Latest news

Complete Network Bulletin Available Here

FRONT AND CENTER (P 3)

Communication Effectiveness Survey (P 3)

“Speak for Yourself - Plan Your Care” is an advance care planning initiative through, Lakeland Health, Caring Circle, and the Southwestern Michigan Community. It involves a systematic approach to advance care planning. We are encouraging people, at any age, to have a designated decision maker, and identify their end-of-life wishes. The focus of the “Speak for Yourself - Plan Your Care” pilot is to have meaningful discussions with patients who are seriously ill and frail. Certified facilitators are located within the following pilot sites:

Care Coordination and Collaboration is an opportunity to maximize the Triple Aim goals while improving patient outcomes. We currently have several initiatives underway:

The 2016 Spring Edition of MPIE’s FACETS Newsletter is attached for your reference.  This issue contains the following articles:

Looking to change or add professional liability coverage?

Approximately two-thirds of the Lakeland Care Network physicians are insured by our long-time partner, the Michigan Professional Insurance Exchange (MPIE).  MPIE recently received an AM Best Rating of A- and continues to provide great rates to west Michigan physicians.

You may have noticed a couple of surveys from Lakeland Care in your email over the past few weeks, or you might have been contacted by the Advisory Board via phone. THANK YOU to those of you who took the time to reply online and/or agreed to speak to the Advisory Board.  We value your feedback!

Quick Summary:   Complete Network Bulletin Available Here

FRONT AND CENTER (P 3)

The UnitedHealthcare Community Plan "COMPASS" newsletter contains a variety of news and information of interest to Michigan patients, parents, and providers. The March issue includes new information about lead screening, MQIC updates, HPV vaccination, reports from the Michigan Cancer Consortium and more. Click on the following attachment to download the newsletter.

Quick Summary:  Complete Network Bulletin Available Here

FRONT AND CENTER (P 3)

Quality Improvement Programs Make Great Strides (P 3)

AM Best recently upgraded MPIE’s financial strength rating from to B++ stable (Good) to A- (Excellent) positive. The rating actions reflect MPIE’s strong risk-adjusted capitalization, historically profitable operating results, stable loss reserving trends and its expertise in Michigan’s medical professional liability market. Additionally, supportive rating factors include an expansion of MPIE’s enterprise risk management programs and underwriting performance that compares favorably with its peer companies.

The Lakeland Medical Office Association (LMOA) invites you to attend our May luncheon and meeting.

PROGRAM: Michigan State Medical Society presents: ICD-10 Aftermath, Payer Issues, CPT Coding, and MSMS Alerts

This presentation will focus on four main topics:

Lakeland Care has added a new employer group, Kruger Plastics Products, as an employer direct contract who uses Heritage Consultants as their payor.  Kruger Plastics employees’ access to the Lakeland Care Network began January 1, 2016.  Please verify they are presenting their new ID card showing Heritage Consultants, since this group has used United Health Care and Preferred Benefit Administrators over the past couple of years.

It's that time of year when allergy sufferers start to experience increased sneezing, a runny nose, itchy eyes, or a scratchy throat, due to high grass and tree pollen counts. Seasonal allergies, also sometimes called "hay fever," affect millions of people each year. Symptoms can be minor, or they can be more disruptive such as chronic sinus infections, or breathing difficulty associated with asthma.

If you suffer from seasonal allergies, lifestyle interventions and medications can provide relief. Here's what you need to know about living with seasonal allergies.

The State of Illinois has not passed a 2015/2016 budget and therefore has stopped funding claims payment specifically for the Quality Care Health Plan/ State of Illinois retirees membership, account #3181456.  Their ID cards are attached (front and back):

by Richard Stolz, Employee Benefit News

April 23, 2015

In a sign of increasing employer urgency for results, the percentage of wellness program sponsors offering incentives for various forms of employee engagement with those efforts rose to 87% last year, up from 77% two years ago.

The Lakeland Medical Office Association (LMOA) invites you to attend our March luncheon and meeting.

Program: “Do No Harm”: Best Practices for the Integral Roles of Medical Assistants and Administrative Personnel in the Physician Office

As of 12/1/15, Niles Community Schools has changed their insurance payor. The school system has switched from Preferred Benefit Administrators to BCBS. Please check for new ID cards from your patients.

Why should you think twice before opting for a lunchtime cheeseburger?

What you eat can significantly affect your work performance, but we rarely give our digestive decisions any thought, consultant Ron Friedman writes in the Harvard Business Review.

Many of us intuitively know that high-carb meals can lead to a "sugar high" (and then crash), and that high-fat diets can cause us to become tired quickly after eating. But Friedman notes that we do not always make smart decisions when it comes to how we refuel our bodies at lunch.

The Lakeland Medical Office Association (LMOA) invites you to attend our February luncheon and meeting.

PROGRAM:         How to Measure Success

We all want measures. We all want to make data-informed decisions and grow our organization.  But, how do we measure success?  How do we know where to start?  We should start at the beginning.  Mission, Vision and Values define our organization and how we measure success.

TigerText is widely used as a secure health care messaging app which allows users to safely exchange non-emergent PHI with colleagues.  TigerText messages are encryped and set to self-destruct after a preset period of time, which ensures maximum corporate data security.  The app also complies with HIPAA, SOX, and other regulations.  Visit the app store on your mobile device to download. For questions, contact the help desk at Lakeland.

 For ALL after-hour surgeries, please us the dedicated surgery line to call in a surgery team.

• Calling from outside Lakeland, dial (269) 982-2566
• Calling from in-house, dial extension 2566

By using this dedicated line, you bypass the automated greeting and avoid being placed in a queue where your call is answered in the order it was received.   The dedicated surgery line is answered immediately by an operator who will assist you by calling in the surgery on-call team.

A written attestation of CME completion (as required by the State of Michigan for licensure) will be required by the Medical Staff Office 60-90 days prior to your physician license renewal.  Upon re-credentialing, documentation of completed CMEs required by Lakeland will be reviewed, in addition to the written attestation.

April 24, 2015

Researchers have developed a new diet that could reduce a person's risk of developing Alzheimer's, the Wall Street Journal's Sumathi Reddy reports.The diet was developed by researchers at Rush University Medical Center and combines features of two other heart-healthy diets: The Mediterranean diet and the DASH diet. Called the MIND diet, it is low in high-fat foods, high in leafy vegetables, and encourages the consumption of blueberries—among other recommendations.

• Remember to keep collecting patient emails for the patient satisfaction surveys that are now through Sullivan Luallin
• Specialty offices:  Be on the look-out for an email regarding the Physician Group Incentive Program (PGIP) in the next month or two
• December’s PHO Report will be sent out this week to Epic practices
• Remember the deadline for PQRS submission is the end of February

The Lakeland Medical Office Association (LMOA) invites you to attend our January luncheon and meeting.

PROGRAM: Epic Insights

Join us for a FUN, interactive presentation of some of the most common misconceptions and insights into how EPIC works!  Audience participation and discussion on how to help get patients engaged with their healthcare and help staff know more about the system they use every day.

IT Topics to be discussed:

As a reminder, the co-pay for Lakeland Health's covered plan participants did not change for 2016. It remains at $30.

As a reminder, the Lakeland Care has two payors for the MI Health Link program which serves the Dual Eligible population: Meridian Complete and Aetna Better Health Premier.  Please note that "Aetna Better Health" is a Medicaid plan that Lakeland Care physicians do not participate with. 

Aetna Better Health Premier, one of our two payors for the dual-eligible population, has updated their EOB, after the feedback they received from physician practices during the October Lakeland Care payor conference.  The newly designed EOB will now show patient pay responsibility! They are working to add sequestration soon.

If your physician has been fully credentialed for all of the Lakeland Care payors, but is still in process for McLaren's Medicaid credentialing, you must obtain an authorization for services rendered to any McLaren patient during that interim period. When your office calls McLaren's customer service, ask the service representative for "MEDICAL MANAGEMENT' to get the authorization -- don't just ask the customer service rep. who answered the phone.  If you have the authorization, your claims will be processed as participating.

The Patient Experience surveys that are currently being performed by Arbor Associates, will be done by Sullivan & Luallin beginning January 1, 2016.  This new survey will be done via email, instead of phone calls to patients' homes.  It is important to make sure your office is gathering email addresses on each patient.

•EPIC OFFICES: the file which is currently being sent to Arbor, will automatically be updated with the new criteria and sent to Sullivan & Luallin weekly

The Lakeland Medical Office Association (LMOA) invites you to attend our November luncheon and meeting.

PROGRAM: Staff Harmony

Is “drama” in the workplace affecting your work environment? This presentation will identify why drama may be occurring. It also will discuss ways to address workplace issues that may be creating the drama.

The Michigan Professional Insurance Exchange (MPIE) is pleased to announce the relocation of their office to Bridgewater Place in downtown Grand Rapids. If your physician(s) are insured by MPIE for their professional liability coverage, please update your records with the following new address and phone and fax numbers, effective immediately.

NEW ADDRESS:

Michigan Professional Insurance Exchange
333 Bridge St. NW, Suite 810
Grand Rapids, MI 49504

NEW PHONE & FAX NUMBERS:

While many worried that the U.S. transition to ICD-10 was going to be the coding world’s equivalent to the apocalypse, I am happy to report that the transition has been about as “apocalyptic” as the Y2K panic was back in 2000.

On Wednesday, October 21, 2015, LMOA will host the Lakeland Care Network's Annual Payor Conference from 11:45 - 4:30 at the Hilton Garden Inn, in Benton Harbor. Invitations will be coming to your inbox soon! Please save the date so you can join us for this half day event.

Are you looking for some help with the conversion of ICD-9 to ICD-10 codes and vice versa? 
The American Association of Professional Coders (AAPC), the nation's largest medical coding training and certification association for medical coders, has created this link to help you.  

On Thursday, October 1, 2015, the United States’ code set will change from ICD-9 to ICD-10 after a 3 year delay. Lakeland has been clinically live with ICD-10 in Epic since October 1, 2014. There will be limited impact to the current views within Epic due to this code set change.

ICD-10 will affect diagnosis and inpatient procedure coding for everyone covered by the Health Insurance Portability and Accountability Act (HIPAA), not just those who submit Medicare or Medicaid claims.  Health care providers, payers, clearinghouses, and billing services must be prepared to comply with the transition to ICD-10 by October 1, 2015.Lakeland has been preparing for the October 1, 2015 deadline and we are confident that this will be a smooth transition.  All orders submitted to Lakeland for processing wil

Effective 7/1/15, Medicaid expansion was approved for Priority Health to provide care to Medicaid patients in our Southwest Michigan service area.  Because of this, Priority Health will be allowed to offer their Medicaid product to members in our area beginning 1/1/16.  All Lakeland Care participating Primary Care providers are automatically a part of this plan.  All Lakeland Care participating specialists can be considered participating for these new members if you choose to accept new patients.

Effective 8/15/15, Commercial Travelers will be the new claims payor for any Andrews University student that has the school-sponsored student insurance.  The previous payor, ASRM, will process claims with dates of service up to and including 8/14/15.  Only a handful of ID cards have been printed since Commercial Travelers is waiting for the final download of participating students from Andrews.  Until then, here is some information to help you to provide care and send in claims for those students:

Lakeland Health has joined five other leading Michigan health systems to form a Clinically Integrated Network (CIN). This network includes Allegiance Health (Jackson), Bronson Healthcare (Kalamazoo), Covenant HealthCare (Saginaw), Lakeland Health (St. Joseph), MidMichigan Health (Midland) and Sparrow Health System (Lansing).  Each of the organizations will continue to operate independently.