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: Current Issue

2017

Summer

  • Let’s Collaborate!
  • Please Submit Medical Records for IVA
  • Be Sure to Use In-Network Services
  • Denial of Coverage for Procedure Change
  • Data Sharing to Prevent Fraud, Waste and Abuse
  • Coverage Decisions

Spring

  • CPC+ Contracts Mailed
  • Using the Correct Request Form
  • Medical Record Review for HEDIS Reporting
  • CERiS Review Program FAQs
  • Stay Connected! Sign Up for My Account
  • Individual Metallic Plan Members Must Have PCP

2016

Winter

  • Individual Metallic Plan Members Must Have PCP
  • Medical Record Review for HEDIS Reporting
  • Reconsideration and Appeals Update
  • New eviCore Portal
  • Diabetic Retinopathy Screening
  • CPC+ Update

Summer

  • Review Your Demographic Information
  • Taxonomy Code Update
  • Diabetes and Eye Health Outreach
  • New Online Member Portal
  • Be Sure to Use In-Network Services
  • CPC+ Update

Spring

  • Now Accepting Medicare Crossover Claims
  • Use Correct Electronic Payer ID
  • eviCore Healthcare Update
  • CPT Code Update
  • Medical Record Review for HEDIS
  • File Corrected Claims Electronically

CPC+ QuickNews

2017