Medicare B 2020 Updates

The Presentation

This Medicare Part B presentation encompasses 2020 updates, other important topics and valuable resources to assist your practice with successful Medicare billing.

The Presenter

Lori Weber is the current Oregon, Idaho and Utah Provider Outreach and Education (POE) representative with Noridian Healthcare Solutions, LLC. She joined Noridian Healthcare in 2006; the current Medicare Part B fee-for-service contractor for 13 states and 3 islands. She is a local chapter member of the American Academy of Professional Coders (AAPC), part of the CMS/Noridian Carrier Advisory Committee (CAC), part of the national Medicare Learning Network (MLN) committee, payer advisor to Carrington College and co-chairman of the Idaho HealthCare Conference (IHCC). She enjoys assisting and educating the provider community.

This webinar features content originally scheduled for the in-person Provider Education Summit (PES) events.

New CMS Interoperability Rule – What is Hype, What is Real?

The new interoperability and information blocking rule is here…what should you do now?

With the announcement of CMS and ONC’s finalized rules on interoperability and information blocking, it is important to understand exactly what this will mean for your organization. UHIN is here to help navigate these new waters with you and we will be providing helpful resources such as webinars, podcast episodes, FHIR trainings and articles to deep dive into timelines, technology requirements, and more. 

In order to provide the best information possible, please take this quick survey (2-5 mins) about the new rule: https://www.surveygizmo.com/s3/5498954/CMS-Interoperability-rule-questions

Where can you get more information now?

 

UHIN solutions can help

Not only is UHIN here to keep you updated and informed on the new rule, we have subject matter experts as well as a suite of products that can help! If you’re interested, reach out to us at interoperability@uhin.org.

Upcoming Webinars, Podcasts, and more

We will be putting out content around this topic in the coming weeks, including high-level overviews of the new rule and detailed deep dives of individual requirements. To get notified when content is available, sign up for our email list: http://eepurl.com/dreC3P

Have questions now and want to reach out to our team?

Reach out at interoperability@uhin.org

UHIN, INC. NAMES BRIAN CHIN AS NEW PRESIDENT AND CEO

Contact Information:
UHIN
801.227.9650
communications@uhin.org

Release Date:
February 13, 2020

UHIN, INC. NAMES BRIAN CHIN AS NEW PRESIDENT AND CEO

SALT LAKE CITY, UT, February 13, 2020 â€” The Utah Health Information Network (UHIN) board of directors has appointed Brian Chin as the company’s new Chief Executive Officer. He will assume the strategic and day-to-day leadership of the company and will also join UHIN’s Board of Directors.

Brian succeeds UHIN’s former President and CEO, Teresa Rivera, who announced her desire to step down last Fall . 

“After completing a full and thorough selection process, the Board and I believe that Brian is the right person to lead UHIN forward. His strong command of our organization and our current business, and his clear vision for the future of UHIN and its role in our community, make him an ideal CEO,” said Marc Bennett, Chairman of the UHIN Board. “We are excited to work with Brian to continue building that future.”

Brian has served UHIN for nearly ten years, most recently as Interim CEO. He has been the company’s Chief Financial Officer for the past seven years. 

“I am honored and excited to move UHIN forward and thank the Board for their support,” said Brian. “As we move forward together, our focus is the future of our company, its stakeholders, and healthcare transformation in our communities. I care about our community, our people, and our mission. I care about making a difference.”

Brian steps into his new role effective immediately. Maria Johnson, formerly UHIN’s Director of Finance, has been appointed to succeed Brian as CFO.

About UHIN: UHIN is a nonprofit company that connects healthcare providers, payers, state government and other stakeholders in order to reduce healthcare costs and improve quality and access for the community. We enable providers, payers and patients to exchange important information electronically. UHIN focuses on creating solutions that work for the entire healthcare community, from single-provider practices to large integrated healthcare systems. For more information, visit www.uhin.org.

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What are the annual Provider Education Summits?

What are the annual Provider Education Summits?

 You may have heard about the The Provider Education Summits (PES), but what are they and who are they for? Simply put, the PES is a series of healthcare education events for Utah’s provider community, specifically billers, coders, and office managers.

Hosted by UHIN, the summits are a collaboration between multiple healthcare organizations and feature a wide range of engaging subjects, including the ever-popular Payer Panel. Sessions typically cover important topics, such as Medicaid/Medicare, audits, compliance, denials/rejections, payer reimbursements, appeals, EDI basics, and documentation improvements.

What started in 1998 as a single room of tables staffed by local payer and practice management teams answering questions from a few dozen provider staffs, has now grown to a four-location summit that attracts more than 450 attendees each year. A diverse range of provider settings are represented, allowing excellent collaboration and networking opportunities.

In 2020 there will be more than a dozen separate breakout sessions from experts throughout the community and the Payer Panel will feature as 15 payer representatives participating in an hour-long Q&A session. Vendors and payer organizations are also part of a separate vendor hall where they can engage with attendees throughout the day.

As a non-profit organization, UHIN is dedicated to inspiring, educating, and connecting Utah’s healthcare community. The annual PES events will continue to play a vital role in that vision.

Learn more about the 2020 PES at https://uhin.org/events/pes2020/!

The 2020 PES dates and locations:

Provo, March 31: https://www.eventbrite.com/e/provider-education-summit-2020-provo-tickets-90197530241

St. George, April 7: https://www.eventbrite.com/e/provider-education-summit-2020-st-george-tickets-90196667661

Layton, April 15: https://www.eventbrite.com/e/provider-education-summit-2020-layton-tickets-90195299569

Salt Lake, April 16: https://www.eventbrite.com/e/provider-education-summit-2020-salt-lake-city-tickets-90184878399

Fall 2019 Newsletter

Fall 2019 UHIN Newsletter

It has been a whirlwind year at UHIN and we want to update you on everything happening in our neck of the woods. What you can expect in our Fall 2019 Newsletter:

  • 2019 Annual HIT Conference
  • SDoH: Poised to Care for the Complete Patient
  • UHIN Leadership Update
  • CHIE Alerts Case Study with Granger Clinic
  • Risk Stratification in your CHIE Alerts

We’re excited to announce that registration is now open for the 2019 HIT Conference. This year’s event is focused on Social Determinants of Health: The Invisible Health Story.

Date: November 19, 2019

Time: 7:30 a.m. – 5:00 p.m. MST

Location: Viridian Event Center, West Jordan, UT

Registration: www.hitconference.org

Registration includes:

Full day of conference access with breakfast, lunch, and all-day snacks provided

“I must confess that I chose to go to medical school because I had a little bit of a hero complex that drove me into the field…the self-delusional nature of this dream quickly faded during my third year of medical school…”

UHIN CMIO, Dr. Matt Hoffman, wrote the cover story for the most recent issue of Population Health magazine. Read it here.

Leadership Update

It was recently announced that Teresa Rivera has stepped down from her role as Chief Executive Officer. The UHIN Board of Directors has appointed Brian Chin, formerly UHIN’s Chief Financial Officer, as Interim CEO until a replacement chief executive is appointed.  Read more…

Case Study

Without knowing if and when their patients were admitted, transferred, or discharged from a hospital or emergency department (ED), and without reliable admissions data, Granger’s team found itself missing pieces necessary to manage their patients’ care.​ Read more…

LACE Scores

Need to know which patients to prioritize for care coordination and interventions? The new LACE score enhancement assigns a readmission risk score to your CHIE Alerts list, allowing your Care Coordination team to quickly and accurately identify low-, medium- and high-risk patients.

The calculation of the LACE Score is based on vital information necessary to prioritize patient outreach, including the length of stay in a hospital, acuity of the admission, any comorbidities, and the number of emergency department visits.

LACE Scores provided in CHIE Alerts utilized “problem lists” and ED visits from the entire community rather than a single hospital system, offering potentially greater accuracy. To get started with LACE scores in your CHIE Alerts, contact the CHIE Team at chie@uhin.org.

New Call Center Hours

We’ve recently changed our Call Center office hours!

New hours are Mondary – Friday from 8:00 a.m. – 5:00 p.m. MST.

We are closed 12:00 -1:00 p.m. MST each day for lunch

We are also closed each Tues 8:00 – 9:00 a.m. MST for training

Press Release: Resignation of UHIN CEO and President, Teresa Rivera

UHIN ANNOUNCES RESIGNATION OF PRESIDENT AND CEO, TERESA RIVERA

SALT LAKE CITY, UT, October 7, 2019 — The Utah Health Information Network (UHIN), a non-profit electronic data interchange company and Utah’s state-designated Health Information Exchange (HIE), today announced that Teresa Rivera has stepped down from her role as Chief Executive Officer. The UHIN Board of Directors has appointed Brian Chin, formerly UHIN’s Chief Financial Officer, as Interim CEO until a replacement chief executive is appointed.

Marc Bennett, Chairman of the UHIN Board, said, “The Board is committed to UHIN’s mission to improve the quality and decrease the cost of healthcare in our community. We see enormous opportunity to succeed in that mission with the talented teams and dynamic resources UHIN has at its disposal. UHIN continues to be in a strong financial position for the future as we seek to innovate and grow.”

Bennett continued, “On behalf of the Board, I wish to express sincere appreciation to Teresa for her service to UHIN and wish her well in her future endeavors. Teresa guided UHIN during a period in which the healthcare technology industry is experiencing increased disruption and I commend her for her dedication and commitment to this important work. I would also like to thank Brian and the rest of UHIN’s current executive leadership for their willingness to confidently lead UHIN during this reorganization.”

The Board is commencing a search for a permanent CEO and expects to leverage UHIN’s strong community affiliations to help identify candidates for the position and assure interim leadership support.

About UHIN: UHIN is a nonprofit coalition of healthcare providers, payers, state government and other stakeholders that have come together to reduce healthcare costs and improve quality and access for the community by enabling providers, payers and patients to exchange information electronically. UHIN focuses on creating electronic exchange solutions that work for the entire healthcare community, from single-provider practices to large integrated healthcare systems. For more information, visit www.uhin.org.

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Digital Marketing & Patient Payments

Marketing is all about establishing visibility, interest, preference and trust. The Digital Marketing landscape is changing in ways that can influence the relationship you have with your patients, and their care givers. There are a few tools that you can use to increase transparency and trust in order to reduce confusion, increase trust and ultimately improve collections from patients.

https://youtu.be/MwObSuhCheI

The Presenter

Brenner Adams has been involved in Fin Tech and Med Tech with roles in Marketing, Sales & Product Development for over 10 years. As an adjunct professor in the Strategy and Entrepreneurship Department at the University of Utah he has access to new solutions including some developed and launched right here in Utah with specific medical application.

Advances in Billing Practices for Applied Behavior Analysis/ABA Services

The Presentation

Applied Behavior Analysis (ABA) is the design, implementation, and evaluation of environmental modifications, using behavioral stimuli and consequences, to produce socially significant improvement in human behavior, including the use of direct observation, measurement, and functional analysis of the relationship between environment and behavior. Billing procedures prior to January 1, 2019 were done according to temporary CPT III Codes. The AMA adopted permanent CPT I codes effective January 1, 2019. Several significant changes occurred within the new code set. UHIN convened an ABA Billing Subcommittee to review the new codes and update the ABA Billing Standard under Utah State Rule R590-164. Payors and providers are encouraged to review the updated standard and understand the requirements pertaining to the new codes.

The Presenter

Dr. Mirella Petersen owns and operates a consulting practice devoted to assisting therapeutic providers with insurance contracting, software development, billing and revenue cycle management activities. She holds a Doctorate degree in Health Administration from Central Michigan University, a Master’s degree in Information Systems Management from Brigham Young University and a Bachelor’s degree in Information Systems & Technologies from Weber State University. Additionally, she holds professional certifications in International Health and Health Information Exchange.

CMS HIPAA Compliance Audits and Federal Standards

Would you be prepared for a CMS-sponsored HIPPA compliance review audit? Beginning this year, as part of the Compliance Review Program, nine randomly selected HIPAA-covered health plans and/or clearinghouses, regardless of whether they work with Medicaid or Medicare, will participate in these annual CMS audits.

Fortunately, UHIN helps our payer members meet federal standards through our multiple solutions. For example, with our hosted eligibility, payers provide UHIN with coverage and benefit information which is utilized to create a compliant response to providers seeking eligibility information on patients. UHIN also provides claims validation at various SNIP levels. If errors occur on a submitted claim or report, UHIN can reject the claim or file on the front end, and work with the provider to correctly resubmit their claims. Both examples dramatically increase interoperability and reduce administrative burden for payers, while promoting the timely submission of accurate claims files.

As a federally-recognized standards development organization, UHIN convenes the community to help draft local standards and review national standards. These ongoing community efforts further refine HIPAA transaction standards. The Standards Committee also works to educate our community on the latest information in both local and federal standards.

If you would like more information on our EDI validation editing, or would like to learn more about the Standards Committee, please do not hesitate to contact UHIN’s Customer Service at customerservice@uhin.org.

Using Purpose as the Foundation for a Successful Workplace

The Presentation

Your own purpose in life defines you personally. It also plays a vital role in the success of your office. In this session, we will discuss purpose, examine its connection to work, and gain the skills to make it the foundation for a successful workplace.

https://youtu.be/KqyQtLqDxxw

The Presenter

Christopher Katis is Director of Corporate Communications at UHIN. He has over 25 years of communication, marketing and PR experience. This experience has given him unique insights into effectively communicating with a variety of internal and external audiences. A prolific writer, he has twice received a reader-voted award for his monthly parenting column. He holds degrees in political science and Russian from the University of Utah, and a masters in international policy from the Monterey Institute of International Studies, a Middlebury graduate School.