Announcing the TurningPoint Safety and Quality Award Program for Orthopedic Specialists
Beginning April 1, 2021, orthopedic specialists will be offered the opportunity to participate in the TurningPoint Safety and Quality Award Program, in collaboration with Horizon Blue Cross Blue Shield of New Jersey (Horizon BCBSNJ). This reward-based program will provide an incentive when your patients experience fewer complications, infections, hospital readmissions and Emergency Room visits following their surgical procedures, as well as reduced out-of-pocket costs associated with their surgery. To opt in, you must sign and return the addendum by March 1, 2021 via:
- Email: Network_Relations@HorizonBlue.com
- Fax: 1-973-274-4550
How it works
You must opt-in to the Safety and Quality Award Program to receive a quality award bonus payment. Award payments are calculated based on the performance of the surgeons within your orthopedic practice/group, and the following criteria must be met for each surgical procedure:
- Quality & Safety
- Infection & Risk Management
- Site of Service Optimization
- Procedure Documentation Standards
Incentive levels are categorized by the type of service and based on your practice/group’s ability to demonstrate consistent use of the program’s best practice standards.
Those that do not enroll by March 1, 2021, may have a future opportunity to enroll in the program on a quarterly basis.
Horizon BCBSNJ contracts with TurningPoint to administer its Surgical and Implantable Device Management Program for orthopedic surgical services. TurningPoint facilitates Prior Authorization & Medical Necessity Determination (PA/MND) reviews for certain surgical services, many of which may require the use of an implantable device.
More information about this program, including FAQs, upcoming webinars and other resources, are available at HorizonBlue.com/turningpoint. If you have any questions, please call your Network Specialist.