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Newsletters

Spring 2016

Spring Provider Bulletin Top Stories

The issue was emailed to participating providers on March 14, 2016, and included the following topics:

Autumn 2015

Autumn Provider Bulletin Top Stories

The issue was emailed to participating providers on October 23, 2015, and included the following topics:

Summer 2015

Summer Provider Bulletin Top Stories

The issue was emailed to participating providers on June 25, 2015, and included the following topics:

Spring 2015

Spring Provider Bulletin Top Stories

The issue was emailed to participating providers on April 2, 2015, and included the following topics:

Winter 2015

Winter Provider Bulletin Top Stories

The issue was emailed to participating providers on January 7, 2015, and included the following topics:

Autumn 2014

Autumn Provider Bulletin Top Stories

The issue was emailed to participating providers on October 15, 2014, and included the following topics:

Summer 2014

Summer Provider Bulletin Top Stories

The issue was emailed to participating providers on July 9, 2014, and included the following topics:

Spring 2014

Provider Newsletter Expanded and Redesigned

Beginning with our Spring 2014 issue, we’ve combined our commercial and government provider newsletters, now called Provider Bulletin. We’ve also given the publication a fresh new look. The issue was emailed to participating providers on April 10, 2014, and includes the following topics:

If you did not receive your copy, please contact your Provider Service Representative, or sign up to receive future issues by completing our Opt-in Form.

Winter 2014

In the Winter edition of CommunityCare, we talk about the benefits of allowing PacificSource remote access to your EMR system. We also encourage providers to submit claims electronically for faster reimbursement, reduced costs, accuracy and greater efficiency. Get an update on ICD-10 and a review of Hospice billing for PacificSource Medicare. It’s not too late to order 2014 code books at a discounted rate, see the article for more details. Find information on Medicare's "2 Midnight" rule. We also cover topics such as, Medicaid outpatient observation billing requirements, the new Oregon Health Plan waiver and provide clarification on the CCO Quality Incentive Program.

Summer 2013

The summer newsletter includes common errors found in durable medical equipment claims. Submitting prior authorization and referral requests online. ICD-10 information and implementation guides for practices. We offer 2014 code books at a discount. Use the link in this newsletter to access the order form. Mandatory Medicare payment reductions. Non-physician payments. How to access the PacificSource Medicare provider manual. Coverage for Part D drugs not on the 2013 Formulary. How to bill for Medicaid hospice services. OHSU is now a participating provider across all lines of business with PacificSource.

Winter 2013

We encourage our providers to submit electronic claims and referral requests online. Learn how and why. Need to reach a local customer service agent? Find local and toll-free numbers for each of our regions. Outpatient therapy limits have been set through the American Taxpayer Relief Act of 2012. See therapy benefits for 2013. Learn why it is important to respond to Medicare Drug Integrity Contractor (MEDIC) correspondence to help fight fraud, waste, and abuse. You may be contacted by Altegra Health or MediConnect Global on our behalf. Read how Altegra Health will conduct the CMS required risk adjustment audit for our members and your patients and how MediConnect Global will conduct the Healthcare Effectiveness Data and Information Set (HEDIS) audit. Learn about auto approved referrals for Medicaid below the line (BLT) conditions.

December 2012

CommunityCare was developed to help furnish our providers with faster and easier access to the information you need. This newsletter highlights information specific to PacificSource Medicare and PacificSource Community Solutions (Medicaid) lines of business. CommunityCare is separate from our Provider Bulletin, currently in production for our Commercial products.

Among the topics in this issue, you will see changes to our member ID cards for 2013. Learn when referrals are required and what happens if a referral or preauthorization request is incomplete. We have provided a summary of 2013 Medicare and Medicaid pharmacy updates and Medicare plan changes and expansion in Oregon and Idaho. You will find information about using AIM Specialty Health for our Medicare Advantage plans beginning January 1. What is a Coordinated Care Organization (CCO)? Read about our role in this new patient-centered and team-focused model of healthcare. This and more, plus quick links to documents, tools, and resources.