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Clinically Integrated Network Newsletter
December 18, 2023
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Happy holidays from all at MSHP | On behalf of all at MSHP, we sincerely wish you and your loved ones happy and healthy holidays. We look forward to another year of partnership and thank you for all you do for your patients and our network. | |
Q3 and Q4 Care Coordination Payments
Be on the lookout for your Q3 and Q4 2023 care coordination payments in December. We will notify you when they’re on their way!
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Complete Your 2023 CI Program Requirements Now | |
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If you have not completed your 2023 Clinical Integration Program Requirements, you received an email from MSHP on December 11 with details on how to complete your requirements by December 31, 2023.
Complete your CI Program requirements to remain an active member of the Clinically Integrated Network (CIN).
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Congratulations to Dr. Arshad Rahim! | |
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Congratulations to our very own Dr. Arshad Rahim on being named one of Becker's Hospital Review 130 hospital and health system chief medical officers to know for 2023!
As senior vice president of population health and a Chief Medical Officer within Mount Sinai Health System, Dr. Rahim directs, revolutionizes, and reshapes clinical operations for 500,000 patients. His main focus is ensuring the delivery of value-based care. He has been with Mount Sinai for over 10 years and is also a practicing internal medicine and hospitalist physician.
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Congratulations to the Newest Board of Managers Representatives
We are pleased to announce that the Mount Sinai Health Partners network has elected its 2024 Board of Managers. Thank you to the candidates who ran for these seats and for your participation in the nomination and election processes. We look forward to seating our new Board of Managers in 2024.
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Voluntary Manhattan PCP
Vino Palli, MD
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Voluntary Non-Manhattan PCP
Mitchell Kurk, DO
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Voluntary Manhattan Specialist
Gila Aaron, MD
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Employed Downtown Manhattan, Any Specialty
Alfred Burger, MD
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New CDQI Course Now Available on CILC
We are excited to announce an updated course, Introduction to Clinical Documentation Quality Improvement, is now available to watch on MSHP’s Clinical Integration Learning Center (CILC).
This course is presented by Ava Johnson, CDEO, CRC, CPC-I and Tanya Kapka, MD, MPH, from the Clinical Documentation and Quality Improvement Team at MSHP. They discuss the importance of coding documentation, commonly missed codes, and how to code for specific chronic conditions.
To access this course, please click here. Watching this video and submitting the corresponding attestation will meet a portion of the Program Engagement CI requirement for this year.
For any questions, please email outpatientcdqi@mountsinai.org.
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Close out the year by closing care gaps
Use your October 5, 2023 customized value-based care (VBC) performance reports in your One Drive account to develop your action plan for the rest of the year.
Review these reports to see how you’re performing on quality, clinical documentation (adult PCPs only), and efficiency metrics for patients under VBC contracts. The patient opportunity report (POR) includes patient-level information on care gaps and can be used to identify cohorts of patients that need visits to re-engage in care, close quality care gaps, and/or manage and document chronic conditions.
Be sure to prioritize seeing any Aetna patients on your practice’s POR report by December 31.This will support our network’s Q4 Aetna contract performance.
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Coming Soon: Annual Experience Surveys | Keep an eye on your inbox in January for our annual Provider Experience Survey and Office Manager Experience Survey. We value your feedback and suggestions and use them to inform our strategy and how to best serve you. | | | |
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Chronic Condition Management | |
A Year in Review: 2023 Tips of the Month | |
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Durable Medical Equipment Fraud Alert from Cigna
Cigna has identified an increase in fraudulent DME claims. Scammers are faxing provider offices, claiming to be Cigna, and requesting patient medical records with physician signatures. They then use those medical records to create and submit fraudulent DME claims to Cigna Healthcare.
Learn more, including what to do if you receive any suspicious faxes.
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Cigna Updates
Cigna shared several upates with us this month:
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EmblemHealth Provider Newsletter
Emblem shared their November and December provider newsletters. Highlights include:
- Annual provider notice and what to know for 2024
- Reimbursement and medical policy updates
- Aspire Health will become Carelon Health on January 1, 2024
- HMO member and PCP auto assignment policy change
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Welcome to MSHP!
We'd like to extend a warm welcome to the newest member of our Clinically Integrated Network:
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Chandana Attoti, MD
Cardiovascular Disease
Bronx Heart Medical, PC
Bronx, NY
Courtney Luikert, AUD
Audiology
ENT and Allergy Associates
Hackensack, NJ
David Chu, MD
Physical Medicine & Rehabilitation
Liveoak Medical
New York, NY
Ella Glaser, MD
Dermatology
Mack Dermatology, PC DBA GlamDerm
New York, NY
Gilberto Alvarez del Manzano, MD
Dermatology
Gilberto Alvarez del Manzano Dermatology PLLC
New York, NY
Irene Cohen, AUD
Audiology
ENT and Allergy Associates
Bridgewater, NJ
Juliette Flam Yoffe, MD
Otolaryngology
ENT and Allergy Associates
Yorktown Heights, NY
Kate Hirschmann-Levy, MD
Obstetrics & Gynecology
Kate Hirschmann-Levy MD PLLC
Brooklyn, NY
Mary Earnhardt, MD
Obstetrics & Gynecology
Goncharov Medical PC
New York, NY
Naghmeh Afrahim, AUD
Audiology
ENT and Allergy Associates
Bayside, NY
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Rivka Deutsch, AUD
Audiology
ENT and Allergy Associates
Brooklyn, NY
Robert Finney, MD
Dermatology
Bobby Buka MD, PC
New York, NY
Sarah McCord, MD
Pediatric Ophthalomology
Sarah A McCord
New York, NY
Svetoslav Bardarov, MD
Anatomic Pathology
New York Gastroenterology Associates LLP
New York, NY
Zahra Martinez, AUD
Audiology
ENT and Allergy Associates
Bayside, NY
| Advanced Practice Providers | |
Iris Looi, PA
Russak Dermatology Clinic, PC
New York, NY
Kyle Durrant, NP
Gynecology & Integrative Women's Care, PC
Brooklyn, NY
Madeline Kenler, NP
Gynecology & Integrative Women's Care, PC
Brooklyn, NY
Mary Parker Ahearn, NP
Gynecology & Integrative Women's Care, PC
New York, NY
Yasmin Ashir, PA
Bethany Medical Clinic of New York, PLLC
New York, 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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