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In this issue
- Register! Virtual Annual Meetings
- Virtual PHO Elections
- CI-1 Now Live
- Recoupments
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Reminder! APP Incentive Program Transformation |
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As a value of our partnership, you have value-based earning potential through the APP incentive based on performance in the Clinical Integration (CI) and other APP programs. We've redesigned the APP Incentive Program to simplify and compliantly align payouts with quality and financial performance drivers to strengthen our focus on delivering better health care value. Learn more about the changes and our commitment to your success:
Resources
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C1-1: You are strongly encouraged to take this now for a more in-depth overview and CI credit. The course is now live in eUniversity.
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Incentive Guide: This includes FAQs, tips for success and a grid comparing the redesign with the previous program. View here.
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Register! Virtual Annual Meetings |
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Get the latest updates and information to support our shared success in 2022. There will be ample time for Q&A – your questions and feedback are welcome and encouraged!
Gary Stuck, DO, FAAFP, Don Calcagno and Carrie Nelson, MD, MS, FAAFP, will be joined by your local PHO leadership.
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Central Chicagoland
April 12 | 5:30-6:30 p.m.
Illinois Masonic, Lutheran, Good Samaritan, Legacy Dreyer
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South Chicagoland
April 14 | 5:30-6:30 p.m.
Christ, South Suburban,
Trinity
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North Illinois
April 20 | 5:30-6:30 p.m.
Condell, Good Shepherd, Sherman
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Virtual PHO Elections
As a physician-led organization, your elected colleagues work continuously on APP boards and committees to ensure your voice is heard. The links below can be used to join your primary PHO's virtual election at the date/time listed. No registration required.
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Clinical Integration Program
CI-1 and other required courses now available
Visit eUniversity, accessible under Quick Links on APP Pro, to access CI-1 and other required courses. See details below and view more details here.
- CI-1 overview for APP aligned physicians
- Completion by June 30, 2022 – top tier target (full points)
- Completion by July 31, 2022 – mid-tier target (partial points)
- Completion by Sept. 30, 2022 – low tier target (partial points)
- Compliance education course
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Completion by June 30, 2022, for physicians and APCs. As a CMS and health plan requirement, failure to complete this required compliance training by the due date may result in APP membership termination.
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Two elective courses: Due by Dec. 31, 2022
Additional CI update
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Epic Updates
Recoupments are coming: Implementation of recoupment notifications were postponed to focus on claims processing issues since go live of EpicCare Link (ECL). After validation of the recoupment/refund requests identified and pending in ECL, recoupment notifications will begin. APP will deduct or “take back” from future claims payments for claims dates of service 4/1/2021 to present, starting Q2 2022. The majority of recoupments are result of retrospective change to patient insurance eligibility. Recoupments may also be taken for coding issues or coordination of benefits where an APP HMO contract was not primary. These recoupments will appear on the Remittance Advice Summary. The overpayment/recoupment notices and deductions/adjustments will take place regularly going forward.
Reminder action required: Haiku/Canto two-factor authentication coming soon: If you are a Haiku/Canto user, two-factor authentication will be enabled April 5. You need to take action prior to this change to continue to access your apps. See this tip sheet to prepare.
Epic Update: Hospital edition for physicians and APCs: The latest Epic Update: Hospital edition for physicians and APCs includes updates on Haiku/Canto two-factor authentication, a change in code status involving BPA update and changes to the expiring telemetry order BPA.
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Code Status Policy live March 31: This policy addresses Code Status/DNR orders and creates standard procedures and consistency with Epic orders. Topics include how to interpret code status orders, code status during procedures, continuity of DNR orders between inpatient and outpatient settings and management of requests for resuscitative treatment that has no medical benefit. Learn more about code status and additional key dates for Advance Care Planning and Shared Decision Making in Serious Illness.
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Thank you for Changing Lives
On March 30, National Doctor’s Day, we join health systems across the nation to express gratitude and appreciation for you -- our doctors -- for the countless lives you change every day. Wherever and whenever a patient needs your expert care, you are there. You give your all to help others live well, and we thank you. Look for a special Doctor’s Day newsletter on March 30 with messages from our leaders, resources to support your well-being and stories of your colleagues advancing health equity to help all people live well.
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Celebrating Women in Medicine |
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During Women’s History month, and every day, we celebrate the diverse talents and achievements of women across Advocate Aurora Health.
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Trailblazing women in medicine: Carrie Nelson, MD, MS, FAAFP, Chief Clinical Officer, SVP/Chief Medical Officer, Population Health and Health Outcomes, was featured in a CBS segment recognizing “trailblazing” women in health care. Watch.
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Hall of Honor: Mother McAuley Liberal Arts High School inducted Emelie Ilarde, MD, family medicine, into its Hall of Honor for her APP leadership, including her newly elected position as vice chair of the APP Board – becoming the first woman to serve in this position. Read more.
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Continuing Medical Education and Events |
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MEDtalks: Identifying and responding to human trafficking in health care
Thursday, April 21 | 7–8 a.m.
Human trafficking is a major public health problem, both domestically and internationally. Health care physicians and APCs are often the only professionals to interact with trafficking victims who are still in captivity. Join this webinar to learn more about trafficking in the U.S., how to identify victims of trafficking and what tools you can use to help them in the clinical setting.
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CME Website: Webinars & Recordings |
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