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OneHealthPort News

Community Healthcare News & Information
    September/October 2005
IN THIS ISSUE
  • Message from OneHealthPort's President
  • Results of Subscriber Survey: What You Like; What You Want
  • OneHealthPort Launches Healthcare Career Network
  • Regence BlueShield to Offer Consumer-Directed Care
  • Updates from Premera Blue Cross
  • Asuris Northwest Health to Introduce Consumer-Directed Care
  • Admin Simp Announces Next Phase: Be part of the process!
  • CHITA Readiness Forum: October 18
  • Submit Free Online Claims With Office Ally
  • Custom Coding Books Offers Best Price Guarantee and "On-Demand" Books
  • Register Today for Free Webcasts

    Message from OneHealthPort's President
    Dear Subscribers,

    Welcome to OneHealthPort's "new" newsletter. We hope you enjoy this format and continue to find the content useful. Over 1,300 subscribers took the time to respond to our recent survey, and, 95% of those who responded indicated that they read OneHealthPort's newsletter. Also, more than half of the respondents took time to give helpful suggestions and comments, including some nice compliments. After reviewing all the responses, we've decided to tweak but not fundamentally change the newsletter style. And, we'll be emphasizing those subjects you told us were of most interest, such as how to derive more value from participating sites.

    Read the article on the survey results in this newsletter for more about what OneHealthPort subscribers are telling us about the service. We will continue ask for your opinion, listen to what you have to say and work hard to respond to your comments and suggestions on how to make the OneHealthPort's trusted community even more valuable.

    Sincerely,

    Richard D. Rubin
    President & CEO, OneHealthPort

    Results of Subscriber Survey: What You Like; What You Want
    OneHealthPort's recent satisfaction survey indicates that OneHealthPort has become an important part of providers' workflow, with 86% of respondents indicating they are either satisfied or very satisfied with OneHealthPort (slightly up from last year's 85%). Usage of OneHealthPort also continues to increase: more than half of the respondents use OneHealthPort at least once a day; 75% log on at least a few times per week.

    Many of you took extra time to include comments about OneHealthPort and, overall, people say using OneHealthPort saves time and increases efficiency.

    These comments are representative of the hundreds we received:

    • My overall experience has been really good. The site almost never goes down and that makes my job easier.
    • I like being able to use one sign on to access various secure sites with just one id and password.
    • Eliminates having to be on the phone "on hold" a lot. It made my life here as the referral coordinator much easier and less stressful!
    • Easy to use, saves a lot of time compared to using the telephone.
    • It is nice to go to one spot and be able to access all the different insurance companies.

    What do OneHealthPort subscribers want? Many people requested access to the web sites of more healthcare plans, something we are always exploring. Your observations about participating healthcare sites have been forwarded to the appropriate organization (since comments are anonymous, you will not get a reply; but be assured your suggestions are taken seriously).

    Thank you for taking the time to participate in this survey!

    Survey raffle winners announced
    Everyone who responded to the survey (and provided a name and address) was eligible to enter a raffle. Congratulations to Mary Fairhart of Family Physical Therapy & Sports Rehabilitation in Morton, Washington, who won the $100 Best Buy gift card.

    The following people won movie tickets: Alan Sugarhara (CUMG, Seattle); Beth Leaming (Family Home Care Group, Spokane); Joleen Cossette (Neurological Physicians of Arizona); Katie Bundy (Clinitech, Everett); and Danita Parker (Alaska Heart Institute, Anchorage).

    OneHealthPort Launches Healthcare Career Network
    Qualified job seekers and healthcare organizations interested in hiring new staff can now connect with each other through the Healthcare Career Network. Available to members within OneHealthPort's trusted community, this service is free to job seekers; for a nominal fee, employers and recruiters can browse resumes or post employment opportunities to target OneHealthPort's specialized audience.

    OneHealthPort subscribers will not use their OneHealthPort login or passwords to access this service and must register separately. This also allows healthcare workers who are not currently employed to use the career service without an employer sponsor or a OneHealthPort digital credential. Check out this new service at (add link).

    Regence BlueShield to Offer Consumer-Directed Care
    Regence BlueShield will soon be offering the "Regence Engine," an interactive environment that can advise, navigate and reward members in all their health care decisions.

    The Regence Engine provides comprehensive learning tools to help members better understand their health care coverage options; more easily communicate with the Regence BlueShield service team; join local health events and programs; and research and plan for future health care needs. It will also encourage members to pursue health-minded activities through a rewards program.

    Available only to Regence BlueShield members, the Regence Engine replaces Regence Online Services for Members, offering a more dynamic, interactive experience with expanded resources.

    Tools and information on the Regence Engine are designed to provide the highest quality health-related content that will be integrated with each member's health care coverage. This includes nationally recognized health care resources such as Subimo®. Regence BlueShield recognizes the importance of giving providers access to the same data as its members and will have this enhancement available via Regence Online Services for Providers in October.

    Updates from Premera Blue Cross
    New and Improved Incident Questionnaire Process
    The Premera Blue Cross Incident Questionnaire (IQ) is now available online in the provider portal and the member portal to expedite claims processing of potential accident or third-party liability claims. This new accessibility is designed to support more members filling out their forms at provider offices following a medical visit.

    Claims with an injury diagnosis will only be pended if the billed amounts are $1000 or greater; in the past, claims with an accident diagnosis were pended if the billed charges were $500 or greater.

    After a claim is pended due to an injury diagnosis, an IQ will be sent to the member if $2,000 or more have been paid out for that specific diagnosis. An IQ will be sent at any dollar amount if the claim indicates auto or work-related. Prior to this change, Premera sent an IQ form to the member for those claims where $1,000 had been paid out.

    It is Premera's hope that these enhancements will assist you with fewer claims to stop for an incident questionnaire as well as assist in expediting claims payment.

    Online Benefits Information Update
    Premera Blue Cross streamlined the benefits information listed on the provider and member portals of their Web site to improve efficiency. Since then, the Benefits & Limits tables on the member, employer and provider portals have been redesigned to increase service excellence and more accurately display benefit details. The benefit limits table now includes remaining deductible and benefits limit amounts.

    As of August 31, Premera also added previously removed benefit and limits information. A partial list of benefits categories that were added include:

    • Emergency Room
    • Rehabilitation (PT, ST, OT and MT)
    • Spinal and Other Manipulation
    • Mental Health

    For a complete list of benefits, please call the Customer Service number listed on the back of the member's health plan ID card. To obtain eligibility and benefits information for specialized procedures, including transplants, please call or fax Care Management to request a Benefit Advisory.

    Asuris Northwest Health to Introduce Consumer-Directed Care
    Asuris Northwest will soon be offering the "Asuris Engine," an interactive environment that can advise, navigate and reward members in all their health care decisions.

    The Asuris Engine provides comprehensive learning tools to help members better understand their health care coverage options; more easily communicate with the Asuris service team; join local health events and programs; and research and plan for future health care needs. It will also encourage members to pursue health-minded activities through a rewards program.

    Available only to Asuris Northwest Health members, the Asuris Engine replaces Asuris Online Services for Members, offering a more dynamic, interactive experience with expanded resources.

    Tools and information on the Asuris Engine are designed to provide the highest quality health-related content that will be integrated with each member's health care coverage. This includes nationally recognized health care resources such as Subimo®. Asuris recognizes the importance of giving providers access to the same data as its members and will have this enhancement available via Asuris Online Services for Providers in October.

    Admin Simp Announces Next Phase: Be part of the process!
    The Administrative Simplification effort of the Washington Healthcare Forum is planning its fourth phase of simplification work. The Steering Committee has selected the following projects for the next phase:

    • Standardizing a subset of 835 reason and remark codes
    • Simplifying attachment requirements and processing
    • Enhancing electronic eligibility and benefits information
    • Standardizing the handling of claims adjustments
    • Supporting dialogue/communications among providers and health plans regarding NPI

    Four workgroups, representing providers, hospitals, and health plan communities, will evaluate and make recommendations about these critical issues. If you are interested in participating on a specific workgroup or a respondent group, please go to the Forum's Website at www.wahealthcareforum.org for more information.

    The collaborative efforts of the Administrative Simplification Workgroups have helped to simplify business practices between providers and health plans, ultimately saving staff time and reducing days in accounts receivable. Please consider joining the Forum's Administrative Simplification Effort and help develop additional solutions that positively impact the healthcare community.

    CHITA Readiness Forum: October 18
    Join colleagues from across the Pacific Northwest on Tuesday, October 18 from 8 a.m. to noon at the Swedish Medical Center (Glazer Auditorium) for the next CHITA Readiness Forum. Presentations and discussion topics will include: how healthcare organizations should respond to incidents of identity theft; how to prepare for the upcoming National Provider Identifier (NPI); the mission of the newly appointed Health Information Infrastructure Advisory Board (HIIAB); and continuing privacy and security issues surrounding HIPAA.

    Cost of the program is $70 for CHITA members and $90 for non-CHITA members. To register for this half-day seminar or for more information go to www.chita.org/watering_hole/frame/watering1.htm.

    Submit Free Online Claims With Office Ally
    Are you still submitting paper claims? Make life easier by joining over 830 OneHealthPort providers who submitted more than 21,000 claims last month to this free medical and dental electronic claims routing service.

    Office Ally accepts and processes electronic claims from billing companies, clearinghouses and providers and then distributes them to 500+ health plans. OneHealthPort providers who currently do not submit claims electronically are eligible to use Office Ally. There is no charge to health care providers because participating health plans pay fees to receive the claims.

    OneHealthPort subscribers can register for Office Ally by going to www.onehealthport.com and clicking on the Office Ally link from the home page. Use your OneHealthPort password to access the site and enter claims information directly into the browser tool or upload a file from their claims-processing software.

    Want more information? Join OneHealthPort for a free online seminar from noon to 1 p.m. on September 22 or October 19. Click here to register.

    Brian O'Neill, Office Ally's CEO, is presenting seminars about electronic claims submission for providers in Arizona and Oregon. Click here for dates and times in Arizona and here for Idaho, and then print and fax the enrollment form to save your seat. Seating is limited; so register today!

    Custom Coding Books Offers Best Price Guarantee and "On-Demand" Books
    Custom Coding Books is now guaranteeing the lowest online prices with their Best Price Guarantee. If you find the same product online within 30 days of purchase for a lower price, Custom Coding Books will refund the difference. The site is now featuring Cross Custom Coder™. This "on-demand" book offers the best of Ingenix' "Coding Companion" features—such as Ingenix crosswalk codes and lay terms—along with the ability to customize your book for your needs, and immediately download it as a PDF file to print or use as a searchable database.

    Custom Coding Books' selection of print books and software from Ingenix, AMA and other is growing every day. Its popular "on-demand" Custom Coder series is a suite of customizable coding books that can be ordered and downloaded with the click of a mouse. Quarterly email updates as codes, rules and regulations change keep the books constantly up-to-date. The full suite now includes Custom Coder™, CCI Custom Coder™, Cross Custom Coder™, LMRP Custom Coder™ and Premium Custom Coder™. Visit www.customcodingbooks.com/store/onehealthport_home.php to order your 2006 books, or for more information.

    Register Today for Free Webcasts
    Get the most from OneHealthPort and OneHealthPort's participating sites by attending our free online webcasts. These one-hour seminars are "live" so you can ask questions and get immediate answers.
    All webcasts are offered from noon to 1 p.m. unless otherwise specified

    "How to Navigate Online Claims and Eligibility Applications for Participating Healthcare Sites" - Staff from participating health care organizations will show you how to easily navigate their site's online claim status and eligibility applications. Learn shortcuts to eliminate duplications and speed up payment; find out how to streamline eligibility searches; and get navigation tips to improve workflow.
    October 19

    "Introduction to Office Ally and Electronic Claims Submission" - Are you currently submitting paper claims? Find out how this FREE browser-based service can simplify claims editing, routing and tracking to over 500 participating health plans, including many of OneHealthPort's participating sites.
    September 22 or October 19

    "3DGrid Offers Free Webcasts About HIPPA Compliance" - With more than 15,000 HIPAA violations already reported to DHHS and new enforcement regulations on the way, it's critical to make sure your office is in compliance with the new HIPAA Security Rule. 3DGrid, a Seattle-based medical software firm, invites OneHealthPort subscribers to attend a free webcast about HIPAA security for small and mid-sized practices.
    October 5, October 11 or October 13

    Click here to sign-up for any of these webcasts. It's easy to participate: all you need is a computer with an Internet browser and a telephone line (click here for specific system requirements).

  • OneHealthPort News is published six times a year. Look for periodic "OneHealthPort Update" emails for timely information between issues. Please send your comments to newsletter@onehealthport.com.

    Copyright © 2005 OneHealthPort. All Rights Reserved.
    This newsletter produced by Aukema & Associates.




    Aetna via NaviNet now available on OneHealthPort!    

    OneHealthPort has been working with Aetna and NaviMedix to make your workday even easier. Now, when you login to OneHealthPort, you'll be able to connect with Aetna and take advantage of many features. Check the services page to find out more.

       

    To catch up on the latest community health care news and information from OneHealthPort and our partners click here