Due to COVID, Health Alliance suspended inpatient clinical concurrent review for dates of services after 11/1/2020. This notice is to remind providers that inpatient clinical concurrent review policies will be reinstated on 2/1/2021.
The Centers for Medicare and Medicaid Services (CMS) would like to inform users of the Hospice, Inpatient and Skilled Nursing Facility (SNF) Prospective Payment System Personal Computer (PC) Pricers of a delay in the release of the Fiscal Year (FY) 2021 versions of these applications.
This week, we’re sending the below email to our members, with important information about the COVID-19 vaccine. As their trusted providers, we knew you’d like to be informed of these communications.
Due to the 1135 Waiver, we have the flexibility to waive the current national and local coverage determinations that otherwise restrict coverage of the home-use of oxygen for the remainder of 2020. This change will allow practitioners the option of treating their patients with home-use of oxygen during the COVID-19 public health emergency.
Each spring, we collect data to determine how we measure up against national averages for HEDIS® (the Healthcare Effectiveness Data and Information Set). This data collection and analysis is required for National Committee for Quality Assurance (NCQA) accreditation, and it indicates where we need to focus our quality efforts to better serve our members and provider partners.