Christiana Care Quality Partners, A Partnership for Success

Fall Newsletter | October 2015


For Physicians

Quality Partners Applies for ACO

Quality Partners is excited to announce that it has applied to the Centers for Medicare and Medicaid Services (CMS) to participate in the Medicare Shared Savings Program (MSSP). We are partnering with Bayhealth, Nanticoke, Westside Family Healthcare and many other community-based physicians in an Accountable Care Organization comprised of more than 160 physicians and other health care providers. Click here for more information.

Recognizing Chronic Care Management

Chronic Care Management Code 99490 is now eligible for reimbursement. This code is used when at least 20 minutes of clinical staff time directed by physician or other qualified health care professional takes place, per calendar month, for patients with:

  • Two or more chronic conditions expected to last at least 12 months, or until death, that place the patient at significant risk of death, acute exacerbation/decompensation or function decline.
  • A comprehensive care plan is established, implemented, revised, or monitored.

ICD-10 Preparedness

The federally mandated transition to ICD-10 has arrived. For information about resources Christiana Care offers to assist you in caring for our mutual patients during this transition, click here.

Click here to read FAQs from Geisinger Health about its preparation for ICD-10.

New Parking Coming To Christiana Hospital

To make parking easier on the Christiana Hospital Campus, a new parking deck will be built over the F Lot at the back of the facility. This does not affect or change physician parking on the campus. Upon completion of the parking deck next summer, plans are to begin construction on a four-level parking garage in the B Lot at the front of the hospital for patients and visitors only. Combined, the two projects add more than 1,000 parking spaces to the Christiana Hospital campus, paving the way for construction to begin on the new Women's & Children's Building starting mid-2017.

Article on Health Care Delivery Transformation

This edition's article on health care delivery transformation discusses lessons learned from the last decade of Medicare's coordinated care programs. Click here to read it.


For Office Staff

Send Supporting Notes Via Paper When Using Modifiers 25 and 59

As a reminder, when submitting non-immunization claims with either modifier 25 or 59, be sure to include supporting documentation. This must be done via paper instead of electronically. Non-immunization claims submitted with these modifiers will be automatically denied. Contact your Provider Relations Representative if you have questions about this process.

Going Electronic

Geisinger offers the ability to submit claims, receive remittance advice, and receive payments electronically:

  1. Sign up for electronic claims submission by clicking here.
  2. Sign up for electronic remits by clicking here.
  3. Sign up for electronic funds transfer by clicking here.
Due to setup timing issues, you may not be able to immediately view submitted claims, EFTs, or remittance in NaviNet.

Whom to Call at Quality Partners

Click here for a list of numbers you can call based on your need. Do not hesitate to contact your Provider Relations Representative anytime you need assistance. Unsure who your dedicated representative is? Just give us a call at 302-623-7959 and we will put you in touch with the right person.

Martin Weitzman
Provider Relations Representative
302-623-0363
mweitzman@christianacare.org.

Angela Williams
Provider Relations Representative
302-623-0357
angewilliams@christianacare.org.

The Quality Partners Team

Alan Greenglass, M.D., Chief Executive Officer
Doug Azar, MBA, Executive Director
Dan Elliott, M.D., Medical Director
Mike Cinkala, Director, Provider Relations
Melissa Maule, Administrative Assistant
Martin Weitzman, Provider Relations Representative
Angela Williams, Provider Relations Representative