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.
Help Patients Break Tobacco’s Hold Many people make New Year’s resolutions to quit smoking, but they might not know where to start or are afraid they won’t succeed. We partner with Quit for Life®, the nation’s leading smoking cessation program, to help our members break tobacco’s hold for good.
We're always finding new ways to help our members be their best and save money in the process.
ICD-10 Update The Department of Health and Human Services (HHS) officially pushed ICD-10 implementation back another year. According to an HHS press release, “This deadline allows providers, insurance companies and others in the healthcare industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.”