.png){kind=spacer}
Proud to be a part of Privia Medical Group
May 4, 2022
Pediatrics in Brevard (PIB) recently partnered with Privia Medical Group (PMG)-Florida, a multi-specialty physician led group.
While we look forward to the benefits of this partnership, we want to be clear, Pediatrics in Brevard remains an independent physician owned pediatric practice and continues to make all the decisions affecting our patients’ care.
Pediatrics in Brevard (PIB) recently partnered with Privia Medical Group (PMG)-Florida, a multi-specialty physician led group. While we look forward to the benefits of this partnership, we want to be clear, Pediatrics in Brevard remains an independent physician owned pediatric practice and continues to make all the decisions affecting our patients’ care.
Some of the benefits we expect with this partnership include increased efficiencies, a more user-friendly patient portal, and an integrated virtual visit software. There will be an impact on a few things for our patients. The primary change is the implementation of a new Electronic Health Record (EHR) and a new patient portal. Here are some timelines for our patients as we transition to our new EHR.
The current patient portal will go offline 6/14/2022
- This means users will no longer have access to the current patient portal on this date
- Patients/Parents who want their medical data should download and or print any medical data from the current portal prior to this date.
- Access to the new portal will be offered via email, at the time of appointment and/or via any request.
Billing/Statement balances
- All billings/balances due for patients’ services/care received prior to 6/14/22 may continue to be paid online via our website, in person, via phone or via US Mail
- If you have a patient balance due for services before 6/14/22 and then for services on or after 6/14/22 you will receive two different statements as we close out our old software.
New Electronic Health Record (EHR)
- PIB goes live on 6/14/22 with Athena our new EHR – We will have reduced schedules for the first two weeks as our doctors, nurse practitioners, clinical staff, front office, and billing teams learn this new software.
- Parents may be asked to sign/update some forms
- Parent/patients may be asked to confirm demographic data, contact information, pharmacy information, etc., so our new EHR accurately reflects your current information.
Insurance Plan participation
- Parents/patients may receive letters from your insurance plan indicating our doctors and nurse practitioners may no longer be “in network” with your health plan effective 6/13/22. Please note while that is correct, PIB providers in partnership with PMG, will be “in network” with your health plan effective 6/14/22. The insurance plans typically forget to share this information with you.
Pediatrics in Brevard would like to thank our patients and parents/guardians in advance for your patience as we transition to our new software. We look forward to continuing to be your choice of pediatricians and hope our new partnership allows us to better serve our patients.
Dr. Sheila McLeod and Dr. Angela Sibilia are accepting new and established patients at our Indialantic office: 1220 North Highway A1A, Suite 147, Indialantic, FL 32903. Come visit our new location!
Our Rockledge Office has Relocated
Class of 2025 Academic Scholarship
Pediatrics in Brevard is excited to welcome Dr. Sheila Mcleod!
Medical offices get paid by “coding” what they do. These codes are designated by the Center for Medicaid and Medicare Services (CMS). A new code – G2211 – has been created by CMS for primary care providers to indicate that they are following patients longitudinally and are committed to caring for the “whole patient” over time. This code is needed to account for the complexity and added resource costs of providing truly comprehensive primary care. This code is not related to a clinical condition. Instead, it refers to the long-term nature of the practitioner-patient relationship. Unlike urgent cares and emergency rooms, Pediatrics in Brevard (PIB) is recognized as a Patient Center Medical Home and takes pride in offering this type of care to your child(ren). As such, we will be adding this code to all permitted visits, which excludes annual physicals (well visits). Unfortunately, many insurance companies are not paying for all the services we provide, even if CMS says we need to document and code for what we do. Some carriers will completely deny payment. Others will pass the charge on to the patient. We are not happy with their position, and feel it is unfair both to us and to you. But, per our contracts with the insurance companies and complying with CMS, we must continue to code for services as instructed. If you receive a bill for this code, G2211, we will not be able to waive the charge. Instead, we ask that you follow up with your carrier directly for reimbursement. We take great pride in providing your child with the highest quality of care possible. Documenting and coding appropriately for the services we provide is necessary for us to continue to serve our families in this way.
Effective immediately we are no longer accepting new Sunshine patients. Unfortunately, this will include newborns and siblings of our current patients. This decision was made regretfully after a long history of chronic underpayments by Sunshine Health and a failure to correct the underpayments after given ample opportunity to do so. At Pediatrics in Brevard our priority will always be the welfare of our patients and service to the children of our community, but as a privately owned business we rely on insurance companies to fulfill their contractual obligations with prompt and complete payments so that we can continue to offer quality medical care to all of our patients. If you or your children are affected by this policy, we apologize and encourage you to contact Sunshine Health at 1-866-796-0530 with your concerns.
We moved to Merritt Island!
We are excited to announce the four outstanding 2024 graduates that have each won a $500 scholarship. Congratulations to Lauren Scharfenberg, Sophia Satoro, Allison Gardner and Ryleigh Rendina! Thank you to all the graduates who participated! We wish you the best of luck this year! 🎓
Pediatrics in Brevard provider Dr. Forcier released a podcast! Are You KID-DING Me is available now on Apple Podcasts, Spotify and everywhere you listen to podcasts.
HIPPY es un programa de evidencia que se basa en visitas al hogar que se asocia con padres de niños de dos a cinco años para ayudar a preparar a los padres y a los niños para el éxito escolar.