First Coast Advantage (FCA) hosted it's 6th Provider In-service June 1-2, 2011.
Below is the information that was provided at the in-service. Please share this information with your staff.
Provider In-Service Information
Provider In-Service Presentation (All Slides)-June 2011
Welcome Slide
Contact Information for Contract Manager
Provider Relations Visits
Website Demo
Transportation Information
Contact Information for Provider Relations
Member Disenrollment & Transfer Process Slides
Types of Disenrollment/Transfers & Form
Voluntary Disenrollments
Member "No Show" Types
Member "No Show" Form
Involuntary Disenrollment & Forms
Behavioral Verbal Warning Form
Types of Involuntary Disenrollment
Suspected Confirmed Fraud
Fraud Reporting
Behavioral Disenrollments
Involuntary Disenrollment Necessary Documentation
Additional Documentation State Can Request
Disenrollment Exceptions
Denial Fax to Provider Guidelines & Form
Contact Information for Technical Reporting Analyst
Utilization Management/Pre-Authorization Slides
Pre-Authorization Turnaround Time Frames
Pre-Authorization Process
Pre-Authorization List Additions
Pre-Authorization 2010 Changes
Oxygen and Supplies (CPAP & BIPAP)
Consumable DME
Pre-Authorization List Revised
Contact Information for Utilization Management/Pre-Authorization
Enrollment Verification
Medicaid Enrollment Eligibility Example
Non-Medicaid Eligibility Enrollment Example
Contact Information for Eligibility - Claims Manager
Direct Submission of Claims to HP
Direct Submittal Providers
NPI Registration Information
Submission of Electronic Claims to FCA
Submission of NPI on CMS 1500
Submission of NPI on UB04
Submission of Paper Claims
Timeline for 5010 Implementation
Common Errors Paper Claims CMS 1500 & UB04
Unlisted Procedures
By Report Procedures
DME Manual Price Items
Submission of Appeals
Claim Reminders
Contact Information for Billing & Claims