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NOVEMBER UPDATES Medicare Advantage. CARE IMPROVEMENT - UnitedHealthcare protocols, policies and procedures to take effect for Care Improvement Plus members.

Published byRose Amberly Todd Modified over 8 years ago

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Presentation on theme: "NOVEMBER UPDATES Medicare Advantage. CARE IMPROVEMENT - UnitedHealthcare protocols, policies and procedures to take effect for Care Improvement Plus members."— Presentation transcript:

1 NOVEMBER UPDATES Medicare Advantage

2 CARE IMPROVEMENT - UnitedHealthcare protocols, policies and procedures to take effect for Care Improvement Plus members on January 1 st, 2016. Includes: * Credentialing * Recredentialing * Utilization Management * Quality Improvement * Care Management* Peer Review * Customer Grievance * Concurrent Review - Change to fax notification

3 UNITEDHEALTHCARE - Hospital Quality Reporting reconsiderations can be submitted through November. - Coverage Summary Updates: ICD-10 LCDs have been updated and now in place

4 THANK YOU - Email: Leanne_layne@yahoo.comLeanne_layne@yahoo.com - Phone: 706.318.5203

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