Posted
CQV/CCA Webinars for Providers
A new webinar is available to help providers learn about accessing and navigating the health plan’s Centene Clinical Action and Clinical Quality Validation tools.
Posted
Encouraging Patients to Accept & Return In-Home Lab Test Kits
In-home lab testing is a convenient and accessible service to members that can make a valuable addition to any provider practice. An in-home lab test kit often warrants quicker test results, while
Posted
Prenatal and Postpartum Care
As a healthcare provider, you understand the importance of prenatal and postpartum care for your patients. Seeking this care early in the pregnancy and attending all the recommended visits can increase successful outcomes for both the parent and child(ren).
Posted
Bonnie Pruett Promoted to Statewide Account Manager
QualChoice congratulates Bonnie Pruett on her promotion to statewide Account Manager.Bonnie has worked in the health insurance industry for 31 years, most recently as Regional Sales Manager. In the 11
Posted
Individual and Small Group Metallic Plans Chart Chase Program
QualChoice is required by the Centers for Medicare & Medicaid Services (CMS) to submit complete diagnostic data regarding members enrolled in our individual and small group metallic health plans.
Posted
2020-2021 Community Impact Report
The 2020/2021 Community Impact Report is the story of how we work to fulfill our purpose: Helping Arkansas Live Better. We believe healthier individuals create more vibrant communities.
Posted
Post-Payment DRG Clinical Validation Audits
Beginning February 1, 2023, QualChoice will perform post-payment DRG clinical validation audits of facility claims.
Posted
Outpatient Surgery? Consider an ASC
There are more options available today to get quality health care at a lower cost. If you need outpatient surgery, an Ambulatory Surgery Center (ASC) may be an option to consider.
Posted
National Imaging Associates Online Training for Providers
QualChoice recently announced an agreement with National Imaging Associates, Inc. (NIA) to manage diagnostic and cardiac imaging services. Providers are encouraged to register for one of the upcoming online training sessions provided by NIA.
Posted
High-Tech Imaging Change
National Imaging Associates, Inc. (NIA), a subsidiary of Magellan Health, will manage QualChoice diagnostic and cardiac imaging.
