Top Banner

Click here to load reader

Network Bulletin: September 2016 network bulletin Network Bulletin: November 2013 - Volume 58 Table of Contents For more information, call 877.842.3210 or visit UnitedHealthcareOnline.com

Jun 27, 2018

ReportDownload

Documents

trannhi

  • Important updates from UnitedHealthcare to health care professionals and facilities

    UnitedHealthcare respects the expertise of the physicians, health care professionals and their staff who participate in our network. Our goal is to support you and your patients in making the most informed decisions regarding the choice of quality and cost-effective care, and to support practice staff with a simple and predictable administrative experience. The Network Bulletin was developed to share important updates regarding UnitedHealthcare procedure and policy changes, as well as other useful administrative and clinical information.

    Where information in this bulletin conflicts with applicable state and/or federal law, UnitedHealthcare follows such applicable federal and/or state law.

    network bulletinNetwork Bulletin: September 2016

    enter

  • Network Bulletin: November 2013 - Volume 582

    Table of Contents

    For more information, call 877.842.3210 or visit UnitedHealthcareOnline.com

    2 Network Bulletin: September 2016

    Front & Center

    Communication Effectiveness Survey

    New and Updated Link Applications

    Tune in to UHC On Air

    Termination of the ICD-10 Code Look-up Tool

    Tell Us About Your Service Experience

    Cardiology Program Procedure CodeUpdate Effective Oct. 1, 2016

    Changes in Call Reference Number Procedures

    Changes in Advance Notification andPrior Authorization Requirements

    Prior Authorization Requirement for CertainSurgical Procedures Expanding to IncludeUnitedHealthcare Community Plan membersin Delaware and Additional Procedures Effective Oct. 1, 2016 in Most States

    UnitedHealthcare Commercial

    UnitedHealthcare Compass Network toWelcome Harken Health Members in 2017

    A Reminder about the Neighborhood HealthPartnership Prior Authorization Policy

    UnitedHealthcare Medical Policy, Drug Policy andCoverage Determination Guideline Updates

    UnitedHealthcare Commercial Reimbursement Policies

    Policy Revision to Nonphysician HealthCare Professionals Billing Evaluationand Management Codes

    UnitedHealthcare Community Plan

    Outpatient Injectable Chemotherapy PriorAuthorization Program for UnitedHealthcareCommunity Plan in Ohio, Michigan,Mississippi and Wisconsin

    UnitedHealthcare Medical Policy & CoverageDetermination Guideline Updates

    UnitedHealthcare Medicare Solutions

    Transitional Care Management and MedicationReconciliation Post-Discharge Complete to MeetQuality Standards and Improve Patient Health

    Medication Reconciliation Post-Discharge forFacilities Support Closing This Open CareOpportunity to Help Prevent Readmissions

    Revision to Reimbursement Policy Durable Medical Equipment Chargesin a Skilled Nursing Facility

    Policy Reminder on NonphysicianHealth Care Professionals BillingEvaluation and Management Codes

    Correct Reporting of Modifiers onIpsilateral Organs or Structures

    New PolicyPatient DischargeStatus for Type of Bill

    National Medicare Education Week: Helpingto Make Medicare Easier to Understand

    UnitedHealthcare Medicare AdvantageCoverage Summary Updates

    2017 Medicare Advantage Service Area Reductions

    UnitedHealthcare Military & Veterans

    Avoid Delays by Using the LatestCare Request Form

    Doing Business Better

    Online Preventive Health Program Availablefor Information on Depression, Alcohol andDrug Abuse/Addiction and ADHD

    Evidenced-Based Clinical Practice Guidelines

    Reminder on Case and DiseaseManagement Programs

    UnitedHealthcare Affiliates

    Oxford Medical and Administrative Policy Updates

    SignatureValue/UnitedHealthcare Benefits Plan ofCalifornia Benefit Interpretation Policy Updates

    SignatureValue/UnitedHealthcare Benefits Plan ofCalifornia Medical Management Guideline Updates

  • Network Bulletin: November 2013 - Volume 5833 For more information, call 877.842.3210

    or visit UnitedHealthcareOnline.comNetwork Bulletin: September 2016

    Communication Effectiveness Survey

    Front & Center

    TABLE OF CONTENTS

    We understand the volume of communications you receive from payers on a wide variety of topics and want to do whatever we can to streamline those you receive from UnitedHealthcare as well as improve those we do send. Please take a few moments to answer our brief three-question survey so we can continue to improve our communications to you.

    The survey is available online at uhcresearch.az1.qualtrics.com/jfe/form/SV_a2TkHLsEbvfxGgB. Thank you!

  • Network Bulletin: November 2013 - Volume 5844 For more information, call 877.842.3210

    or visit UnitedHealthcareOnline.comNetwork Bulletin: September 2016

    TABLE OF CONTENTS

    We are introducing new and updated applications on Link your gateway to UnitedHealthcares online tools and resources. The following chart shows an overview of these applications.

    Application Description Availability

    Prior Authorization and Notification

    New standalone application with prior authorization and notification functionality identical to what is available on the Eligibility & Benefits application

    Available now; anyone who previously used prior authorization/notification functionality in UnitedHealthcareOnline.com or Link has access.

    eligibilityLinkNew applications that will offer enhanced features not available on the current Link applications, as well as a redesigned user interface that is faster and easier to use

    In phases; all UnitedHealthcareOnline.com users will have access to the new applications by the end of this year.

    claimsLink

    My Practice Profile (formerly Provider Data Management)

    Updated application that will enable you to view and update your care provider demographic and practice data online. You can also use My Practice Profile to complete your required quarterly attestation to the accuracy of your demographic information.

    All Link users currently have the application on their dashboard and can use it to submit Disclosure of Ownership and Management forms for Medicaid.Additional functionality will be rolled out in phases through next year.

    Prior Authorization and Notification Based on feedback from care providers, prior authorization and notification functionality is now available in its own application. Identical functionality will continue to be available on the Eligibility & Benefits application.

    Everyone who used notification/prior authorization functionality on UnitedHealthcareOnline.com or Link has access to the Prior Authorization and Notification application on their Link dashboard; you may need to scroll to the bottom of your screen to see the application. If you need access to the application, please ask your organizations ID administrator to update your role through the User ID & Password Management application on Link.

    Front & Center

    New and Updated Link Applications

    Next Article >

  • Front & Center

    Network Bulletin: November 2013 - Volume 5855 For more information, call 877.842.3210

    or visit UnitedHealthcareOnline.comNetwork Bulletin: September 2016

    TABLE OF CONTENTS

    eligibilityLink and claimsLink The new eligibilityLink and claimsLink applications will help make it faster and easier to perform online transactions using Link.

    eligibilityLink has features you already use on the Eligibility & Benefits application, plus:

    Start your inquiry from the Link dashboard without opening the application

    Redesigned screens based on feedback from Link users

    View previous plans up to 18 months in the past

    claimsLink combines many features of the Claims Management and Claims Reconsideration applications, plus:

    Redesigned screens based on feedback from Link users

    Switch to eligibilityLink without re-entering the member information

    Create a new claim reconsideration request or view an existing one from the claim detail screen

    Create your own claim view by selecting which information is displayed

    These new applications will not launch to all UnitedHealthcareOnline.com users at the same time; when they are available to you, we will email you with more details and information about webinar training sessions. When you have access to the new applications, you will see a pop-up box inviting you to try the new Link applications if you use Eligibility & Benefits, Claim Status or Claim Reconsideration functions on UnitedHealthcareOnline.com. After you have tried eligibilityLink or claimsLink twice, another pop-up box will invite you to make the new Link application your permanent view which would make it the tool you use for all related transactions and you will no longer have access to the corresponding UnitedHealthcareOnline.com functions.

    The Eligibility & Benefits, Claims Management and Claims Reconsideration applications on Link will continue to be available into 2017, along with the new eligibilityLink and claimsLink applications. More new features are in progress, and we will continue to make improvements based on the feedback we receive from users.

    New and Updated Link Applications

    Next Article >

  • Front & Center

    Network Bulletin: November 2013 - Volume 5866 For more information, call 877.842.3210

    or visit UnitedHealthcareOnline.comNetwork Bulletin: September 2016

    TABLE OF CONTENTS

    My Practice Profile The updated My Practice Profile application (formerly called Provider Data Management) will allow you to view and update* the care provider demographic data that UnitedHealthcare has for your practice, including:

    Office addresses, hours and locations

    Languages spoken

Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.