Midwest June Newsletter
June 12, 2015Primary/Tertiary Network Providers for Out-of-System Referrals PEDIATRICS
Primary/Tertiary Network Providers for Out-of-System Referrals PEDIATRICS
Learn About Our New Facility Claims Editor Health Alliance began using the new iCES Facility Claims Editor in June. It works very similar to the previous Professional Claims Editor in detecting appropriate coding and billing. Here are some things you should know about the new claims editor:
If you are interested in end-to-end ICD-10 testing, act quickly. Relay Health, our clearinghouse partner, will close its ICD-10 test portal on July 31, 2015.
Coming Soon: New iCES Facility Claims Editor We will begin using the new iCES Facility Claims Editor on May 1. It will work very similar to the existing Professional Claims Editor in detecting appropriate coding and billing. Here are some things you should know about the new claims editor:
HEDIS® Chart Reviews Coming Soon Each spring, we collect data to determine how we measure up against national averages for the Healthcare Effectiveness Data and Information Set (HEDIS). This data collection and analysis indicates where we need to focus our quality efforts and is required for National Committee for Quality Assurance (NCQA) accreditation. Successfully generating our HEDIS report depends largely on the cooperation we receive from provider office staff.