A representative will contact you shortly. Also, be aware: Conduent only uses @conduent.com for email communications, Conduent will not request money or your banking or credit card information, Conduent will not ask you to purchase equipment to start working, Conduent will not ask you to meet at a location other than Conduent offices and select job fairs and hiring events. Many health care services require authorization prior to services being administered. Optum Alaska - Alerts & Announcements Payer ID. As the ASO, Optum will eventually assume many of the responsibilities that you currently conduct with Conduent and Comagine Health. Our people, process and technology can help you serve a more connected healthcare ecosystem that drives positive health outcomes for individuals and entire communities. AK Provider Billing Manuals HR Management and Workforce Administration, Disease Surveillance & Outbreak Management. Maternal/Newborn Stay Prior Authorization (PA) Chart, Monday - Friday 8:00am - 4:30pm (AK time)907-269-3666 or 800-478-9996907-269-3688 Facsimile. Direct Entry Midwife. las molestias. Programs. PDF Provider Self-Audit FAQs - Alaska Department of Health and Social Services Please complete and return the attached questionnaire to help us understand your populations served, hours of operation, accessibility, and treatment options. Today's health care environment doesn't afford the luxury of wasted time or waiting longer than necessary to be paid, which is why you need to enroll in Optum Financial Services Electronic Payments & Statements (EPS). LOGIN Admin Login Careers at Conduent | Conduent job opportunities and Periodic Screening, Diagnosis, and Treatment, Federally
Alaska Medical Assistance Health Enterprise Portal enva un correo electrnico a message, contactez-nous l'adresse Visit us at Booth #400 and attend our speaking session. Attn: Provider Self-Audits
om ons te informeren over dit probleem. excuses voor het ongemak. Alaska Medicaid Member Portal Lamentamos Medicaid Provider Self-Audits - Alaska Department of Health and Social You may also e-mail the Helpline staff . MemberHelp@conduent.com. Orthodontic Referral - Oral Health and Hygiene Assessment. Welcome to Alaska Medicaid Member Portal. Anchorage, AK 99503, Or email: QAPIProgramIntegrity@alaska.gov. Use this spreadsheet to find Alaska Medicaid-enrolled providers. To get started on participating with Optum as a provider the very first step is to obtain an Optum ID. Certified at minimum for Phases I and II of CAQH CORE compliance, the platform offers support all industry standard real-time, batch, and safe harbor channels for trading partners. If you have questions about how Optum will serve you as a provider, please email Optum Provider Relations at akmedicaid@optum.com. Conduent - manuals.medicaidalaska.com If you need technical assistance, our website provides helpful tools or you can email QAPIProgramIntegrity@alaska.gov. After hours, leave a message and your call will be returned the following . Excluded Provider List
Its no wonder that many states are looking for improved cost efficiency and greater payment value while increasing access to Medicaid services and quality of care. The Division of Senior & Disabilities Services provides Prior Authorization for the following services: Monday - Friday 6:30am - 6:00pm (AK time)800-783-9207800-826-3630 - Facsimile. Turn data into timely, actionable insights to identify performance improvements and evaluate effectiveness of care. Submit all CMN requests directly to Conduent, the fiscal agent, by fax at 907.644.8131 or by mail at Conduent Service Authorization, PO Box 240808, Anchorage, AK 99524-0808. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. Chiropractic. Title Last Modified . Wir entschuldigen uns fr die Umstnde. CDT is a trademark of the ADA. Please enable Cookies and reload the page. Pros. Immunizations. Leverage expertise, services and technology to pinpoint social determinants of health and drive positive community health outcomes, People, process and technology to deliver patient-centric, connected, omnichannel experiences throughout the entire patient journey, Solutions to manage HR programs while empowering and engaging employees in their health, wealth and careers. ALASKA MEDICAID RECIPIENT INFORMATION HELPLINE 800.770.5650, option 2 i Dear Fellow Alaskan, . insurance carrier registered by the Division of Health Care Services as a third party resource for Alaska Medicaid recipients is assigned a carrier code. You should contact CPT Intellectual Property Services, American Medical Association, 515 N. State Street, Chicago, Illinois 60610 or at telephone number 312-464-5022 or at facsimile number 312-464-5131, should you wish to make additional uses of CPT. is a HIPAA/HITECH compliant and ENHAC accredited clearinghouse specializing in the ANSI 5010 X12N transaction set translating and delivering in excess of half a billion healthcare transactions annually across its healthcare footprint to over forty thousand active trading partners. Department of HealthMedicaid Program Integrity
Provider Self-Audits, Payment Error Rate Measurement (PERM)
MARS: management and administrative reporting component supports required federal and state reporting (MAR/reports and T-MSIS extracts) for programs and financial functions. A Recipient Services representative can answer questions about what services are covered by Medicaid and can provide you with a list of health care professionals, health facilities, and other providers that are enrolled with the Alaska Medicaid program.If you have a question about what services Medicaid covers or about using your Medicaid, you may find the answer in the Alaska Medicaid Recipient Handbook. We have enclosed some materials to get you started. Conduent, Conduent State Healthcare, LLC, Alaska Medical Assistance Monday, June 12, 2023 Skip Navigation | Contact Us | Help Home . The payment method development team at Conduent specializes in understanding standard health care industry payment methods such as DRG, RBRVS, APC, RUG and fee schedules. Four agencies are currently approved to provide "Prior Authorization" for Alaska Medical Assistance recipients. All rights reserved. message, please email PDF Alaska Medicaid Recipient Handbook - SEARHC 3601 C Street, Suite 902
Alabama Medicaid 00000000817 Alan Sturm and Associates - Dental 10798: Alaska Medicaid 11016. Contact Provider Inquiry at 907-644-6800 (option 1, 1) or 800-770-5650 (option 1, 1, 1) Medicaid Members/Recipients Our expertise has included a wide variety of projects such as: Our dedicated team has a flexible approach that caters to your specific challenges and goals. Prior Authorization Request Form (See Service Authorization Request Form ) Private-Duty Nursing Service Authorization Request. Working at Conduent | Glassdoor You may also use this link to unsubscribe from email Alerts. Bitte helfen Sie uns, Glassdoor zu schtzen, indem Sie besttigen, dass Sie P.O. Medicaid Program Integrity
03/31/2016. Enrolled Providers List. Si continas recibiendo este mensaje, infrmanos del problema We strive to create a culture where our associates feel appreciated and can thrive - both personally and professionally. PDF EDI Gateway Eligibility Payer List - Conduent Ajude-nos a manter o Glassdoor seguro confirmando que voc uma pessoa de If you are someone who likes to be part of making change happen for the better - in ways big or small - Conduent is the place for you! Alaska Medicaid Recipient Handbook | Revised June 1, 2020 | Page 4. Se continui a visualizzare For more details, please see the FAQs Applicable FARS/DFARS Restrictions Apply to Government Use. The payment method development team at Conduent specializes in understanding standard health care industry payment methods such as DRG, RBRVS, APC, RUG and fee schedules. These scams are often done via social media and other internet tools, and scammers often times use a company's logo and/or photos to appear legitimate. Comagine Health provides prior authorization for the following behavioral health services: Alaska Medicaid Coordinated Care Initiative (AMCCI), Chronic & Acute Medical Assistance (CAMA), Early and Periodic Screening, Diagnosis, and Treatment (EPSDT), Health Care Facilities Licensing and Certification, Health Insurance Premium Payment (HIPP) Program, Subscribe to Assisted Living Home Announcements, Supplemental Nutrition Assistance Program (SNAP), Alaska Directives for Health Care Living Will, Fresh Start: Free Programs for Better Healths. The Conduent staff has been fully trained to answer most of your questions immediately. | Advanced Nurse Practitioner | Physician Assistant, Residential
If your self-audit identifies an overpayment, please DO NOT submit AK-05s (adjustment/voids form) to Conduent for processing. Chronic and Acute Medical Assistance - CAMA. Federally Qualified Health Center/ Rural Health Clinic. PDF Alaska Medicaid Recipient Handbook scusiamo se questo pu causarti degli inconvenienti. It is the responsibility of your medical provider to contact the appropriate agency to authorize these service before providing the service. If you have any concerns about communications from anyone claiming to be from Conduent, please do not hesitate to verify the individual's relationship with and role at Conduent by contacting HR at recruitmentfraud@conduent.com. 12/06/2022. Conduents business process solutions enable providers to reimagine the patient journey, advance health equity and reduce cost of care. Alaska Medical Assistance Health Enterprise Portal All Savers Life Insurance 11027. The AMA does not directly or indirectly practice medicine or dispense medical services. Aydanos a proteger Glassdoor y demustranos que eres una persona real. Prior Authorization - Alaska Department of Health and Social Services Plan of Care Form with Guidance. Billing Manual, Section I: Alaska Medicaid Inpatient/Outpatient Hospital Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Imaging (Freestanding and Portable) Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Inpatient Psychiatric Hospital and RPTC Services Policies and Procedures Provider Billing
Instead, please include a check for the amount of the overpayment made payable to the State of Alaska. We look forward to building our relationship. The primary goal was to phase down a legacy MMIS at the end of its life cycle. Imaging. Ci offers real-time comprehensive NCPDP-compliant claims adjudication functionality that automatically evaluates eligibility, drug coverage, benefit limitations and pharmacy network enrollment prior to dispensing, eliminating conflicts and inappropriate use, and includes: offers comprehensive reporting functionality to meet federal reporting requirements. Sie weiterhin diese Meldung erhalten, informieren Sie uns darber bitte per E-Mail enviando un correo electrnico a Medicaid Payment Perspectives provides you with insights into payment strategies that help your program get more from your healthcare dollar. Independent Laboratory. What You Need to Know ein Mensch und keine Maschine sind. Programs. This will allow you to receive direct deposit of claim payments into your designated bank account(s) and access explanation of benefits (EOBs) online or via 835 ERA files, please sign up for EPS. SmartPA real-time prior authorization (SmartPA), RetroDUR population-based interventions to target sub-optional therapies and educate providers on best practices, Flexible Rx Rebate rebate management that maximizes program rebate dollars by optimizing identification, invoicing, and collection, SURS: the fraud and abuse detection (FAD) component provides extensive surveillance and utilization review (SUR) capability. naar PDF Alaska Medicaid Management Information System (AK MMIS) . If you are a Medicaid recipient or the parent or guardian of a Medicaid recipient and have questions about Medicaid coverage, call toll free 800-780-9972 statewide Monday through Friday between 8 a.m. and 5 p.m. After hours, please leave a message and your call will be returned the following business day. HMS (Healthcare Management Solutions, LLC): For additional contact information, please visit the Alaska Medicaid Assistance website, all non-emergent, medically necessary transportation and accommodation services, Division of Senior and Disabilities Services (DSDS), Total stay from admit to discharge is 2 days or less, Delivery/Birth is the day after admission, but discharge is within 2 days of delivery/birth, Either delivery/birth is more than one day after admission OR discharge is more than 2 days following date of delivery/birth, Total stay from admit to discharge is 4 days or less, Delivery/Birth is the day after admission, but discharge is within 4 days of delivery/birth, Either delivery/birth is more than one day after admission OR discharge is more than 4 days following date of delivery/birth, selected professional services (physician, advanced nurse practitioner, medical clinic, dentist, etc) as indicated in billing manuals/fee schedules, services in excess of annual or periodic service limitations stipulated in regulations (vision, mental health, substance abuse rehabilitation, etc) as indicated in manuals/fee schedules, most Durable Medical Equipment, selected medical supplies, and selected hearing aids as indicated in billing manuals/fee schedules, Chronic & Acute Medical Assistance (CAMA) program recipients requiring outpatient radiation and chemotherapy, certain maternal/newborn admissions (see chart below), selected pharmaceutical drugs as specified on Drugs Requiring Prior Authorization, administrative wait and swing bed stays at acute care facilities and all long term care (LTC) facility admissions and continued stays, selected inpatient and outpatient procedures and diagnoses, regardless of length of stay (see Select Diagnoses and Procedures PRE-CERTIFICATION List), all inpatient hospital continued stays exceeding three (3) days, Outpatient Magnetic Resonance Imaging (MRI), Magnetic Resonance Angiography (MRA), Positron Emission Tomography (PET), and Single-Photon Emission Computed Tomography (SPECT), Psychiatric admissions and continued stays, Residential Psychiatric Treatment Center (RPTC) admissions and continued stays. What is a provider self-audit? This means supporting the work of multiple agencies, exchanging information, and providing a single-entry point to access services in a well-coordinated and seamless way. The pay was 17/hr the training lasted about 4 weeks. 3601 C Street, Suite 902
pour nous faire part du problme. CMdS is a modular solution that enables program optimization and is delivered as Software as a Service (SaaS). 10/26/2022. Get Paid Faster with Electronic Payments & Statements (EPS). Along with flexible, user-defined capabilities it includes the ability to perform functions ranging from standard reports to advanced ad hoc queries and analytics. Submitted by: Enter the name of the individual submitting the CMN. States are adjusting their focus from a monolithic MMIS system to an integrated delivery of health and social assistance services providing highest value solutions that improve outcomes for members, providers, and program stakeholders. Conduent Reviews: What Is It Like to Work At Conduent? We believe a strong provider system is the key to providing the highest quality of care to our customers and their members. Disculpa Free Training
Behavioral Rehabilitation, Targeted
The Alaska Department of Health and Social Services (DHSS), "the Department", is the single state agency responsible under 42 C.F.R. If you are a recipient and have questions about your coverage call the Recipient Helpline: 800-780-9972. Please view the services under each agency to determine the appropriate agency contact. 962 Interviews 1.8K Benefits 49 3.6K Diversity + Add a Review Conduent Overview Website: www.conduent.com Headquarters: Florham Park, NJ Size: 10000+ Employees Founded: 2017 Type: Company - Public (CNDT) Industry: Information Technology Support Services Revenue: Unknown / Non-Applicable Transportation and Accommodation, Transportation and Accommodation Claims Management, Current Procedural Terminology (CPT) Copyright Notice. provides accurate, prompt, and real-time adjudication of claims and encounters to support state healthcare programs with over 1,300 flexible edits and audits, a powerful COTS-based rules engine, and support for simple and complex pricing methodologies - using configurable program and benefit plan capabilities to accurately and quickly process cl. We have in-depth knowledge of MMIS and Medicaid claims processing systems as well as Medicaid programs and providers. provides accurate, prompt, and real-time adjudication of claims and encounters to support state healthcare programs with over 1,300 flexible edits and audits, a powerful COTS-based rules engine, and support for simple and complex pricing methodologies using configurable program and benefit plan capabilities to accurately and quickly process claims. Alaska Medical Assistance Health Enterprise Portal Section I: Alaska Medicaid Community Behavioral Health Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Direct-Entry Midwife Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Dental Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Early and Periodic Screening, Diagnosis and Treatment Services Policies and Procedures Provider
Als u dit bericht blijft zien, stuur dan een e-mail Denali KidCare. All rights reserved. Anchorage, AK 99503. Grow and thrive while making a difference in the lives of millions. HR Management and Workforce Administration, Disease Surveillance & Outbreak Management, Disease Surveillance Outbreak Management System, Electronic Visit Verification (EVV) Solutions. This digital bookshelf contains billing manuals and cliam form instructions for medical providers in Alaska. Alaska Medical Assistance: Alaska Medicaid, Denali KidCare and Chronic & Acute Medical Assistance. Caso continue recebendo esta mensagem, Whether you're starting your career or are a seasoned veteran, Conduent has opportunities for you. Room for growth. Manage and measure risk, quality and compliance to improve patient safety and satisfaction. This indicates that you are leaving our site and these links to other sites are for informational purposes only. Lets collaborate to reimagine healthcare. Optum, a Division of UnitedHealth Group, is pleased to inform you we have been awarded the State of Alaska's Department of Health (DOH), Division of Behavioral Health (DBH) behavioral health administrative services organization (ASO) contract. Conduent's business process solutions enable providers to reimagine the patient journey, advance health equity and reduce cost of care. This should be submitted with your self-audit or no later than 60 days following submission. Psychiatric Hospital & Residential Psychiatric Treatment Center, Non-Emergent
Provider Audits in Alaska
Conduent EDI Direct Eligibility (270/271) and Claim Status (276/277) Payer List . Date: Enter the date the CMN is completed. The work was repetitive, with inbound and outbound calls (maybe about 100 a day inbound split between 20 people), outbound calls were timed maybe 30 mins to do your outbound calls, and customers were old and nice, not all but most. 800.770.5650, option 2 MemberHelp@conduent.com If you are a recipient or a recipient advocate and have questions about Medicaid coverage, please call 800.770.5650, option 2, toll-free statewide Monday through Friday between 8:00 a.m. and 5:00 p.m. . questo messaggio, invia un'email all'indirizzo Aiutaci a proteggere Glassdoor dimostrando che sei una persona reale. We, along with DBH, will provide you with all the necessary information as you transition to our services. to let us know you're having trouble. For information on the programs supported by Alaska Medical Assistance, use the links below to take you to the State of Alaska Department of Health web pages. Technical Assistance Teleconferences are held on the 2ndand 4thWednesday of every month. Manual, Section I: Alaska Medicaid Mental Health Physician Clinic Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Pharmacy Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Physician, Advanced Nurse Practitioner & Physician Assistant Services Policies and Procedures
A modular, innovative and outcomes driven one stop solution for State Medicaid agencies to move to a service-based MMIS. Provided from UAA Center for Human Development, Service Authorization Online Portal - UPDATE (6), New Security Enhancements to One Healthcare ID, Technical Assistance Teleconferences July 2023, Medicaid Community Behavioral Health and Mental Health Physician Clinic Rate Setting Methodology Meetings Save the Dates, Optum Pay Alert Communication Juneteenth, Optum Pay Pre-Release Announcement - June 8, 2023, Service Authorization Online Portal - UPDATE (3), Service Authorization Online Portal UPDATE (2), Service Authorization Online Portal - UPDATE, Retrospective Review Information & Instruction Sheet, Updated 1115 SUD Waiver, SA Request Form, Round Table Discussion with Alaska Behavioral Health Providers, Clarification for Service Authorization Process, Claims Denying Incorrectly Invalid Billing Provider NPI, Longer Than Usual Hold Times When Contacting the Call Center, Medicaid Payment Rates for Behavioral Health 1115 Waiver Services, Autism Services Providers Listening Session - March 22, 2023, Optum Pay Alert Communication Presidents Day 02/20/2023, Optum Alaska Behavioral Health Collaborative Conference 2023 - Provider Survey, Public Health Emergency Extended - February 9, 2023, Optum Pay Website Outage Due to Scheduled Maintenance: February 10, 2023 (12.5 hours), Optum Alaska CEO Announcement - February 6, 2023, Optum Pay Website Outage Due to Scheduled Maintenance: January 27, 2023 (32 hours), New Director of Provider Relations - January 19, 2023, Public Health Emergency Extended - January 11, 2023, Optum Pay Holiday Payment Schedule: Martin Luther King Jr. Day January 16, 2023, Optum Pay Pre-Release Announcement January 5, 2023, Optum Alaska Behavioral Health Collaborative Conference Planning Team, Claims Processing Update Third Party Liability - December 22, 2022, Optum Pay Holiday Payment Schedule: Observed Christmas Day 12/20/2022, Optum Pay Pre-Release Announcement 12/17/2022, Claims Processing Update Third Party Liability - Update, Claims Processing Update Third Party Liability, Third Party Liability Avoidance Calendar Year 2023, Optum Pay Alert Communication Thanksgiving Holiday, Optum Pay Pre-Release Announcement: 11/19/2022 Release, Provider Self-Audits Due December 31, 2022, Claims Denying When Submitted with No EOB Effective November 14, 2022, Medicaid Community Behavioral Health and Mental Health Physician Clinic Rate Setting Methodology - 10.2022, Provider Alert Information Update - October 20, 2022, Public Health Emergency Extended October 13, 2022, Optum Pay Alert: Holiday Payment Schedule Columbus Day October 10, 2022, TPL Claim Coordination of Benefits Tribal, TPL Claim Coordination of Benefits Non-Tribal, Optum Pay Pre-Release Announcement: 09/24/2022 Release, Optum Pay Alert: Holiday Payment Schedule Labor Day 09/05/2022, Optum Pay Update A phone number will soon be required for Optum Pay, Medicaid Recipients Information Update 08.2022, Substance Abuse Treatment Travel Policy 08.2022, Proposed Regulations: Medicaid Behavioral Health Psychotherapy Limits 08.2022, Tribal Encounter Rate CY 22 - UPDATE 08.2022, Public Health Emergency Extended - July 2022, 988: the three-digit dialing code for the Suicide and Crisis Lifeline, The third issue of the Alaska Medicaid Newsletter is now available 07/05/2022, Optum Pay Alert: Optum Pay Holiday Payment Schedule Independence Day 07/04/2022, Optum Pay Alert: Optum Pay Holiday Payment Schedule Juneteenth (06/19/2022) Observed on 06/20/2022, Optum Pay Pre-Release Announcement: June 11, 2022, Release, Claims Rejection When Submitted with No EOB Effective July 1, 2022, Optum Pay Alert: EPRA and Payer PRA Document Availability - May 25, 2022 - UPDATE, Optum Pay Alert: EPRA and Payer PRA Document Availability - May 25, 2022, Retroactive Service Authorization - May 16, 2022, NPI Alignment Project for Optum Claims PAID Prior to April 22, 2022, Amended Guidance for Telehealth Services Using Modifier FQ - SFY 2022, Claims Submitted with a Missing or Invalid NPI Number - Effective April 14, 2022, Tribal Encounter Rate CY 2022 - April 25,2022, Growing Access for Alaska - May 4th & 5th, 2022, Change to Optum Recovery of an Overpayment Process, Guidance Document for 1115 Contraindicated Services, Guidance Document for Telehealth Services Using Modifier FQ, Alaska Medicaid Newsletter Announcement April 2022, Optum Alaska Behavioral Health Collaborative Conference Save The Date, Reporting of Telehealth Services Effective April 1, 2022, Primary Modifier Guidance for Alaska Medicaid 1115 Waiver Services, Division of Finance System Upgrade and Outage, Alaska Medicaid Newsletter Announcement January 2022, Provider Enrollment Changes in Information as of 12.30.2021, Section 1115 Waiver Substance Use Disorder Update as of 12.30.2021, Guidance Document for 1115 Substance Use Disorder Level 3.1 as of 12.30.2021, Changes in EFT Payment Schedule as of 2.10.22, Remittance Advice code and Denial Reason List as of 12.6.21, Review Your Online Remittance Advice Access and Download Options by January 30, 2022, Remittance Advice code and Denial Reason List, Independent Licensed Professional Counselors, Mental Health Physician Clinic (MHPC) transition to Optum, Alaska Medicaid Provider Update Transitioning Services Effectiv, Optum Financial Services Electronic Payments & Statements (EPS), Optum Alaska Behavioral Health Quick Reference Guide (pdf).