EOCCO Clinics & Staff,
Welcome to the July 2023 issue of the EOCCO monthly newsletter. Below is a preview of the articles you will find in this month's email:
- The TFME 36th Annual (Virtual) Conference in Chronic Pain Management: 9/15-9/16/23
- EOCCO Timely Access to Care Survey - July 2023
- Save the date! Annual Provider Workshop
- HOP Expansion
- High Nitrate Levels: Lower Umatilla Basin Groundwater
- Save the date for the 11th Annual EOCCO Summit
- Complete the 2023 Social Needs Screening Survey for a chance to win a $50 Amazon Gift Card
- Use of Modifiers CR and Condition Code DR.
Please let us know if you have any questions, concerns or recommendations. We would love to hear from you!
Please contact: EOCCO Provider Inquiry
Thank you,
Your EOCCO Team
The Foundation for Medical Excellence (TFME) 36th Annual (Virtual) Conference in Chronic Pain Management: 9/15-9/16/23
Renew your practice! Learn how to successfully manage patients with chronic pain, anxiety, and substance use.
To learn more and register, visit 36th annual chronic pain management program
EOCCO Timely Access to Care Survey - July 2023
We are sending out our Timely Access to Care Survey to Primary Care, Specialists and Urgent Care Clinics to complete. As a reminder, this survey is sent out twice a year and the last survey was conducted in November of 2022.
EOCCO is required to follow the Oregon Administrative Rules (OARs) and contract requirements with the Oregon Health Authority (OHA) to regularly monitor our network and ensure that members can get their care in a timely manner. This survey will help us identify member wait times for both getting an appointment and wait time in the provider's office. Your accuracy is appreciated. We may contact you if we have questions about your responses.
Please use the provided link below to fill out the survey and submit by end of day July 31st.
Save the date! Annual Provider Workshop
Save the date for our upcoming annual workshop:
Workshops week 1: 10/2 - 10/6
Workshops week 2: 10/9 - 10/13
We will be making multiple stops throughout Eastern Oregon at each of our sessions. Locations and times to be sent out in the coming weeks. We look forward to meeting with you in the Fall!
Healthy Oregon Program (HOP) Expansion
Effective July 1, 2023, Medicaid coverage expanded to more adults in Oregon regardless of their immigration status.
Existing Oregon Health Plan (OHP) Medicaid members ages 26-54 receiving Citizenship Waived Medical (CWM) were automatically moved to full OHP benefits.
This means that from July 1, 2023, and onwards, individuals who meet OHP eligibility criteria can enroll regardless of their immigration status and if eligible, receive full OHP benefits. This expansion came as a result of the legislatures efforts to fully fund the Healthier Oregon Program (HOP).
Full OHP coverage includes the following benefits:
- Medical, dental and behavioral health care; prescriptions, tests, X-ray, hospital care as well as Non-Emergent Medical Transportation (NEMT) to and from covered appointments.
EOCCO is excited to continue serving existing members and looks forward to providing excellent coordinated care to newly eligible members.
To learn more about HOP and this expansion visit: Healthy Oregon Program (HOP) Expansion
High Nitrate Levels: Lower Umatilla Basin Groundwater
High nitrate levels have been identified in well water throughout the Lower Umatilla Basin. High nitrate levels in drinking water are dangerous for human consumption- especially for bottle-fed infants and pregnant individuals.
Oregon Health Authority is working closely with those in the Lower Umatilla Basin who use a domestic well to get their water tested and connect them with water delivery and/or water treatment depending on test results.
EOCCO is supporting State efforts to help educate our impacted communities on the importance of getting their water tested for free and connect on where to find resources, where to connect them with free water and free treatment. We will continue to share more information with providers over the next couple of months.
Additional information regarding testing and access to clean water resources can be found here: testing and access to clean water resources
Save the date for the 11th Annual EOCCO Summit
Join us September 21 for the 11th Annual EOCCO Summit, live at Wildhorse Resort and Casino in Pendleton, Oregon!
This event is free and open to all professionals serving EOCCO members, including clinicians, office staff, and community-based organizations. Topics include telehealth utilization, acute psychiatric care, quality measures and so much more! This event is approved for 5.25 CME credits.
Register for the 11th Annual EOCCO Summit today! This year, there will not be a virtual attendance option so make sure to reserve your spot by September 1, 2023, to ensure your participation in this event.
We look forward to seeing you to the 11th Annual EOCCO Summit!
Complete the 2023 Social Needs Screening Survey for a chance to win a $50 Amazon Gift Card
If your organization still hasn’t completed the 2023 Social Needs Screening survey, please do so by clicking the link below.
We appreciate you taking the time to complete this survey and providing us valuable information on your organization’s social needs screening practices. The results from this survey will help our CCO better understand the social needs screening landscape across Eastern Oregon and will inform the implementation of the SDoH: Social Needs Screening and Referral Incentive Measure.
Please have one representative from your organization complete the survey. It should take about 10-15 minutes to complete.
The survey can be accessed via this link: 2023 Social needs Screening Survey
All organizations who complete the survey by July 31st will be entered into a drawing to win one of ten available $50 Amazon Gift Cards! The organizational representative who completed the survey will be contacted via email if their organization is randomly selected in the drawing that will take place after July 31st.
Use of modifiers CR and Condition Code DR.
EOCCO would like to remind all providers that modifiers CR and condition code DR may only be reported during a public health emergency (PHE) when a formal waiver is in place. The COVID-19 PHE ended on May 11, 2023, the use of these codes may not be reported on claims for dates of service May 12, 2023 and following unless a new formal waiver for another PHE is issued:
- Modifier CR (Catastrophe/disaster related)
- Condition Code DR (Disaster related)
- Exceptions exist for certain DME items provided during the PHE & SNF/Swing stays with admission under PHE waiver prior to 5/12/23.
Clinical editing has been implemented to deny line items billed with modifiers CR, CS, and condition code DR post PHE. We encourage you to review your systems and remind staff to avoid using these modifiers and condition code for services after the PHE has ended.
Training and Events
How to Build Revenue: Front-End Competencies Training
Efficient and accurate verification of insurance eligibility and benefits streamlines the revenue cycle process and typically generates ancillary revenue, insurance incentives and improved value-based and quality scores. This presentation will focus on insurance benefits, preventative services and referred-ordered ancillary services. Reviews will include the importance of insurance verification and operational communication to optimize revenue from patient populations.
August 3, from 12 pm – 1 pm PST
Visit How to Build Revenue: Front-End Competencies | OHSU for more information or to register. This training is presented by the
The No Surprises Act: Revenue Protections and Transactional Compliance Training
Pricing transparency regulations have been in place since 2020, yet a vast majority of hospitals are still noncompliant. This presentation will provide strategies to employ improved eligibility and coverage estimates, providing patient estimation and good faith estimates, and improving precertification and authorization issues to prevent inaccurate balance billing and ensure rural hospitals meet regulatory requirements to mitigate potential financial penalties.
August 31, from 12 pm – 1 pm PST
Visit The No Surprises Act: Revenue Protections and Transactional Compliance | OHSU for more information or to register. This training is presented by the Oregon Office of Rural Health.
Questions?
Questions related to incentive measures, health equity, traditional health workers, SDoH, and HIT - Please email EOCCOMetrics@modahealth.com
Questions related to claims and payment information - Please email EOCCOProviderInquiry@modahealth.com
Need to verify if your provider or group NPI is active? Please use OHA’s verification tool
Need to register your practitioner, group or facility? You can find forms on EOCCO.com/Providers/becomeaprovider
If you would like to be added or removed from the email list, please let us know at kelly.watanabe@eocco.com
