Attached is an updated version of the ASR provider manual that has been updated, and will be effective as of July 1, 2019.
Key components of these changes address:
Effective August 1, 2019, Meridian is implementing updates to Meridian Medical Policy B. 05 Readmission Review. This policy outlines Meridian’s processes of reviewing, adjudicating, and adjusting claims payments for inpatient admissions that are deemed to be potentially preventable readmissions. This policy is in alignment with Michigan Department of Health and Human Services’ Medicaid Provider Manual Readmission, Section 9.2. Meridian Medical Policy B. 05 Readmission Review policy is available on the Meridian website under Training & Education Resources.
Meridian has provided these educational handouts for this month:
There has been some confusion on the proper forms to send into Meridian for Prior Authorizations. At times, the form is sent to the incorrect fax number, which results in delays of getting the needed authorization approvals in a timely manner. The Meridian Team must then route the form to the correct intended department, and this causes unneeded delay for the patient.
MeridianComplete (Medicare-Medicaid Plan) will be ending their relationship with ConncertoHealth (Concerto), also known as MeridianCare Continuim on May 31, 2019. A new vendor, H3 Management Services, will begin to provide services as of June 1, 2019. There will be no immediate authorization process changes.
For more details, please see attached document.
Humana has added a number of Availiaty webinars which can be viewed thru the Availity.com Provider Portal
Hosted By: Jason L. Johnson, Humana eBusiness Consultant
Each person in your organization must register separately.
The webinar lasts approximately 50-55 minutes.
Webinar Agenda
• Administrator Dashboard
• Payer Spaces
• Authorization & Referrals
• Eligibility & Benefits
• Claims Management
• Code Edit Simulator
• Medical Records Management
As you know, Cofinity is migrating to a new claims repricing platform that requires a change in the traditional Cofinity claim submission workflow. The new platform will streamline their administrative processes and help them improve the service they provide to you and payer clients.
How this impacts you:
Measles can be dangerous for babies and young children.
Symptoms include:
The MMR (measles- mumps-rubella) vaccine can provide children protection.
For additional informaiton, please visit these sites:
UPDATE ON COPAYS:
Meridian has provided these informational monthly handouts:
