March 1, 2016 Progress Notes
In this Edition:
Progress Reports 2016
- Informational Bulletin 16-4: Pre-Admission Screening and Resident Review (PASRR) Process for Nursing Home Placement
- Informational Bulletin 16-3: Billing for Behavioral Health Services for Non-CSoC Bayou Health Members
- Informational Bulletin 16-2: Claims Processing Edits for Provider Taxonomy (Revised February 25, 2016)
- Informational Bulletin 16-1: Billing for Rehabilitation Services
- Health Plan Advisories
- HPA 16-5: 2016 HCPCS Update for Professional Services, Laboratory, Radiology, ASC and Outpatient Hospital Fee Schedules
- HPA 16-4: New Hospice Rates Effective January 1, 2016
- HPA 16-3: Home Health: 2016 Healthcare Common Procedure Coding System (HCPCS) Update
- HPA 16-2: 2016 Durable Medical Equipment, Prosthetic, and Orthotics and Supplies (DMEPOS) Healthcare Common Procedure Coding System (HCPCS) Update
- HPA 16-1: Medicaid Coverage for Freestanding Birthing Centers
- OLOL CME Symposium | 3/5/16 | Baton Rouge, LA
- PCAL 4th Annual Community Engagement Luncheon | 3/24/16 | Baton Rouge, LA
- Pediatric Jambalaya XIII | 4/23/16 | Lafayette, LA
- Red River Potpourri | 8/19-21/16 | Shreveport, LA
Don’t Miss Out! AAP Legislative Conference Early Bird Registration Ends Next Week
The early bird registration discount for the AAP Legislative Conference ends on March 2! Register today and join us on April 3-5, in Washington, DC, to ensure children have a voice on Capitol Hill.
With the 2016 elections quickly approaching and numerous child health priorities still up for consideration, this is an important time to speak up for children in our nation’s capital.
New speaker announcement!
Attendees will hear from pediatrician Mona Hanna-Attisha, MD, MPH, FAAP, whose persistent advocacy helped bring to light the effects of lead-contaminated water on children’s health and development in Flint, Mich., and who is working to pursue long-term solutions to help families in Flint recover.
In its 25th year, the conference has attracted medical students, residents and pediatricians from across the country. Whether you are an experienced advocate or have never been to Capitol Hill, now you can take part in this tradition and bring your advocacy to the next level!
During the conference, participants will:
• Develop their advocacy skills through interactive workshops
• Hear first-hand from policy experts and leaders about child health priorities
• Network with medical students, residents and pediatricians from across the country
• Learn about timely policy priorities impacting children and pediatricians
• Go to Capitol Hill to urge Congress to support children’s health
NEW this year: The conference is piloting a new Pediatric Subspecialty Advocacy Track of specific legislative and skills building workshops uniquely focused on the interests and needs of pediatric medical and surgical subspecialists. Click here for more information.
Medicaid/ Bayou Health
MCO Provider Calls to Continue Through March
To continue to offer support to providers during the integration of mental health and substance use services into Bayou Health, the Department of Health and Hospitals (DHH) will continue to co-host the calls with the Managed Care Organizations (MCO) through the month of March 2016. The calls will take place Monday through Friday with a different MCO each day. The calls will allow DHH to continue to keep providers up to date with announcements and will allow providers to make comments or ask the MCOs questions. If you email your questions or comments to email@example.com before the call, Medicaid will forward your email to the appropriate MCO. This will allow the MCOs time to prepare a response. All provider types are welcome to participate on the calls. The call schedule will be as follows:
• Monday – Aetna
• Tuesday – Amerigroup
• Wednesday – AmeriHealth Caritas
• Thursday – Louisiana Healthcare Connections
• Friday – United Healthcare
All calls will take place from noon until 1 p.m. There will be no call on Good Friday March 25, 2016.
The call-in information is as follows:
• Call-in #: 1-888-636-3807
• Access Code: 1133472
DHH offers providers numerous avenues for reporting and resolving issues related to Bayou Health. Please refer to Information Bulletin 12-27 posted on www.makingmedicaidbetter.com. This bulletin also includes contact information for each of the MCOs.
For news specifically pertaining to the integration, you can click on the “Behavioral Health” tab onwww.makingmedicaidbetter.com. To automatically receive updates and releases from the Department regarding the integration, subscribe to the “Integrated Health Care” newsletter.
– – – – –
Bayou Health Informational Bulletins for Providers
Informational Bulletins cover a variety of topics related to Bayou Health, and all are available here.
Informational Bulletin 16-4: Pre-Admission Screening and Resident Review (PASRR) Process for Nursing Home Placement
Informational Bulletin 16-3: Billing for Behavioral Health Services for Non-CSoC Bayou Health Members
Informational Bulletin 16-2: Claims Processing Edits for Provider Taxonomy (Revised February 25, 2016)
Informational Bulletin 16-1: Billing for Rehabilitation Services
– – – – –
Health Plan Advisories
Health Plan Advisories are available at http://new.dhh.louisiana.gov/index.cfm/page/1734
|3/2 Steven Wade Venters, MD
3/3 Margie P Strong, MD, FAAP
3/4 Manu Bhargava, MD, FAAP
3/4 Jennifer J Miles, MD, FAAP
3/5 Jennifer Krauland, DO
3/6 Courtney Cox, MD
3/6 Lynn S Mason, MD, FAAP
3/6 Roberta Carona Vicari, MD, FAAP
3/7 Clarence S. Greene Jr., MD, FAAP
3/7 Sharda Kumar, MD, FAAP
3/7 Cynthia Morris, MD
3/8 Clayton Kleinpeter, MD
3/8 Laura Clayton Kleinpetes
3/8 Albert W. Richert, MD, FAAP
3/8 Jill Rodrigue Sutton, MD
3/9 Richard Louis Brooke, MD, FAAP
3/9 Gerald Alan Ross, MD, FAAP
3/10 Amanda Lee Calhoun, MD
3/10 Robert McVie, MD, FAAP
3/11 Anne Townson Boudreaux, MD, FAAP
3/12 Ronald Lee Bombet, MD, FAAP
3/12 Sara Sibley Serio, MD, FAAP
3/13 Irwin Cohen, MD, FAAP
3/14 Deena Khamees, MD
3/14 Emily Landry, MD
3/14 Shelley M. Martin, MD, FAAP
3/14 Emily Ann Richard
3/14 Nancy Lynn Zukowski, MD, FAAP
3/15 Kimberly Kavanagh, MD
3/15 Julie Juwon Park
|3/16 Kevin Sylvan Gipson, MD, FAAP
3/16 Scott Allen Hamilton, MD, FAAP
3/16 Omar Maatouk, MD
3/16 Rachel Margaret Whelan, MD
3/17 Anthony Charles Hudson, MD, FAAP
3/17 Camille Elizabeth Perkins, MD, FAAP
3/18 Alisha M. Totina, MD, FAAP
3/18 Michael Joseph Ulich, MD
3/18 James Robert Upp Jr., MD, FAAP
3/19 Charlotte Judith Cedotal, MD, FAAP
3/19 Amber Severio, MD
3/20 Jessica Patrick-Esteve, MD, FAAP
3/20 Omotola O. Uwaifo, MBBS, FAAP
3/21 Lynzie Elizabeth Boudreaux, MD, FAAP
3/21 Annette Austin Figueroa , MD, FAAP
3/21 Kristin Leone
3/22 Pamela Richard, MD, FAAP
3/22 Eric Joel Weil, MD, FAAP
3/23 Sylvia Montalvo Sutton, MD, FAAP
3/24 Cynthia A Voelker, MD, FAAP
3/25 Jenny Lynn Lavie
3/25 Minnsun Park, MD
3/25 Margaret R Patterson, MD, FAAP
3/26 Stuart Clark V, MD
3/26 Horace Jay Collinsworth, MD, FAAP
3/27 Margaret McVie Crittell, MD, FAAP
3/28 Thattil P. Gouri, MD, FAAP
3/28 Kimberly Haley Thorguson, MD, FAAP
3/29 Alexander J Choi
3/30 Erika Anson, MD
3/31 Edgar E McCanless, MD, FAAP
3/31 Allison Renee Prevost, MD
3/31 Claire M Skinner
Please join us in welcoming our newest member to the LA Chapter of the American Academy of Pediatrics. There is strength in numbers
and we are so glad you have chosen to add your voice to the more than 700 Louisiana Chapter members who are speaking out on behalf of the
Children of Louisiana and the profession of Pediatrics.
Rachel Leah Branton, PNP
Deiadra Garrett, MD, FAAP
Joyce Madden, DO, FAAP
SUDIA Recipe: Cheesy BLT Pasta Salad
Turn a BLT sandwich into a pasta salad by tossing bacon, lettuce and tomato with cooked pasta and adding cheese and sour cream.
Yield: 5 servings
Preparation time: 20 minutes
Cook Time: 15 minutes
1 1/2 cups medium pasta shapes (such as elbow macaroni), uncooked
1/2 cup Cabot reduced-fat sour cream
1/2 cup light mayonnaise
2 tablespoons scrambled squeezed lemon juice
1/2 cup fresh basil, coarsely chopped
1/2 teaspoon freshly ground black pepper
1/4 teaspoon garlic powder
4 cups torn romaine, butter or iceberg lettuce
4 thick bacon slices, cooked and crumbled
2 cups cherry tomatoes, halved
4 ounces (about 1 cup) Cabot 75% or 50% reduced-fat sharp Cheddar, grated
1 cup large croutons
Cook pasta according to package directions; drain well and set aside to cool.
Stir together sour cream and next six ingredients until well blended.
Toss cooled pasta, lettuce, bacon, tomato and cheese in large bowl; add sour cream mixture and toss to coat. Sprinkle with croutons and serve immediately.
For more information and recipes visit www.southeastdairy.org
OLOL CME Education Symposium
Our Lady of the Lake Children’s Hospital is proud to announce our inaugural Education Symposium, to be held during the Our Lady of the Lake Children’s Hospital Amazing Half Marathon Weekend on Saturday, March 5, 2016.
This CME symposium will offer important topics related to pediatric healthcare that clinicians from across Louisiana will find both compelling and useful. Please visit http://www.ololchildrens.org/cme for the full agenda, speaker information, and scientific research submission details.
If you are also interested in registering for any races during the Amazing Half Marathon weekend, visitwww.AmazingHalf.com.
Hotel rooms are available. Click here to see hotel information and mention the event name when you are making your hotel reservation.
Education Symposium Details
Saturday, March 5, 2016
9 a.m. – 5:30 p.m.
Hilton Capitol Center Downtown
Baton Rouge, LA
Visit the links below to complete a registration form.
Physician or Mid-Level Clinician Registration Form – Registration Fee is $75
If you are a physician or mid-level clinician, visit the link below.
Nurse Registration Form – Registration Fee is $30
If you are a nurse, visit the link below.
Medical Student or Resident
If you are a current medical student or resident, you may register for free. Please fill out this form below.
Nationally Recognized Physician Set to Present Seminar in Baton Rouge
Dr. Dimitri Christakis to discuss media effects on kids; presentation offered to physicians, mid-level providers, medical residents and nurses
Our Lady of the Lake Children’s Hospital Education Symposium will feature a nationally recognized expert in child development and the cognitive effects of screen time. Dr. Dimitri Christakis is set to deliver the keynote address during the symposium on Saturday, March 5, 2016. The symposium is being presented in conjunction with Our Lady of the Lake Children’s Hospital Amazing Half Marathon Weekend, and offers pediatric physicians across the state an opportunity for research, education and networking.
Dr. Christakis is the director of the Center for Child Health, Behavior and Development at Seattle Children’s Research Institute. He’s also a pediatrician at Seattle Children’s Hospital and professor in the School of Medicine at University of Washington. He has devoted his career to investigating how early experiences affect children and to helping parents improve their children’s early learning environments.
In addition to Dr. Christakis, the symposium will include several other experts presenting on topics ranging from global pediatrics, pediatric emergency medicine, pediatric sports medicine and more. It will also feature a research poster presentation. The symposium is open to physicians, mid-level providers, medical residents and nurses. To see the entire full-day agenda, and to register visit http://www.ololchildrens.org/cme.
Participants in the symposium will also be able to attend half marathon events if they wish. For more information on the half marathon visit www.AmazingHalf.com.
About Our Lady of the Lake Children’s Hospital
Our Lady of the Lake Children’s Hospital is Louisiana’s fastest growing children’s hospital treating approximately 100,000 patients annually from across Louisiana, Mississippi and Texas. The hospital is the only healthcare provider in the Baton Rouge area that provides a full range of pediatric services ranging from a 24/7 pediatric emergency room to a team of more than 60 pediatric specialists. For more information, visitwww.ololchildrens.org.
PCAL 4th Annual Community Engagement Luncheon
Sponsored by Blue Cross and Blue Shield of Louisiana Foundation
and the E.J. and Marjory B. Ourso Family Foundation
Thursday March 24, 2016 from 11:30 AM to 1:00 PM CDT
7000 Bluebonnet Blvd.
Baton Rouge, LA 70810
Join Prevent Child Abuse Louisiana Thursday, Mar. 24 as we kick off Child Abuse Prevention Month with our annual Community Engagement Luncheon!
We welcome Laura Porter, Co-Founder of ACE Interface, LLC as our keynote speaker. Laura will present, “After ACEs: Building Resilience and Community Awareness.” Now that we know about Adverse Childhood Experiences (ACEs), Laura will talk to us about how to build resiliency in those with high ACE scores and how to increase community awareness about ACEs and the need for child abuse prevention.
Newly appointed DCFS Secretary Marketa Walters will join us, as we hope you will, too! The event is free, but you must register by Friday, Mar. 18.
Questions? Contact Angela Vanveckhoven, our Communications Director, at (225) 925-9520 or .’; document.write( ‘<a ‘=”” +=”” path=”” ‘\”=”” prefix=”” addy57640=”” suffix=”” attribs=””>’ ); document.write( addy_text57640 ); document.write( ‘<\/a>’ ); //–>
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<a ‘=”” +=”” path=”” ‘\”=”” prefix=”” addy57640=”” suffix=”” attribs=””>Thank you for your support of our prevention activities. April is Child Abuse Prevention Month! Find out what we have going on and please be sure to thank our CAP Month Sponsors!
Pediatric Jambalaya XIII
Our Jambalaya faculty have been confirmed! You don’t want to miss these speakers!
Kathi J. Kemper, MD, MPH
Director, Center for Integrative Health and Wellness
Professor, Pediatrics and Dietetics, College of Medicine
Adjunct Professor, College of Nursing
The Ohio State University
Dennis Styne, MD
Professor, Department of Pediatrics
University of California,
David Medical Center
The 2016 Pediatric Jambalaya will be held on Saturday, April 23, 2016 at LITE in Lafayette, LA.
If you have any questions, please contact Ashley Lambert at the Woman’s Foundation.
337-988-1816 ext 122 | firstname.lastname@example.org
Red River Potpourri
August 19-21, 2016
Shreveport Convention Center
Registration details will be forthcoming
Call us for more information 337.988.1816
Red River Potpourri is presented by The Louisiana Chapter of the American Academy of Pediatrics
For all the latest updates, go to: www.laaap.org/2016potpourri