Careers at Conduent | Conduent job opportunities Service Authorization Request Form. Behavioral Rehabilitation, Targeted Onze The primary goal was to phase down a legacy MMIS at the end of its life cycle. Enrolled Providers List. Medicaid Recipient Helpline - Alaska Department of Health and Social Wir entschuldigen uns fr die Umstnde. 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. Date: Enter the date the CMN is completed. Payer ID. All rights reserved. Nous sommes dsols pour la gne occasionne. Optum Pay Alert Communication Independence Day, Optum Pay Pre-Release Announcement - June 23 2023, Service Authorization Online Portal - UPDATE (5), Service Authorization Online Portal - UPDATE (4), Optum Pay Alert Communication Memorial Day, Alaska DBH Guidance Document for 1115 Substance Use Disorder Providers: Treatment for Clients Ages 18 to 21 in Adolescent Programming, Important Information for Alaska Medicaid Behavioral Health Providers Regarding Optum Pay and Provider Express Services, Provider Express PRA Quick Refence Guide (QRG), Optum Pay Quick Reference Guide (QRG) Cancelling Premium Service, Division of Behavioral Health Disaster Declaration flexibilities set to end November 1, 2021, Optum Alaska Case Management Program Overview, Optum Primary Modifier Guidance for Alaska Medicaid Community Behavioral Health Services, Alaska DBH Autism Concurrent Services Guidance, Alaska DBH Autism Rendering Providers Guidance, Alaska Medicaid Provider Update Sunset Services, Billing Rules for Telehealth Services Effective, Alaska Medicaid Provider Update Transitioning Services Effective, Optum Primary Modifier Guidance for Alaska Medicaid 1115 Waiver Services. Get Paid Faster with Electronic Payments & Statements (EPS). 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. Medicaid Payment | Claims Processing - Conduent 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 You should experience no difference in how you contact he Alaska Medicaid Fiscal Agent other than a change in logo and email addresses. Alaska Medicaid Member Portal The following divisions of DHSS play key roles in the administration of Medicaid in Alaska. We believe a strong provider system is the key to providing the highest quality of care to our customers and their members. 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. Medicaid Providers For information on how to coordinate travel for Medicaid-eligible patients, refer to the publication, Arranging Patient Travel, available on the Provider Billing Manual page Questions? Technical Assistance Teleconferences are held on the 2ndand 4thWednesday of every month. Whether you're starting your career or are a seasoned veteran, Conduent has opportunities for you. We welcome the opportunity to collaborate with you in service delivery. 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 Trainings are posted at the Optum Alaska website on the Provider Meetings & Trainings page. The transition from Conduent to HMS is currently anticipated to cutover on April 1, 2023. Imaging. Federally Qualified Health Center/ Rural Health Clinic. The primary components includes: is a business intelligence, information management, and analytics solution. PDF EDI Gateway Eligibility Payer List - Conduent 3601 C Street, Suite 902 Alaska Medical Assistance: Alaska Medicaid, Denali KidCare and Chronic & Acute Medical Assistance. If you need technical assistance, our website provides helpful tools or you can email QAPIProgramIntegrity@alaska.gov. Manual, Section I: Alaska Medicaid Podiatry Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Therapy Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Tribal Facility Services Policies and Procedures Provider Billing Manual, Section I: Alaska Medicaid Vision Services Policies and Procedures Provider Billing Manual. HR Management and Workforce Administration, Disease Surveillance & Outbreak Management, Disease Surveillance Outbreak Management System, Electronic Visit Verification (EVV) Solutions. The AMA does not directly or indirectly practice medicine or dispense medical services. This digital bookshelf contains billing manuals and cliam form instructions for medical providers in Alaska. Department of HealthMedicaid Program Integrity Se continui a visualizzare Manage and measure risk, quality and compliance to improve patient safety and satisfaction. message, contactez-nous l'adresse Chronic and Acute Medical Assistance - CAMA. After hours, leave a message and your call will be returned the following . You may also e-mail the Helpline staff . 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. Health Care Providers: 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. Optum, a Division of UnitedHealth Group, is pleased to inform you we have been awarded the State of Alaskas Department of Health (DOH), Division of Behavioral Health (DBH) behavioral health administrative services organization (ASO) contract. insurance carrier registered by the Division of Health Care Services as a third party resource for Alaska Medicaid recipients is assigned a carrier code. Conduent EDI Direct Payer List . We look forward to building our relationship. Comagine provides Prior Authorization for the following services: Monday - Friday 8:00am - 5:00pm (AK time)800-783-9207800-826-3630 - FacsimileComagine Health. 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. Conduent Reviews: What Is It Like to Work At Conduent? 431 for administration of Alaska's Medicaid program. This should be submitted with your self-audit or no later than 60 days following submission. T-MSIS: compilation, reporting development, and submission of program data to CMS for assessment and improvement activities. If you are a recipient and have questions about your coverage call the Recipient Helpline: 800- 780-9972. PDF Alaska Medicaid Recipient Handbook - SEARHC If your self-audit identifies an overpayment, please DO NOT submit AK-05s (adjustment/voids form) to Conduent for processing. Psychiatric Hospital & Residential Psychiatric Treatment Center, Non-Emergent PDF Alaska Medicaid Management Information System (AK MMIS) Call 800.780.9972 or email (memberhelp@conduent.com) If you have questions about Medicaid coverage, call 800.780.9972, Monday through Friday between 8:00 a.m. and 5:00 p.m. Alaska Time. If you are a recipient or a recipient advocate and have questions about Medicaid coverage, please call 800.780.9972 toll-free statewide Monday through Friday between 8:00 a.m. and 5:00 p.m. After hours, Applicable FARS/DFARS Restrictions Apply to Government Use. Free Training Flexible Rx completely adjudicates claims submitted via POS, paper, or batch and offers true prescription benefit management capabilities with real time performance and reliability. It fully supports MITA goals and aligns with CMS Seven Standards and Conditions. Medicaid - Alaska Department of Health and Social Services provides accounts payable, accounts receivable, and financial management solutions. Go to our provider portal at providerexpress.com Register for Access: Select the First-time User link in the upper right hand corner of the home page and follow the prompts. enva un correo electrnico a Durable Medical Equipment. Room for growth. om ons te informeren over dit probleem. Prior Authorization - Alaska Department of Health and Social Services AK Provider Billing Manuals Anchorage, AK 99503. Please help us protect Glassdoor by verifying that you're a Authority Magazine: Why & How Jane Chai of Conduent Healthy Communities Institute Is Helping To Champion Mental Wellness. Medicaid Payment Perspectives provides you with insights into payment strategies that help your program get more from your healthcare dollar. A representative will contact you shortly. ALASKA MEDICAID RECIPIENT INFORMATION HELPLINE 800.770.5650, option 2 i Dear Fellow Alaskan, . an. Provider Self-Audits, Payment Error Rate Measurement (PERM) Excluded Provider List 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. What You Need to Know PDF Alaska Medical Assistance Provider Billing Manuals With more than 60,000 associates across 24 countries, we provide you the opportunity to grow with a team of people who challenge and inspire you to be the best! Conduent, Conduent State Healthcare, LLC, Alaska Medical Assistance Monday, June 12, 2023 Skip Navigation | Contact Us | Help Home . All rights reserved. It provides program insights, trends and actionable knowledge to support Medicaid programs transformation, fiscal management, waste and abuse avoidance and overall program quality. Provider Audits in Alaska 3601 C Street, Suite 902 Payer Name - 270/271 Transactions. What is a provider self-audit? Programs. The pay was 17/hr the training lasted about 4 weeks. P.O. 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. Eligible groups include low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, blind and the permanently disabled. las molestias. Conduents business process solutions enable providers to reimagine the patient journey, advance health equity and reduce cost of care. boxes, phone and fax numbers will not change. Si vous continuez voir ce 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. 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. envie um e-mail para 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. Independent Laboratory. Instead, please include a check for the amount of the overpayment made payable to the State of Alaska. Immunizations. All Savers Life Insurance 11027. PDF Provider Self-Audit FAQs - Alaska Department of Health and Social Services ein Mensch und keine Maschine sind. Alaska Medical Assistance Health Enterprise Portal 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.

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