Archive for May, 2016

May 14th Is The Deadline for 2016 Community Health Grant Applications!

The Georgia Healthy Family Alliance (GHFA) is currently accepting applications for the second cycle 2016 Community Health Grant Awards. Grant awards of up to $3,500 are made to GAFP member affiliated charitable organizations that support GHFA program priorities including under served populations and outreach programs that promote healthy practices consistent with the principles of Family Medicine. The application deadline for the second cycle 2016 awards is May 14th.

Visit http://www.georgiahealthyfamilyalliance.org/grants/to download the application or review a list of previously funded grant projects.

Previous GAFP Member Community Health Grant Recipients Include:

Martha Crenshaw, MD, Chronic Disease and Diabetes Management Dekalb County $4000

Ambar Kulshreshtha, MD, SIMPACT: Improving Cardiovascular Health, Atlanta $4000

Caleb King, GRU Medical Student, Equality Clinic, Augusta $4000

Amir Khan, Emory Medical Student, Familias Saludables, Atlanta, $2,750

Christopher Hines, MD, Food RX Augusta, $2,750

Michael Huey, MD, Diabetes Education for Visually Impaired, Atlanta $5000

Andrea Videlefsky, MD, Adult Disability Medical Home, Marietta, $5000

These are just a few of the important programs your colleagues are lending their talents and time to statewide. Please consider making a contribution so that the Alliance can continue to support these important lifesaving projects. All donations are tax deductible. Make your Alliance contribution easily online at http://www.georgiahealthyfamilyalliance.org/donate/ or contact Alliance staff at ksinkule@gafp.org or (800)392-3841

REMINDER: What’s Your Opinion: GAFP Summer CME Meeting?

GAFP leadership would like to know your thoughts as we move forward with planning future CME meetings for the Academy.  We ask that all active members (residents and students excluded) take a moment to complete our survey on the Summer CME Meeting.  We appreciate your feedback and look forward to your input.

If you have already completed the online survey, please do not complete it again — your input has been recorded.

Amerigroup-Incentive for Ensuring Moms Receive Timely Postpartum Care

Effective immediately, participating providers can receive additional reimbursement for ensuring that members receive timely postpartum care.

Here’s how our Pay-for-Performance Postpartum Incentive works:

1. Complete a postpartum visit between 21 and 56 days after your Amerigroup member delivers a live infant.

2. Bill using the appropriate delivery code below with the member’s date of delivery. Be careful not to bill using the date of admission or date of discharge.

3. Submit your claim with the CPT Category II, 0503F-code

Incentive amount: $50 for each timely postpartum visit. This incentive will only be reimbursed when the visit occurs within 21-56 days from the date of a live delivery. This amount will be paid in addition to global delivery claims if billed correctly.

Eligible provider: All contracted obstetricians, gynecologists, family physicians, midwives, and family nurse practitioners, certified nurse practitioners and PCPs who complete timely postpartum visit services.

How is the visit reimbursed? For this incentive, Amerigroup will reimburse the CPT Category II code, 0503F, defined as a postpartum care visit. This code will help with Healthcare Effectiveness Data and Information Set (HEDIS) data collection.

What should be included in the postpartum visit?

Documentation between 21 and 56 days following a live birth must include one of the following:

  • Notation of postpartum care (i.e., PPV, six-week checkup or a preprinted Postpartum Care form)
  • Pelvic exam (Pap test counts as pelvic exam)
  • Evaluation of weight, blood pressure, breasts and abdomen must have all four components (a notation of “Breastfeeding” is acceptable for breast evaluation)
  • Family planning options
  • STI education to include screenings and prevention
  • Assessment for Postpartum Depression

Amerigroup is pleased to reward physicians for efforts in making sure new mothers get the care they need on time. Please contact your local Provider Relations representative if you have any questions about this program.