'Medicaid contracts' presentation slideshows

MACSIS HIPAA Contracts, Pricing & Adjudication Training

MACSIS HIPAA Contracts, Pricing & Adjudication Training. Introduction. To get a claim paid in Diamond, a claim must be priced and then adjudicated. In order to price a claim, there must be contracts (PROVC) and rates (PROCP) set up for the provider. PROVF PROVC PROVD PROVA PROCP MEDEF.

1.09k views • 92 slides

September 19, 2012 AHCCCS Update Meeting DUAL ELIGIBLE INITIATIVES

September 19, 2012 AHCCCS Update Meeting DUAL ELIGIBLE INITIATIVES. Part D Data Dual Demo Update D-SNP Contracting Policy. PART D DATA. CMS is allowing States to request Part D Prescription Drug Event data for care coordination purposes

211 views • 8 slides

September 19, 2012 AHCCCS Update Meeting DUAL ELIGIBLE INITIATIVES

September 19, 2012 AHCCCS Update Meeting DUAL ELIGIBLE INITIATIVES. Part D Data Dual Demo Update D-SNP Contracting Policy. PART D DATA. CMS is allowing States to request Part D Prescription Drug Event data for care coordination purposes

88 views • 8 slides

Leader in Healthcare fraud prevention - Digital Harbor

124 views • 1 slides