality of care and reducing rates of hospital readmissions and ED visits.
Learn More
Log in to the MSHP Provider Portal and select “Subscription Notification Management” tile to get started. Watch this quick video or review the instruction guide to learn more about accessing the Subscription Notification Management tool.
Once you set your notification preferences in the tool, you will receive real-time inpatient/ED alerts and discharge summaries for your patients who register in emergency departments or are admitted to any Mount Sinai Hospital, Mount Sinai HIE, Healthix and hospitals connected to the Statewide Health Information Network (SHIN-NY).
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Welcome New MSHP Providers!
We'd like to extend a warm welcome to all new provider members who recently joined our clinically integrated network.
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Primary Care
Aaron E. Walfish, MD
Internal Medicine
Aaron Walfish, M.D.
Forest Hills, NY
Vino K. Palli, MD
Internal Medicine
Michelle Li, MD
New York, NY
Specialty Care
Priya Airen, MD
Internal Medicine
Telemedicine Associates, PC
Brooklyn, NY
Hilary W. Alpert, MD
Orthopaedic Surgery
Gotham City Sports Medicine, PLLC
New York, NY
Joel A. Baum, MD
Gastroenterology
Joel A Baum
Forest Hills, NY
Recaredo Berbano, MD
Endocrinology
Bethany Medical Clinic of New York, PLLC
New York, NY
Anthony G. Curreri, MD
Ophthalmology
Curreri Ophthalmology Care, LLC
New York, NY
Robert L. Finney
Dermatology
Entiere Dermatology
New York, NY
Peter Gontzes, MD
Allergy & Immunology
ENT and Allergy Associates
Astoria, NY
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Scott B. Hammerman, MD
Dermatology
Scott Hammerman MD PC
New York, NY
Hope S. Langer, MD
Obstetrics & Gynecology
Michael Terrani MD PC
New York, NY
Marie C. Leger, MD
Dermatology
Entiere Dermatology
New York, NY
Melissa Levin, MD
Dermatology
Entiere Dermatology
New York, NY
Jack Levy, MD
Dermatology
Flatiron Family Medical, PC
New York, NY
Aaron E. Walfish, MD
Internal Medicine
Aaron Walfish, M.D.
Forest Hills, NY
Christina T. Zhang, DO
Emergency Medicine
Michelle Li, MD
New York, NY
Advanced Care Practitioners
Nicollette Monzidelis, NP
Nurse Practitioner
Gynecology & Integrative Women's Care, PC
New York, NY
Despina Psyllis, PA
Physician Assistant
Simply Dermatology, PLLC
Melville, NY
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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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P: 877-234-6667
F: 646-537-1481
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