Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday

Call us at 1-833-252-2737 (TTY 711)

8AM-8PM Monday-Friday
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IN THIS ISSUE:

 
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As 2020 draws to a close, I want to thank you for your dedication, collaboration, and the positive impact you have on those we serve. PACE is a program that changes lives, and you are a key part of the care Teamcare delivers in our communities. Together, we carry out a beautiful mission – to help older adults in need to continue to live safely at home and in their communities.

CenterLight would also like to acknowledge the lost of several providers this year – our thoughts and prayers are with their families

From all of us at CenterLight, we wish you happy holidays, as well as a joyous and healthy New Year.

Sincerely,

Marilyn Veras De Leon
Provider Engagement Director

Specific Coding is Key

The importance of documenting to the highest level of specificity to give a comprehensive and accurate picture of your patient.

CMS requires documentation in the person’s medical record by a qualified health care provider to support the submitted diagnoses. Documentation must support the presence of the condition and indicate the provider’s assessment and/or plan for management of the condition.

This must occur at least once each calendar year for CMS to recognize the individual continues to have the condition.

It is important that the documentation is coded to the highest level of specificity to give a comprehensive and accurate picture of your patient.

Using nonspecific or unspecified codes is not coding to the highest level. Use these codes only if you cannot substantiate a more specific code. An example is chronic ischemic heart disease, unspecified, I25.9. However, if the patient has atherosclerotic heart disease, a native coronary artery with unstable angina pectoris, code I25.110.


Coding Updates
for COVID-19

As the 2019 Novel Coronavirus Disease (COVID-19) continues to impact the medical care we offer to CenterLight participants, we would like to make you aware of updates to coding for COVID-19.  This update is for dates of service October 1, 2020 and forward – Code only a confirmed diagnosis of COVID-19 as documented by the provider or documentation of a positive COVID-19 test results.


ICD 10 UPDATES AS OF DATES OF SERVICE 10/1/20 for COVID-19

ICD-10 Description Notes
U07.1 For a confirmed COVID-19 diagnosis Do not use this code if provider documents “suspected,’ “possible,” or “inclusive” (Instead code for signs and symptoms)
Z20.828 For an asymptomatic individual with actual or suspected exposure to COVID-19 Provider notes indicated contact with and (suspected) exposure to other viral communicable diseases
Z86.19 For patients with a history of COVID-19 Personal history of other infectious and parasitic diseases
Z09 For follow up visits after COVID-19 infection has resolved – For individuals who previously had COVID-19 and are being seen for follow up evaluation and COVID-19 test results are negative Follow up examination after completed treatment for conditions other than malignant neoplasm
Z01.84 For an encounter for antibody testing that is not being performed to confirm a current COVID-19, not as a follow up test after resolution of COVID-19 Encounter for antibody response examination

CenterLight Coding and Medical Practice Manager, Denise Krupp, BBA, CPC, CRC

Highlights from the Provider Appreciation Virtual Gathering:

We would like to thank CAIPA, Expert Medical Services, Ben Sinai Medical Center, Linden Medical, Accent Care, Sachin Kamath MD PC, and CenterLight Medical Staff for attending our first Virtual Provider Appreciation Event on December 10, 2020. 

David Rock, our CEO, welcomed attendees, thanking them for their continued work in caring for CenterLight participants. Dr. Sandra Nieves, CMO, introduced our guest speaker, Michael A. Palese, M.D. Urologist at Mount Sinai Medical Center.  Dr. Palese discussed “Benign Prostatic Hyperplasia and Prostate Cancer” and shared the most up to date diagnostic and treatment information. We’re happy to share the first part of the event for those who weren’t able to attend.

As a thank you to all who participated, CenterLight and Mount Sinai Medical Center will issue CEU(s).

Looking forward to seeing you at next year’s Provider Appreciation event!

Any suggestions?

Please share any educational topics that you are interested in to receive CMEs.

You can email: providerengagementspecialist@centerlight.org.

Tiger Connect  

Tiger Connect is the software that CenterLight has been using for its HIPAA-compliant messaging and Facetime calls within the organization. Tiger Touch is a new addition that will allow CenterLight to Facetime with our participants without them having to download any software on their phones.  

For more information on how to get Tiger Connect access, please contact your Provider Engagement Specialist.

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Rely on Our Expert Team of Outreach Specialists 

Warm Wishes for a Happy Holiday Season from Outreach Team to Yours!

Our caring, diverse and experienced team of Education and Outreach Specialists can answer questions and provide personalized, culturally sensitive information and support to your patients and staff.

As a CenterLight Community-based provider, you are an integral part of our mission to provide individualized care that enriches the lives of our participants and helps them live safely in their homes and communities. 

We thank you for working alongside us to serve this great city. As always, our Outreach Team is here to assist you, your staff and your patients, by:

  • Pre-screening and educating your patients regarding PACE and Home Care Benefits

  •  Assisting your patients in applying for Medicaid, Pooled Income Trust and CDPAP/CDPAS.

  • And much more!

Contact us at 1-877-212-8877 (TTY 711), 8AM to 8PM, Monday-Friday.

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As Medicare Open Enrollment 2020 closes

Medicare Open Enrollment closed December 7, 2020, locking most Medicare Patients into their chosen plan until the fall of 2021.  However, CenterLight PACE participation may be the exception that meets the needs of Medicare patient(s).   

As a PACE program, enrollment and disenrollment can occur at the discretion of the participant.  This is important to keep in mind as you see your patients thought the year.  Are you noticing a significant change of status in one of your patients?  Has a family member reached out to express concern over the well-being of a loved one?  Consider suggesting CenterLight PACE as an option, we have an Intake Team that would be happy to explain the PACE program in greater detail. 

Let’s work together to provide the best possible care to our patients.

How to Make a Referral

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1-877-212-8877 (TTY 711)
8AM to 8PM, Monday-Friday

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www.CenterLightTeamcare.org
(Click on “Refer a Participant”)
We also accept referrals through out Intake group email, referrals@centerlight.org


Additional Teamcare Centers Open for Participants’ Clinical Needs

CenterLight is pleased to announce that we have been able to open additional sites. Currently the following sites are opened to participants.  Due to Social Distancing protocol participants should call prior to confirm that open appointment slots are available.

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Allerton

2401 White Plains Road, Bronx, NY 10467
Phone: 718-652-8600 

Flushing

136-65 37th Avenue, Flushing, NY 11354
Phone: 718-321-4200

Grand Street

375 Grand Street, New York, NY 10002
Phone: 212-260-3640

Stillwell

2331 Stillwell Avenue, Brooklyn, NY 11223
Phone: 718-954-3200

Westchester

335 Old Tarrytown Road, White Plains, NY 10603
Phone: 914-993-7800


Sites will be closed as needed for deep cleaning, so please call to confirm!

Updated Provider Engagement Specialist Contact Information


Provider Engagement Director:

Marilyn Veras De Leon
Email: mvdeleon@centerlight.org
Mobile: 347-415-5699
E-Fax: 315-825-4812

Provider Engagement Manager:

Mariela Bodon Ramos
Supervises: Provider Engagement Specialists
Email: mbramos@centerlight.org
Mobile: 646-315-5813

Coverage Areas: Brooklyn & Staten Island

IPA: Prominins
Marcos A. De La Rosa
Email: MDelarosa@centerlight.org
Mobile: 929-505-3337

Coverage Areas: Amityville and Queens

IPA: CAIPA, ECAP, KAPIPA, RAYN
Ann McGarvey
Email: AMcGarvey@centerlight.org
Mobile: 646-306-2612

Coverage Areas: Manhattan, Bronx & Westchester

IPA: Hudson
Latarsha Fisher
Email: Lsmith@centerlight.org
Mobile: 929-505-3347
E-Fax: 315-825-4812
 
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We welcome your inquiries. Please call our Participant Services Department at 1-833-CL-CARES (1-833-252-2737) Monday-Friday from 8:00 AM through 8:00 PM. TTY users should call 711. You may also write to us at 136-65 37th Ave., Flushing, NY 11354.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved 09252018
Last updated on April 30, 2024
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002 Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 27, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ElectronicFundsTransfer Approved 01192022
Last updated on December 28, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_SDR_Training Approved 01192022
Last updated on December 21, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_002PressRoom Approved 02062018

Last updated on May 8, 2018
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2017_WEB_Caregivers Approved MMDDYYYY
Pending DOH and CMS Approval
Last updated on December 7, 2017
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_003r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_004r1_M Approved 01072019
Last updated on January 4, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_JanuaryBLOG Approved 02132019
Last updated January 30, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2023HomePage Approved 01102023
Last updated on December 27, 2022


CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_Activities Approved 11262018
Last updated on December 31, 2018

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_005r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_006r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2018_WEB_LANDING PAGE_007r1_M Approved 01072019
Last updated on January 4, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_Activities_Approved 03122019
Last updated on March 2, 2020
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_WEB_May Approved 05152019
Last updated on May 13, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_Caregiver_r001 Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS Approved 03132019
Last updated on February 25, 2019

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderHomeV3 Approved 01192022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver Approved 03132019
Last updated on February 25, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_CDPAS_caregiver_var1 Approved 05032019
Last updated on April 18, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_July2019_BLOG_home Approved 07232019
Last updated July 5, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_LifeAtTeamcare_r001 Approved 05152019
Last updated on May 29, 2019
Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_LifeAtCenterLight Approved 06022023
Last updated on May 22, 2023

Participants are enrolled in CenterLight Teamcare at the time of filming.

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_Betty_landingpage Approved 07232019
Last updated on July 3, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2019_caregiverbettyvid Approved MMDDYYYY
Pending CMS and DOH approval Last updated on August 19, 2019
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021_TeamcareHome_JUN Approved 07022021
Last updated on June 11, 2021
CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_Provider_February Approved MMDDYYYY
Pending CMS and DOH approval
Last updated on September 28, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEBWhereWeAre Approved 01132020
Last updated on January 3, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_covid19updates Approved 04072020
Last updated on March 17, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2020_WEB_FBevents Approved 04172020
Last updated on April 14, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantCorner Approved 03192021
Last updated on March 4, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_providernews1 Approved 01262021
Last updated on December 30, 2020

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_2021ParticipantInfo Approved 01192022
Last updated on April 30, 2024

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_OTC Approved 04142021
Last updated on April 2, 2021

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderNewsMar2022 Approved 04202022
Last updated on March 29, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_myneedscard_web_v3 Approved 09062022
Last updated on September 14, 2022

CenterLight Healthcare has an approved PACE contract with the Centers for Medicare and Medicaid Services (CMS) and NY State (NYS). Enrollment in CenterLight Healthcare PACE depends on renewal of its contract with CMS and NYS. Members may be fully and personally liable for the cost of unauthorized or out-of-PACE program agreement services.

H3329_ProviderLookUp Approved 01192022
Last updated on December 28, 2021

Photo credit: Linda Farwell Photography