Physician Partners COVID-19 Content and Updates

April 8, 2020

Physician Partners has created content and resources relevant to the current COVID-19 pandemic. This page will be updated as new content is made available.

CARES Act (Coronavirus Aid, Relief, and Economic Security Act)

The bill addresses the economic impacts of, and otherwise responds to, the COVID-19 (coronavirus) outbreak. The bill authorizes emergency loans to distressed businesses; with respect to health care, the bill -provides additional funding for the prevention, diagnosis, and treatment of COVID-19;

  • limits liability for volunteer health care professionals;
  • prioritizes Food and Drug Administration (FDA) review of certain drugs;
  • allows emergency use of certain diagnostic tests that are not approved by the FDA;
  • expands health-insurance coverage for diagnostic testing and requires coverage for preventative services and vaccines;
  • revises other provisions, including those regarding the medical supply chain, the national stockpile, the health care workforce, the Healthy Start program,
  • telehealth services, nutrition services, Medicare, and Medicaid.

 

CARES Act (Coronavirus Aid, Relief, and Economic Security Act) Webinar Presentation & Forms

Please find attached the slideshow presentation and supplemental SBA Loan spreadsheet referenced during the CARES Act webinar. Please note, the spreadsheet shows Employee 1 and Employee 2 as samples with formulas in place.

Please find attached the slideshow presentation and supplemental SBA Loans / Employees Data spreadsheet referenced during the CARES Act webinar. Please note, the spreadsheet shows Employee 1 and Employee 2 as samples with formulas in place.

Download Slideshow.pdf

Download SBA Spreadsheet.xlsx

 

Telehealth

Health officials at the Centers for Disease Control (CDC) have communicated many reasons to self-quarantine and reduce travel as much as possible due to the COVID-19 virus. Additionally, many patients are concerned about traveling to and from a physician’s office because of exposure risk.

Providing telehealth services is crucial to protect caregivers, not just patients. Preserving the health of our doctors and staff is paramount so they can continue to provide the much-needed care for our communities.

 

Telehealth Webinar Presentation & Forms

Please find attached the slideshow presentation and supplemental documents referenced during the Telehealth webinar. We have included a sample patient Telehealth consent form in both PDF and Word Doc, in addition to an Advance Beneficiary Notice of Noncoverage (ABN) document.

Download Slideshow.pdf

Download Telehealth Consent Form.pdf

Download Telehealth Consent Form.docx

Download ABN Form.docx

 

Overview

A Telehealth Consult is defined as a “Two-Way” live audio & visual interactive communication between a patient and his or her health care provider. This interaction does not require direct patient contact; however, the patient must be present and be engaged throughout the consult aka – “e-Visit”.

More information can be found regarding Telehealth consults and the recently announced 1135 waiver by visiting the Centers for Medicare & Medicaid Services (CMS) website – Click here to learn more

Please note – The use of audio-only telephone, facsimile machines, texting, or e-mail does not constitute a Telehealth consult. There may be differences in reimbursement and coverage between CMS and commercial carriers.

 

Reimbursement & Billing

Physician Partners recommends each provider’s office contact the insurance carrier to determine if a patient’s current policy will cover Telehealth services. The office may also obtain a signed waiver from the patient prior to the Telehealth consult, acknowledging the patient’s financial responsibility should the insurance carrier refuse to cover the service.

Most insurance payers will reimburse using the visit code, along with the modifier (95), and place of service Telehealth (02).

CMS has created a list of services that are payable under the Medicare Physician Fee Schedule when furnished via telehealth. Click the button below to visit the CMS website and download a file that lists covered telehealth services and their corresponding codes.

View Telehealth Codes

 

Recent Changes in HIPAA Policy for Telehealth – via Office of Civil Rights (OCR), Effective March 6, 2020

CMS has made drastic changes to its HIPAA policy which allows for Telehealth consultation and treatment for nearly any type of outpatient encounter.

A covered health care provider in the exercise of his or her professional judgment may request to examine a patient exhibiting COVID-19 symptoms using a video chat application connecting the provider’s and patient’s phone, tablet, or desktop computer in order to assess a greater number of patients while limiting the spread of infection.

Likewise, a covered health care provider may provide telehealth services in the exercise of his or her professional judgment to assess or treat any other medical or mental health condition, even if not related to COVID-19.

Under the recent notice provided by CMS, covered health care providers may use popular applications that allow for video chats, including Apple FaceTime, Facebook Messenger video chat, Google Hangouts video, or Zoom, to provide telehealth services without the risk of a penalty for noncompliance with HIPAA rules. Providers are encouraged to notify patients that these third-party applications potentially introduce privacy risks and providers should attempt to enable encryption and privacy modes when using such applications. 

Under this Notice, however, Facebook Live, Twitch, TikTok, and similar video communication applications are public-facing, and should not be used.

Covered health care providers who insist on additional privacy protections while conducting telehealth consultations should utilize a paid service with one of the recommended vendors noted below and enter into a Business Associate Agreement (BAA) with them.

 

Secure & Non-Secure Technologies

(Allowed by CMS & OCR during COVID-19 Pandemic)

 

Web Cameras

All Telehealth technologies will work on mobile devices, including iPhones and Androids. This is the easiest way to get up and running.

A stationary camera connected to a computer provides the best viewing experience for patients. Currently, many online retailers are either out of stock or back-ordered due to the recent high demand. It is not a requirement that you wait to purchase or use a web camera to begin providing telehealth services to your patients. Using your mobile device is, again, the easiest way to get started.

If you would like to search the internet for a USB capable web camera, click here.

If you elect to use your mobile device or tablet to conduct a Telehealth consult, consider using a workspace stand to hold your phone or tablet in place during the consult — click here to view stands.

Technology Services – Contact Information

Zoom Healthcare – To view Zoom’s website and begin setting up your healthcare provider account, please visit their website at https://zoom.us/healthcare. Please note – You may use the temporary promotional code “PORTFOLIOPARTNER-ZOOM” to save up to $399.80 on your annual subscription fees.

Vsee Telehealth – To learn more about Vsee and their services, please visit https://vsee.com/. Please note -Vsee offers other valuable features, such as patient intake, consent, and a virtual triage queue.

Apple Face Time – To learn more about using Apple Face Time video meetings, please visit Apple’s website by clicking here.

Google Hangouts Video – To learn more about using Google Hangouts video meetings, please click here. Please Note – You will need to download the Google Hangouts app to your Android device first, which can be found by clicking here.

***Using Apple Face Time or Google Hangouts Video may share your personal mobile phone number or personal contact information with patients. It is recommended that you review your settings in advance.

 

Affiliate Resources

If you have any questions about instituting & billing for telehealth services at your practice, please contact Absolute Solutions at (858) 251-0351 or email them directly at info@abs-sol.com. Their company, a trusted member of our Physician Resource Center, has developed a comprehensive telehealth training program that has been discounted for Physician Partners members.

If you need assistance setting-up a virtual office or a remote workspace, contact Edge-tech Solutions, another trusted affiliate partner in our Physician Resource Center. You may reach them by phone at (619) 535-6911 or via email at support@edgetechsolutions.com. Their company also extends preferred services and pricing to Physician Partners members.

 

CMA Resource Guide | Financial Assistance for Medical Practices During the COVID-19 Pandemic

The California Medical Association has provided a resource guide of financial assistance available to medical practices during and after this difficult time so physicians have the information they need to make the right decisions for their businesses and families.

View CMA Resources Guide

Congratulations to Our Physician Members Named “2019 – Top Doctors”

November 22, 2019

Congratulations to our physician members named 2019 – Top Doctors in the annual San Diego Magazine “Physicians of Exceptional Excellence” peer-nominated survey!

Nearly 100 Scripps Mercy Physician Partners members have been recognized, many of whom have made the list several times before.

Anesthesiology

Lars Newsome, MD

 

Cardiovascular Disease

Batyrjan Bulibek, MD
Bruce Kimura, MD
Damian Rasch, DO
Eric Hong, MD
Jeffry Mullvain, MD
John Backman, MD
Martin Charlat, MD
Maurice Buchbinder, MD
Patrick McGinty, MD
Paul Phillips, MD
Raghava Gollapudi, MD
Roy Avalos, MD

 

Clinical Cardiac Electrophysiology

Ali Hamzei, MD

 

Colon and Rectal Surgery

Matthew Schultzel, DO

 

Dermatology

Alice Liu, MD, PhD
Judith Koperski, MD
Michelle Jackson, MD
Robert Scheinberg, MD
Sheila Krishna, MD
Sherry Rotunda, MD
Susan Shimomaye, MD

 

Endocrinology, Diabetes and Metabolism

Paul Speckart, MD

 

Family Medicine

Douglas Dengerink, DO
Jeffrey Anthony, DO
Michelle Look, MD
Stephen Rohrer, DO

 

Gastroenterology

Ananthram Reddy, MD

 

General Surgery

Adam Fierer, MD
Cheryl Olson, MD
Hugo Barrera, MD
Jay Grove, MD
Paul Hyde, MD
Sunil Bhoyrul, MD

 

Hematology

Marie Shieh, MD

 

Internal Medicine

Howard Williams, MD
Karen Jamison, MD
Mark Mosson, MD
Raymond Pigeon, MD

 

Interventional Cardiology

Jan Kulhanek, MD
Vimal Nanavati, MD

 

Medical Oncology

Alfred Saleh, MD
Charles Redfern, MD
James Sinclair, MD
Jennifer Fisher, MD
Pushpendu Banerjee, MD
Steven Kossman, MD

 

Neurological Surgery

Scott Leary, MD
Vikram Udani, MD

 

Neurology

Ian Purcell, MD, PhD
Monali Patel, MD

 

Obstetrics and Gynecology

Amita Jain, MD
Heather Gunnarson, MD
Keerti Gurushanthaiah, MD
Kim Bui, MD
Lauren Robertson, MD
Valerie Gafori, MD
Wendy Buchi, MD

 

Orthopedic Surgery

Christopher Behr, MD
David Fabi, MD
David Hackley, MD
Franz Kopp, MD
Jeremy McCandless, MD
Peter Hanson, MD
Ralph Rynning, MD
Scott Tanaka, MD

 

Orthopedic Surgery of the Spine

Larry Dodge, MD
Maneesh Bawa, MD

 

Otolaryngology

Brian Weeks, MD
Hernan Goldsztein, MD
Michael O’Leary, MD
Perry Mansfield, MD

 

Otology/Neurotology

Audrey Calzada, MD

 

Pain Medicine

Keeran Kumar, MD
Kevin Toliver, MD

 

Pediatrics

Lori Taylor, MD
Shakha Gillin, MD
Shannon Cheffet, DO

 

Pediatric Gastroenterology

Rebecca Cherry, MD

 

Plastic Surgery

Jason Toranto, MD
Srinivas Iyengar, MD

 

Pulmonary Critical Care Medicine

Marisa Magana, MD

 

Pulmonary Disease

Ni-Cheng Liang, MD
Samir Makani, MD
Scott Eisman, MD
Sheri Tran, MD

 

Sleep Medicine

Andrew Hsing, MD

 

Sports Medicine

Alexandra Myers, DO
Lee Ralph, MD

 

Surgery of the Hand

Richard Brown, MD

 

Urology

Carol Salem, MD
Youssef Tanagho, MD

Aviacode Offers Special Medical Coding and Audit Pricing for Scripps Mercy Physician Partners

April 24, 2019

Aviacode, Inc. has delivered superior medical coding and compliance services to large-scale healthcare systems, individual hospitals, physician groups, surgery centers, and imaging centers, as well as payers for 20 years. They code over ten million encounters/charts a year for clients throughout the country, including the San Diego area. Their 700+ certified coders are experienced in pro-fee, facility, and HCC/risk adjustment coding for over 60 specialties. Using innovative technology, their proprietary workflow helps improve coding quality, reduce risk, accelerate the revenue cycle, and optimize reimbursements.

Services provided:

  • Medical Coding
  • Coding Compliance and Audit Services
  • Coding Denial Management

Save Up to 20% Off Your Coding/Auditing Services for Scripps Mercy Physician Partners
Aviacode Press Release Pricing Table

*Estimated pricing can change based on findings during discovery call and workflow. In addition, there are implementation & interface development and remote connectivity setup & configuration fees. We offer a special offer to Scripps Mercy Physicians to absorb those costs over the full term of the agreement. Subject to terms and conditions.

What makes Aviacode different? Aviacode contractually guarantees coding service accuracy to give you peace of mind. How can they make a guarantee?

  • 700+ certified coders – AAPC or AHIMA certified with the requested years of experience by the practice.
  • Specialty-focused coders – Knowledgeable coders for each specialty.
  • Proprietary QA process – Routine monthly quality assurance reports by coding management.

 

For more details and information, please contact:

Mike Enger, Aviacode National Account Executive

(801) 828-7726 | mike.enger@aviacode.com

 

Podcast: Medical Coding & Compliance – Ways to Reduce Risk and More Presented by Aviacode

March 13, 2019

Aviacode, an industry leader in medical coding and compliance/coding audit services for over 20 years, has this brief podcast to give you insights on outsourced medical coding and coding audits.

Podcast Topics:

  • How outsourced medical coding and coding audits work.
  • Today’s medical coding challenges (with a focus on risk and lost revenue opportunities).
  • Ways to reduce risk.
  • Pitfalls of EHRs, and how they can put providers at risk.

Presented by:

Jenny Cox, Director of Professional Fee Coding and Compliance
Aviacode
www.aviacode.com

Edge Tech Solutions, Inc. joins the Physician Partners Resource Center

February 28, 2018

 

We are excited to announce that Edge Tech Solutions, Inc. has connected with Scripps Mercy Physician Partners to bring an exclusive Managed IT Solutions offering to our members.

Every 40 seconds, a company gets hit by a ransomware. How prepared are you to recover? Eliminate the break/fix approach to your IT issues.

Edge Tech Solutions, Inc. is a San Diego-based managed IT services and support company committed to providing clients with a full spectrum of managed services to reduce the burden of day-to-day IT management. In the medical field, it is important to ensure that critical IT systems are always available to support core business functions.

 

Services & Offerings

Edge Tech 1

Security

Secure IT infrastructure requires more than just antivirus and a firewall. Keep your business protected and compliant.

Edge Tech 2

Systems Management

Get complete help desk support, remote monitoring, layered security options, on-site and remote services.

Edge Tech 3

Disaster Recovery

In dire situations, they specialize in getting your business back up and running quickly.

  • Server and PC management – Edge Tech Solutions, Inc. proactively updates, backs up and manages your computers / servers remotely. Every aspect of the network is closely monitored so issues can be detected ASAP.
  • IT Strategy – Their team helps you plan a strategy that makes sense within your budget, while addressing current and future technology needs.
  • Server Backup Solutions – Edge Tech Solutions, Inc.’s server backup solution uses an easy-to-deploy local appliance that provides local backup, cloud backup, file level restoration, as well as local and cloud server business continuity in the event your server hardware fails.
  • IT Support – Edge Tech Solutions, Inc. can remotely access your organization’s IT systems and initiate remote support to address problems as they arise. When remote support isn’t enough, their engineers are available for onsite visits to evaluate the problem and initiate repairs. These services include after hours and weekends.
  • Vendor Support – Edge Tech Solutions, Inc. has plenty of experience working directly with different EHR and PM vendors. Let them be your first line of defense, and act as your liaison between you and your vendors.
  • HIPAA Compliance Support –Are you protected against cybercrime and ransomware? Edge Tech Solutions Inc. offers HIPAA Risk Analysis, IDS/IPS firewall services with logging, managed endpoint security, disaster recovery planning, offsite compliant backup and more.

 

For more details & information, please contact:

Ricardo Cabrera | President
(866) 643-7138 or mobile (619) 300-1095
rcabrera@edgetechsolutions.com

Aviacode Offers Special Pricing on Medical Coding & Audits

November 1, 2017

Aviacode, Inc. is an industry leader in technology‐enabled medical coding and compliance/coding audit services, which have been meeting the needs of physician groups, surgery centers, hospitals, and payers for nearly 20 years. They code over seven million encounters/charts a year for clients throughout the U.S., including San Diego. Their certified coders are experienced in pro‐fee, facility, and HCC/risk adjustment coding for over 60 specialties. Using innovative technology, their proprietary workflow helps improve coding quality, reduce risk, accelerate the revenue cycle, and optimize reimbursements.

Services provided:

  • Medical Coding
  • Coding Compliance and Audit Services
  • Coding Denial Management

Save up to 20% Off Your Coding as a member of Scripps Mercy Physician Partners!

Aviacode Press Release Pricing Table

*Estimated pricing can changed based on findings during discovery call and workflow. In addition, there are implementation & interface development and remote connectivity setup & configuration fees. We offer a special offer to Scripps Mercy Physicians to absorb those costs over the full term of the agreement. Subject to terms and conditions.

 

What makes Aviacode different? Aviacode contractually guarantees coding service accuracy to give you peace of mind. How can they make a guarantee?

  • Certified coders – AAPC or AHIMA certified with 3+ years of experience.
  • Specialty‐focused coders – Knowledgeable coders for each specialty.
  • Technology‐enabled solution – Use of a Coding Analyzer & Rules Engine (CARE™) rules engine for code validation or other tools to seamlessly work with your charts.
  • Proprietary QA process – Routine monthly quality assurance reports by coding management.

 

For more details & information, please contact:

Mike Enger | National Account Executive
Aviacode
(801) 828-7726
mike.enger@aviacode.com

Growing a Practice in the Digital Era!

September 1, 2017

 

We are pleased to announce that Doctible, a practice marketing & automation platform, has joined the Physician Resource Center.

As a Physician Partners member, Doctible will offer you an exclusive 35% discount off standard pricing!

 

Attract New Patients

Regulations are burdensome enough. How do you find time to attract patients?

Leverage Doctible’s powerful, easy-to-use, automated marketing and patient communication system to help your practice grow. Doctible’s solution suite automates routine patient communications and manages patient relationships to help drive favorable online reviews to boost revenue and save time.

  • Online Scheduling – Give patients the ability to book 24/7
  • Appointment Reminders – Reduce your no-shows
  • Digital Waitlist – Automatically fill cancellations (no phone calls needed)

 

Send Secure Text Messages

Are you still using phone calls? Time to adopt text messaging to cater to your patients.

Nearly 70% of patients value receiving text messages from their healthcare practice for non-clinical communications. Doctible’s Patient Communicator allows you to streamline much of your day-to-day correspondence. Save staff time while increasing patient satisfaction!

 

Easily Manage Your Online Reputation

Do you care about your online reputation? Don’t ignore it. Patients are reading it!

Over 73% of patients begin their healthcare search online, making it critical for a physician to manage their digital footprint and understand patient sentiment. Doctible’s automated online reputation management suite increases your positive reviews and helps intercept potentially revenue robbing negative reviews.

 


For more details about billing and coding services provided by Doctible, please contact –

Beth Reed, Business Development Director
(619) 359-6600
beth@partnersdocs.com

Save on Medical Waste Removal & Compliance Training

August 3, 2017

Re: Save up to 40% vs. competitors on Medical Waste Removal

Scripps Mercy Physician Partners is proud to continue our three-year partnership with Medical Environmental Technologies (MET). Request a cost-savings analysis today.

****If they can’t save you money, you will receive a $200 Visa Gift Card! (limited time offer). All it takes is about 10 minutes.

MET offers full service medical waste management, collection, treatment facility & disposal:

  • Regulated medical waste
  • Sharps waste
  • Pathological waste
  • Red bag waste
  • Trace chemotherapy waste
  • Pharmaceutical waste

Additional services that set MET apart:

MET Sure-Safe Compliance Training
17 courses, including:
  Bloodborne Pathogens (BBP) California
  D.O.T. Hazardous Materials Transportation Regulations (HM-181)
  Fire Prevention and Fire Extinguisher Types
  Hazardous Communication and Chemical Safety (HAZCOM) GHS Standard
  Health Insurance Portability and Accountability Act (HIPAA)
  HIPAA, Social Media & Texting Compliance
  • Pharmaceutical reverse distribution with optimal money back
  • Waste audits and mock OSHA and D.O.T. audits
  • Biohazard signage, posters, and OSHA compliance handbook

For more details about MET’s Medical Waste Removal & Compliance Training Programs, please contact –

Scott McLaughlin
Medical Environmental Technologies (MET)
(619) 448-2000
scottm@met-bio.com

Save 20% – 40% on your medical malpractice rates, plus add an extra 5% savings as a Physician Partners member

July 5, 2017

 

Scripps Mercy Physician Partners is proud to continue our seven-year Malpractice Savings Program with the Cooperative of American Physicians (CAP)

 

  • You don’t have to wait until your policy renews. Most medical malpractice carriers will pro-rate and refund your premiums at any time.
  • Most applications are approved in 48 hours or less.

In addition to exceptional rates, CAP members have access to a long list of risk management and practice management programs and services – all included with membership:

CAP Members Receive the Following Services at no Additional Charge. Do You?
Standard Benefits:CAPMost Carriers
Malpractice Coverage
Cyber Risk Liability Protection
Administrative Defense
Employment Practices Defense
Life Insurance
Disability Insurance
Human Resources Manual and Consulting
Group Purchasing Program
Free Online CME
CAP Job Board for Physicians and Medical Groups

 

For more details & information about CAP’s affinity discount for members of Scripps Mercy Physician Partners, please contact –

Tram Nguyen | Senior Account Executive
Cooperative of American Physicians
(858) 200-8450
tnguyen@CAPphysicians.com

In-Between Visit Care & Resources for Patients, while Increasing Practice Revenue!

May 24, 2017

We are excited to announce that Scripps Mercy Physician Partners has partnered with Chronic Care Management, LLC, to offer exclusive Chronic Care Management services to our members.

Effective immediately, you will be able to work with Chronic Care Management, LLC, to further assist you in managing your patients with two or more chronic conditions. In addition, this program is designed to help drive your quality metrics, stay connected with patients’ in-between visits, and increase patient satisfaction; all while generating additional revenue!

The Chronic Care Management, LLC, services program includes:

  • No Up Front, Out of Pocket Implementation Costs
  • Improved Patient Wellness & Overall Experience
  • Enhanced Practice Efficiency
  • New Practice Revenue —Immediately
# of Chronic Care Patients Treated by Your PracticeProjected Monthly CCM Pymts1-time Enrollment
(NEW Patients Only)
Projected Annual CCM Pymts
1 Patient$22.19$66.48$332.76
50 Patients$1,109.50$3,324.00$16,638.00
100 Patients$2,219.00$6,648.00$33,276.00
150 Patients$3,328.50$9,972.00$49,914.00
200 Patients$4,438.00$13,296.00$66,552.00

*Does not include uncollected patient co-pays, or billing fees.

For more details & information about the Chronic Care Management, LLC, Program, please contact –

 

Beth Reed
Community Director
Scripps Mercy Physician Partners
(619) 359-6600

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