They were designed with the help of physician advisory groups to encourage appropriate and rational use of cardiology services. Ò£ð(= Reduce Specialist Referrals with AristaMD - TN, Required Updates to Your Medical Staff Roster, Self-paced Special Needs Plan Model of Care Training, Stay up-to-date on 2021 Medicare Advantage plans in Oregon, Stay up-to-date on 2021 Medicare Advantage plans in Washington, Streamlined Referral Experience Now Available, UnitedHealthcare Community Plan Expanding Dual Special Needs Program â UnitedHealthcare Dual Complete, UnitedHealth Premium® Program Designations Becoming Effective, Access to care and appointment availability standards for Missouri, Avoid claim denials: Tips for Exchange plans, Avoid Claim Errors for Annual Wellness Visits, Become a Designated Diagnostic Provider for lab services, Better educational resources to make training faster and easier for you, Changes to VA CCN community emergency notification process, Colorado: Administrative changes for Medicare, Credentialing tip: Adding providers to an existing contracted group, Direct deposits now managed through Optum Pay for UnitedHealthcare West Plans, Downloadable payment information now available in Optum Pay basic, Enroll in the CA COVID-19 vaccination program, Find COVID-19 vaccine availability for your state or territory, Florida SBIRT tools for substance abuse issues, Genetic testing for hereditary cancer unproven codes, Help ensure timely care for your patients with a cancer diagnosis, Help managing VA CCN claims and myVACCN access, LifeBridge Nebraska Physician Coaching Program, Multiple Therapy Procedure Reduction policy change, New Benefit Designs for Outpatient Lab Services: Action Needed, New Optum Pay⢠premium features make managing payments, New preventative care support for your patients, New York: Referrals updates for Medicaid plans, Ohio Community Plan Prenatal Risk Assessment form incentives, Online prior authorization submission just got easier, Optum ID name changing to One Healthcare ID, Optum is assisting with VA CCN appointment scheduling, Patient experience resources for your practice, Patients at your practice may be utilizing Care Cash, Pennsylvania - new requirements for skilled shift care services, Prepare for patients with Bind health insurance, Promoting preventive care just got easier, Questions for us? 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Ch.9, 2021 Administrative Guide, Interoperability protocol - Ch.9, 2021 Administrative Guide, Laboratory services protocol - Ch.9, 2021 Administrative Guide, Nursing home and assisted living plans - Ch.9, 2021 Administrative Guide, Social determinants of health protocol - Ch.9, 2021 Administrative Guide, Telehealth services protocol - Ch.9, 2021 Administrative Guide, Optum Pay - Ch.10, 2021 Administrative Guide, Virtual card payments - Ch.10, 2021 Administrative Guide, Enroll and learn more about Optum Pay - Ch.10, 2021 Administrative Guide, Claims and encounter data submissions - Ch.10, 2021 Administrative Guide, Risk adjustment data â MA and commercial - Ch.10, 2021 Administrative Guide, National Provider Identification (NPI) - Ch.10, 2021 Administrative Guide, Medicare Advantage claim processing requirements - Ch.10, 2021 Administrative Guide, Claim submission tips - Ch.10, 2021 Administrative Guide, Pass-through billing - Ch.10, 2021 Administrative Guide, Special reporting requirements for certain claim types - Ch.10, 2021 Administrative Guide, Overpayments - Ch.10, 2021 Administrative Guide, Subrogation and coordination of benefits - Ch.10, 2021 Administrative Guide, Claim correction and resubmission - Ch.10, 2021 Administrative Guide, Claim reconsideration, appeals process - Ch.10, 2021 Administrative Guide, Resolving concerns or complaints - Ch.10, 2021 Administrative Guide, Member appeals, grievances or complaints - Ch.10, 2021 Administrative Guide, Medical claim review - Ch.10, 2021 Administrative Guide, Reimbursement policies - Ch.11, 2021 Administrative Guide, Charging members - Ch.11, 2021 Administrative Guide, Member financial responsibility - Ch.11, 2021 Administrative Guide, Preventive care - Ch.11, 2021 Administrative Guide, Extrapolation - Ch.11, 2021 Administrative Guide, Audit services - Ch.11, 2021 Administrative Guide, Audit failure denials - Ch.11, 2021 Administrative Guide, Notice of Medicare Non-Coverage (NOMNC) - Ch.11, 2021 Administrative Guide, Medical records standards and requirements - Ch.12, 2021 Administrative Guide, Health management programs - Ch.13, 2021 Administrative Guide, Case management - Ch.13, 2021 Administrative Guide, Commercial health services, wellness and behavioral health programs - Ch.13, 2021 Administrative Guide, Commercial consumer transparency tools- Ch.13, 2021 Administrative Guide, Medicare Advantage (MA) - Ch.13, 2021 Administrative Guide, Commercial and Medicare Advantage behavioral health information - Ch.13, 2021 Administrative Guide, UnitedHealth Premium® program (commercial plans) - Ch.14, 2021 Administrative Guide, Star ratings for MA and prescription drug plans - Ch.14, 2021 Administrative Guide, Member satisfaction - Ch.14, 2021 Administrative Guide, Imaging accreditation protocol - Ch.14, 2021 Administrative Guide, Credentialing/profile reporting requirements - Ch.15, 2021 Administrative Guide, Care provider rights related to the credentialing process - Ch.15, 2021 Administrative Guide, Credentialing committee decision-making process (non-delegated) - Ch.15, 2021 Administrative Guide, Monitoring of network care providers and health care professionals - Ch.15, 2021 Administrative Guide, Member rights and responsibilities - Ch.16, 2021 Administrative Guide, Medicare compliance expectations and training - Ch.17, 2021 Administrative Guide, Exclusion checks - Ch.17, 2021 Administrative Guide, Preclusion list policy - Ch.17, 2021 Administrative Guide, Examples of potentially fraudulent, wasteful, or abusive billing (not an inclusive list) - Ch.17, 2021 Administrative Guide, Prevention and detection - Ch.17, 2021 Administrative Guide, Corrective action plans - Ch.17, 2021 Administrative Guide, Beneficiary inducement law - Ch.17, 2021 Administrative Guide, Reporting potential fraud, waste or abuse to UnitedHealthcare- Ch.17, 2021 Administrative Guide, Network News: Provider news and updates - Ch.18, 2021 Administrative Guide, Network Bulletin: Policy and protocol updates - Ch.18, 2021 Administrative Guide, Medical Policy Update Bulletin - Ch.18, 2021 Administrative Guide, Other communications - Ch.18, 2021 Administrative Guide, How to contact All Savers - 2021 Administrative Guide, What is capitation?
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