(614)355-5560

Paperless is the Trend in the Health care Industry

Recent trends suggest 88 percent of all health care providers still receive paper checks from one or more payors. Increase efficiency by reducing administrative costs and reimbursement delays with electronic remittance advice/electronic funds transfer (ERA/EFT) transactions. If you are interested in participating with ERA/EFT, contact the Managed Medicaid Plans.

 

Plan ERA/EFT Processor
Buckeye PaySpan Health
CareSource InstaMed
Molina Change Healthcare
United Healthcare Electronic Payments & Statements (EPS)
Paramount Emdeon

 

More News & Updates

PFK Can Help with Certification
Partners For Kids is an excellent resource to fulfill Part 4 Maintenance of Certification (MOC) requirements through its six approved quality improvement projects. See how.
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2017 Physician Incentive Plan Reimbursement Rates
The Per Successful Patient (PSP) reimbursement rates and the Pharmacy Shared Savings target for the 2017 Physician Incentive Plan have been calculated! Check them out.
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PFK Featured in Harvard Business Review
PFK was recently featured in a "Harvard Business Review" article.
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2018 Single Preferred Drug List
PFK has learned that the Ohio Department of Medicaid (ODM) is planning to implement a single preferred drug list (PDL).
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ECHO Autism Resources
Educational resources for primary care practices caring for children with autism are available through the Child Development Center (CDC) Research Office at Nationwide Children’s Hospital.
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Provider Survey Recap
Thanks for participating in the Provider Satisfaction Survey! Learn more about the survey and the winners of the drawing.
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Scope of Provider Credentialing
The Partners For Kids Credentialing Committee has expanded the scope of providers that Partners For Kids may credential for its network.
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Save the Date: Pediatric Asthma Conference
The 9th Annual Pediatric Asthma Conference will be held on May 11, 2018, at Nationwide Hotel and Conference Center in Lewis Center, Ohio.
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New Resources Added
Check out the Resources page for updated prescribing guidelines and new general practice resources.
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“Depression Screening and Management in Primary Care” Webinar January 25
The next quarterly webinar, “Depression Screening and Management in Primary Care: Building Relationships with Local Behavioral Health Professionals,” is scheduled for Thursday, January 25, 2018, at noon.
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2018 Physician Incentive Program 
The Partners For Kids Physician Incentive Committee has announced the structure of the 2018 Physician Incentive Program. 
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Updated W-9 Forms
We want to make sure we have the most accurate billing information for each practice. Please submit a current W-9 form to Julianne.Michel@NationwideChildrens.org by February 28. If you have questions, call Juli-Anne Michel at (614) 355-5517.
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Incorporating Behavioral Health Into Your Practice Webinar March 1
The next Practice Fitness Series, “Incorporating Behavioral Health Into Your Practice,” will be held Thursday, March 1, beginning at 5:30 p.m.
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Upcoming Coding Seminar Hosted by CPP
On Wednesday, April 4, Children’s Practicing Pediatricians (CPP) will host a Pediatric Coding Seminar featuring Dr. Richard Tuck at Stecker Auditorium in Nationwide Children’s Hospital.
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Adolescent Health Webinar Series
The Ohio Chapter of the American Academy of Pediatrics is hosting a three-part webinar series focused on adolescent health care.

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Medicaid ID Numbers
In order to comply with Federal Rule 42 CFR 438.602 that went into effect January 1, 2018, providers are required to have an active Medicaid ID number. 
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Asthma Medication Updates
Read about which asthma inhalers were recently discontinued.
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PCP Change Request Forms
Many practice managers have inquired about capturing the name of the rendering provider on patients Medicaid managed care cards. Here's how.
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Single Formulary Update
Medicaid will not be moving forward with a single formulary as originally planned for this summer.
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CareSource Well Check Denials (Code OA-119)
Several practices have reported that CareSource is denying claims for well checks with code OA-119 (benefits exceeding maximum). 
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Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital will present a multi-part Behavioral Health Webinar Series for Primary Care. 
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PFK Office Manager’s Retreat
PFK and Molina Healthcare are hosting a retreat for office managers at the Partners For Kids office, 525 E. Mound St., 3rd Floor Training Room, Columbus, on Friday, June 22.
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Behavioral Health Webinar Series for Primary Care
Nationwide Children’s Hospital is presenting a multi-part Behavioral Health Webinar Series for Primary Care this year. 
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CareSource OA-119 Well Check Denial Update
View an update on the CareSource OA-119 well check denial.
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Buckeye Health Plan Vaccine Denials
Get updated information on the Buckeye Health Plan vaccine denials.
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Announcing Ujjwal Ramtekkar, MD
In July, Ujjwal Ramtekkar, MD, MPE, MBA, joined the Department of Psychiatry and Behavioral Health at Nationwide Children's Hospital and Division of Child and Adolescent Psychiatry at The Ohio State University. He also joins Partners For Kids as an Associate Medical Director, where he will work to develop an integrated primary care – behavioral health model as a leading priority.
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