KanCare Billing Guidance
Is your organization up-to-date on billing procedures for KanCare? Amerigroup has prepared a billing guide for their providers that is great for training new personnel as well as a review for current billers. This...
PEPPER Update Webinar
PEPPER is hosting a free Webinar on Thursday, April 27th at 1:00 PM. This will be a review of the 4th Quarter 2016 PEPPER report for Skilled Nursing Facilities as well as other available...
Medicare Learning Network
Have you visited the Medicare Learning Network (MLN) Site? This CMS resource offers online training and events to keep you up to date on the latest Medicare topics. This is great way to train...
Adverse Incident Reporting (AIR) For Non Long-Term Care Providers
The Kansas Department of Aging and Disability Services (KDADS) issued a new Adverse Incident Reporting (AIR) procedure effective immediately. This is not for Long-Term Care Providers. It is for HCBS, Money Follows the Person,...
Healthcare Effectiveness Data Gathering Efforts
The current Sunflower Health Plan Provider Update contains an article about some Quality Measures they and the other MCOs will be working on starting soon. Healthcare Effectiveness Data and Information Set (HEDIS) will be...
Electronic Signature Enhancement to Online Provider Enrollment
Effective February 25, 2017, it will be easier to complete the Kansas Medical Assistance Program (KMAP) enrollment and re-enrollment applications online. An enhancement will allow providers to sign enrollment agreements electronically (e-sign). Providers...
REMINDER: Appeals Process
Providers can appeal the adjudication of a claim or an action taken on a claim. For fee-for-service claims, reference Section 5300 of the General Billing Fee-for-Service Provider Manual on the Provider Manuals page of...
KanCare – For Sunflower-Specific Questions
Keep this Sunflower Provider Relations Territory Map on your desk! It provides contact info for the person you need to reach out to with all of your Sunflower-specific questions or concerns.
UnitedHealthcare Claims Payment Issue
United Healthcare recently identified a claims payment issue where they incorrectly paid claims from October through December at an old rate for many facilities. This only affects homes that had a retro rate change for...
Sunflower Health Plan Upcoming Training
Please note the upcoming provider training from Sunflower Health Plan. Providers may access further information about training online.
Sunflower Orientation/Refresher Webinar
Thursday, March 9, 2017
12:00 PM - 1:00 PM
Online only
Quarterly webinar to help new and veteran...
Acuity-Based Staffing
We’ve all started hearing about acuity-based staffing and that we are going to be judged on it for Value Based Purchasing and in future survey models, but what is acuity-based staffing?
Because residents have...
Elderly and Persons with Disabilities KanCare Eligibility Application Guide
The Kansas Department of Health and Environment, Division of Health Care Finance (KDHE-DHCF) has released a guide to assist the Elderly and Persons with Disabilities (E&D) in completing an Application for Medical Assistance...