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QualChoice Provider Newsletter — Spring 2016

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

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

    2015

    • Fall-Winter
      • Patient Centered Medical Home Initiative
      • Pre-Authorization
      • CPT Code Updates
      • Use In-Network Services
      • Obstetrical Ultrasound Updates
    • Summer
      • ICD-10 Transition
      • New Provider Log-In Credentials
      • PCP Alignment Initiative
      • Pre-Authorization Reminder
      • More!

    2014

    • Winter
      • Antibiotic Overuse
      • ICD-10 Revised Compliance Date
      • Private Option Health Independence Account (HIA)
      • Clinic Visits Billed by a Facility
      • More!
    • Summer
      • QualChoice Now Part of CHI
      • In Memoriam
      • ACA Requirements Affect Coding
      • New ID Cards
      • More!
    • Spring
      • Online Provider Manual is Complete!
      • Be Sure to Use In-Network Services
      • Fee Schedules
      • ARBenefits Requires Pre-Certification
      • More!

Provider Action Alert

2016

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