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NYSDOH: COVID-19 Toolkit Pre-K to Gr 12

The JPO continues to work with our government and community agencies on Covid issues affecting the patients and providers in our medical community.  I have also been having discussions with the medical directors and administrators of various schools as we work together to navigate the current Covid regulations and what they mean to the student population.

Jefferson County Public Health had a meeting with schools about the new guidance from NYSDOH and has requested the JPO assist in getting important information out to its providers.

Our thanks to Ms. Faith Lustick, Health Planner, Jefferson County Public Health Department, who shared the information below and for all of the Department’s assistance during this pandemic.

ISSUE IDENTIFIED:   During Public Health’s meeting with the schools, a concern identified by the school nurses is that the notes they receive from providers often say, “viral illness, return to school”.  As per NYSDOH guidance on pages A2, B2 and C2 of the NYSDOH School toolkit, that is not an acceptable note to allow someone to return to school.  (See NYSDOH Link.)

“It was also noted that a signed Health Care Provider (HCP) note documenting unconfirmed acute illnesses, such as viral upper respiratory illness (URI) or viral gastroenteritis, will not suffice”

For the full 9 page “Pre-K to Gr 12 COVID-19 Toolkit” go to NYSDOH Link: https://coronavirus.health.ny.gov/system/files/documents/2020/10/prek-gr12_toolkit.pdf

 

 

Humana Military – Tricare:

Humana Military – Tricare:

Humana Military has purchased the Health Net Provider Network and is in the process of transitioning the Tricare contract from Health Net to Humana, effective January 1, 2018. Wisconsin Physicians Service (WPS) is the new TRICARE East Region claims processor.

All providers submitting Electronic Data Interchange (EDI) claims directly to WPS, must complete a self-registration process that includes an initial registration and the necessary request forms and business agreement(s).

The self-registration link and more information can be found here: https://www.humanamilitary.com/provider-east/emc

EDI Helpdesk Team              1-800-782-2680 (option 1)

EDI Marketing Team             1-800-782-2680 (option 2)

FAX                                       1-608-223-3824

eMAIL                                    edi@wpsic.com         

Provider Self-Service portal:

By registering you can:

  • Check patient profile including – verify eligibility, patient claims, coverage, & referral status
  • Create new referral authorization requests
  • Check status or update approved referral authorization requests
  • CPT and DX code look up
  • Claims status by patient
  • Provider location addresses, specialties by location, types of service by location, and more

Register for Provider self-service portal:

https://infocenter.humana-military.com/South/HGBProvider/ProviderPortal/Account/LogIn/

 

Medical Society of the State of New York – MSSNY

Medical Society of the State of New York – MSSNY

The Medical Society of the State of New York (MSSNY) is an organization of approximately  30,000 licensed physicians, medical residents, and medical students in New York State.  Members participate in both the state society and in their local county medical societies.

MSSNY is a non-profit organization committed to representing the medical profession as a whole and advocating health related rights, responsibilities and issues. MSSNY strives to promote and maintain high standards in medical education and in the practice of medicine in an effort to ensure that quality medical care is available to the public.

For more information and to join MSSNY click here: http://www.mssny.org

 

 

Welcome New JPO Members:

Welcome New JPO Members:

Michael J. Magee, MD: Board-Certified Orthopedic Surgeon; North Country Orthopaedic Group, PC

Stephanie E. Daniel, MD: Board-Certified Pediatrican; Pediatric Associates of Watertown, PC

 

 

 

 

 

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