First Coast Advantage (FCA) hosted it's 4th Provider In-service May 20-22, 2009.  

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 Slides 

    

Handouts

     Pre-Auth Handouts Zix Mail

     Billing & Claims Handouts 

     Health Services Quality Handouts (Education)

          AHCA CHCUP Materials

          Breastfeeding & Reducing Overweight         

          CHCUP Performance Measures

          CHCUP Tracking Forms

          Early Hearing Detention

          National Infant Immunization Week  

          Nutritition & Health of Young People           

          Physical Activity Guidelines 

          The NSDUH Report March 2009

          The NSDUH Report April 2009 

          Vaccine Schedule

           

 

Introduction & Welcome Slides

  • Welcome Slide

  • Introduction of Staff Presenters

  • Website Demo

  • Contact Information for Contract Manager

Pre-Authorization Slides

  • Friendly Reminders - PreAuthorization Information

  • Pre-Authorization Status Information

  • Circumcisions

  • Turn-Around Time Frames

  • Pre-Authorization Form & Information Sheet

  • Pre-Authorization List

  • DME Updates & Reminders

  • Contact Information for Pre-Authorization

Health Services Quality Management

  • Child Health Care Check-Up Report

  • FCA Corrective Action Plan (CAP) Current & New Interventions

  •  4-6 Month Child Health Care Check-Up Tracking Form

  • HEDIS Performance Measures

  • HEDIS Key Measures

  • Corrective Action Plan (CAP) for New Year

  • Educational Update

  • Contact Information for Health Services Quality Management

Eligibility

  • Verification

  • Enhanced Benefit Program

  • FCA Eligibility Request Form Example

  • Non-FCA Eligibility Request Form Example

  • Contact Information for Eligibility

Billing & Claims

  • NPI

  • Obtaining & Registering NPI

  • Verification of NPI

  • EDS on NPI

  • Claims Submission

  • Electronic & Paper Claims Information

  • DME Claims

  • Split & Secondary Claims

  • Refunds

  • Claims Processing

  • Appeals

  • EDS Contact Information

  • EDS Representative

  • Medicaid Fiscal Agent

  • Contact Information for Billing & Claims

APEX (TPA) - Provider/Customer Service

  • FCA Toll Free Helplines Performance Information

  • Call Classification Information

  • Claims Processing 1st Quarter April 2009

  • FCA WebPortal Hit Activity

  • FCA On-Line Status Update/Changes

  • Jacqueline Haynes - Provider/Customer Services Information

  • Patrice Love - Provider/Customer Services Information