Quality Results

An e-newsletter for doctors, other health care experts and facilities affiliated with QCA Health Plan, Inc., and QualChoice Life and Health Insurance Company, Inc.

Quality Results

2019

Winter 2019–2020

  • QualChoice Individual Plans ONLY Transferred to Ambetter
  • Two New Services Added to AutoAuth
  • New Change Healthcare/ECHO Health URL
  • Value-Based Care Programs Quality Data
  • Medical Record Review—HEDIS 2019 Data
  • Medical Coverage Policies Updates

Fall 2019

  • QualChoice Exchange Members Moving to Ambetter
  • CPC+, PCMH Performance Payments
  • AMS Conferences
  • Fetal/Genetic/Genomic Testing
  • Wellness Appointment Outreach
  • Medical Coverage Policies Updates

Summer 2019

  • New QualChoice Ownership
  • Change in ACH Payment System
  • Risk Adjustment Data Validation Audit
  • Requests for Urgent or Expedited Pre-authorization
  • 2018-2019 Flu Shot Campaign Successful
  • Keeping the Quality in QualChoice
  • Medical Coverage Policies Updates

Spring 2019

  • High-Tech Imaging Pre-auth and Appeals
  • Coverage UPDATE: Mental Health and Substance Use Disorder (BI273)
  • Transitional Care Management Services
  • Member Termination Policy Update
  • HEDIS Medical Records Review
  • It Pays to Use AutoAuth!
  • Members Can Win Cash by Getting a Flu Shot
  • Medical Coverage Policies Updates

2018

Winter 2018

  • Medical Record Review — Affordable Care Act (ACA) 2018 Dates of Service
  • Coverage Guidelines: Mental Health and Substance Use Disorder (BI273)
  • Improving Healthcare with PCMH
  • Value-Based Care Program Reminders
  • New for Arkansas Works Program
  • QualChoice Exchange Coverage Now Available in NE Arkansas
  • It Pays to Use AutoAuth!
  • Medical Coverage Policies Updates

Fall 2018

  • QualChoice CPC+ Performance Bonuses
  • AutoAuth® Update
  • Home Sleep Studies
  • Claim Frequency Codes
  • Medical Records Collection for IVA
  • Arkansas Works
  • AMS Conferences
  • Medical Coverage Policies Updates
  • New on QualChoice.com

Summer 2018

  • Medical Records Collection for IVA
  • Orthotic Devices Require Pre-authorization
  • ARBenefits: Medical Necessity Review Required for Transplant
  • New Pre-Auths Available through AutoAuth®
  • Using the ECHO Health EFT Payment System
  • Opioid Misuse and Guideline for Prescribing
  • CPC+ Updates and Reminders

Spring 2018

  • Medical Record Review for HEDIS Reporting
  • New! AutoAuth® Maternity and DRG Notifications
  • Helping PCPs Improve Healthcare
  • CPC+ News and Updates
  • Health Tips at QualChoice.com
  • Stay Up-to-Date on Medical Policies

Provider Quick Alert

2020

2019

2018

CPC+ QuickNews

2020

2019

2018

PCMH QuickNews

2019

2018