Sunflower Health Plan Upcoming Training

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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...

Healthcare Effectiveness Data Gathering Efforts

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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

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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

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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...

PEPPER Update Webinar

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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

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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

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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,...

Sunflower Provider Workshop

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Sunflower Health Plan is hosting a Provider Workshop in Topeka on March 29th. There will be two sessions to choose from: 10:00 AM– 12:00 PM and 1:00 PM – 3:00 PM. This course will provide information...

KanCare Billing Guidance

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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...

LT Governor Requests Your Input on KanCare

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Please complete this short survey before March 30th to identify your KanCare training needs. The Lt. Governor’s KanCare Process Improvement Workgroup is working to identify improved processes for providers and consumers. The Lt. Governor’s Office...

Nursing Facility Level of Care Coding for KanCare Billing

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Effective May 1, 2017, managed care organizations (MCOs) will no longer be able to reimburse Nursing Facilities for Medicaid residents unless they have the proper Kansas Medical Assistance Program (KMAP) coding Level of Care...

UnitedHealth Care Member Call

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UnitedHealth Care will be hosting a member call on Tuesday, March 28th at 10:00 AM. The call will cover Fall Risks, AIRs, and MS-2126. If you are interested in participating contact Mona Hall or Michelle Cowen.