April 26th, 2024


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Dear KHF Providers and Practice Administrators,


We have several updates to share regarding payor updates, programs and upcoming events. There is a lot of information, and we want to make sure we are keeping our membership informed. We recommend reading through this communication in its entirety and please reach out to us with any questions you may have!


Important Updates

HHS Office for Civil Rights Creates FAQ Webpage in Response to the Change Healthcare Cyberattack*


OCR posted a new webpage to answer FAQs concerning the HIPAA Rules and cybersecurity incident impacting Change Healthcare and many other health care entities. Click here for additional information.

Change Healthcare Cyberattack Support*


UnitedHealth Group is providing support for people who are concerned about their personal data due to the criminal cyberattack on Change Healthcare systems. For the latest release, click here. Practices may also want to post the link to their own website to keep patients informed.

MGMA Stat Poll- Including Quality Performance Metrics in Physician Compensation Plans*


An April 16, 2024, MGMA Stat poll found that 50% of respondents say quality performance metrics are included in their organizations’ physician compensation plans, and the other 50% use compensation methodologies that lack any quality metric component. Click here to read more.

Question of the Day: CPT 81000*


Question: Does your practice bill CPT 81000 urine screening with a well check to


the CMO's?


Click here for the results!

Georgia Composite Medical Board Updates Rules on Tele-prescribing

On April 5, 2024, the Georgia Composite Board distributed a news release which described its decision to not put previous tele-prescribing guidelines back into effect on May 1, 2024. It has decided to maintain DEA's proposed extension of guidelines until December 31, 2024.


This only relaxes the requirement of having to see a patient in person to prescribe a Scheduled Drug. This doesn’t address, and there appears to be no intention to address, the issue of your license allowing you to prescribe across state lines.


To read more about that decision, please click here

Quality Programs

2024 TCCN Primary Care Quality Program


The 2024 TCCN Primary Care Quality Program is now available. Click here to view practice requirements for 2024.

Value Added Services

The Biden-Harris Administration Issues New Rule to Support Reproductive Health Care Privacy Under HIPAA*


The Final Rule strengthens privacy protections for medical records and health information for women, their family members, and doctors who are seeking, obtaining, providing, or facilitating lawful reproductive health care. Click here for more.

April Employer Alert Updates from Adams Keegan*



Click here to view the latest updates. Topics for this month include:


  • DOL Releases Anticipated Overtime Rule
  • FTC Releases Rule to Ban Non-Compete Agreements


KHF Vaccine Program - Sanofi (including Vaccine Shoppe) System Upgrade - Blackout Dates 5/24/2024 - 6/3/2024*


Sanofi will be experiencing a temporary service disruption at due to system upgrades. This will affect your ability to place orders for a short period in late May and early June.  If you order Merck through Vaccine Shoppe – it will apply to those vaccines as well.  It does not affect Merck Direct Vaccine Orders.

 

To minimize any inconvenience, Sanofi has recommend adjusting your upcoming orders accordingly. Please note the following key dates:


  • Recommended last day to place stocking order: May 17
  • Last day for online orders: May 20
  • Last day for phone orders: May 23
  • System blackout: May 24 – June 3
  • System Ramp Up Impact: June 3 – June 17
  • Special/Urgent orders: Available beginning June 3, subject to potential delays

 

Support material included here in the attachment:

 

Sanofi has committed a focus on evolving and refining their support to match out needs. Please reach out to Barbara Douglas or your Sanofi Rep with any questions!

KHF Payor Updates

Billing & Coding Newsletter*

Click the link to view the April issue!

In Case You Missed It

April Practice Administrator Meeting

Change HealthCare Cyberattack Updates

GRITS 2.0 Release


Curi Webinar Recording: ADA/FMLA and Worker's Compensation

Georgia Composite Medical Board Decisions Regarding Prescribing Via Telemedicine

CDC Report: Nirsevimab 90% Effective at Protecting Infants from RSV-associated Hospitalization

CDC Updates Guidelines on Respiratory Viruses, Including COVID-19

CME Opportunity: Training on DEA requirements mandated by the MATE Act.

CDC Health Alert: Stay Alert for Measles Cases

Drug Use in Teens: A Guide for Pediatricians

Update on Mental Health Parity Act

Click here to access the DCH's mental health parity portal for updates and resources


DEA Regulation on Pharmacy to Pharmacy Rx Transfer

Click here for the DEA site as well as an article by Holland & Knight on this new rule.


Updated Resources on Screen Time and Social Media for Children


The "AAP's Bold Stance on the Value of Pediatrics" 

Communications


TCCN Roundup:


The TCCN Roundup is designed to be a weekly information hub for all things TCCN. 

  • Please click to check out the latest issue
  • Please note that the link above only accounts for some TCCN updates. In order to view the full TCCN Newsletter with your contracted payor updates please check your TCCN inbox!

 

Resources

Practice Administrator Contact List


Kids Health First Who to Call List


Kids Health First Intranet Page