Eqhealth Physician Reviewer Q22
Listing Websites about Eqhealth Physician Reviewer Q22
Physician Peer Reviewers - Kepro
(5 days ago) WebPhysician Peer Reviewer Information. eQHealth Solutions, Inc. – a leader in health care quality improvement – is looking for a few qualified physicians eager to make a mark on patient care in Illinois. Understanding that health care delivery systems and access vary across the state, we are committed to providing true peer-to-peer reviews.
https://il.eqhs.com/AboutUs/PhysicianPeerReviewers.aspx
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Frequently Asked Questions - Kepro
(8 days ago) WebQ19. Will the physician/surgeon be penalized if the case gets denied? Q20. If a review is referred to an eQHealth Physician Reviewer, does peer-to-peer contact occur? Q21. If a review is referred to a 2nd level Physician Reviewer (reconsideration), and a determination is rendered, will the hospital and surgeon be notified? Q22.
https://il.eqhs.com/PriorAuthResources/FrequentlyAskedQuestions.aspx
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Web Review Request Behavior Analysis eQSuite® User Guide
(7 days ago) WebSearch By Review ID Search By eQHealth Case ID 8. Attachments 9. Letters . Effective March 2018 Reviewed: 2019, 2020,2021 Page 5 Completed In Process Reconsiderations Click on Select on the record for the desired physician the provider number, name and demographic information will be filled based on the physician number. If you have more
https://fl.eqhs.com/LinkClick.aspx?fileticket=3Ia0XeD5Id4%3D&tabid=705&mid=1451
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Physician Peer Reviewers - Kepro
(5 days ago) WebeQHealth Solutions - Florida Division is seeking qualified physicians to support the Comprehensive Medicaid Utilization Management Program in partnership with the Florida Agency for Health Care Administration.We are committed to providing true peer-to-peer review of service requests requiring prior authorization, while recognizing that health …
https://fl.eqhs.com/ContactUs/AboutUs/PhysicianPeerReviewers.aspx
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Web Review Request DME eQSuite® User Guide
(3 days ago) WebPhysician and Other Healthcare practitioners The Ordering Physician/ARNP/PA should be Florida Medicaid number of the ordering provider. (Ordering provider). To enter the Medicaid number into the grid, you must select the Edit link. The Medicaid ID# is a 9-digit number. Make sure to select a physician with a valid ID.
https://fl.acentra.com/wp-content/uploads/sites/14/2024/03/FL.2022-DME-eQSuite-User-Guide.pdf
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Behavior Analysis Services
(3 days ago) WebReconsideration review: This review is performed after an adverse determination if the ordering provider, BA services provider and/or recipient (or parent or legal guardian) requests review by another eQHealth physician reviewer. Submit the request no later than the date specified on the denial notification. Review Completion Timeframes
https://fl.eqhs.com/Portals/1/FL%202019-Behavior%20Analysis%20Provider%20Manual.pdf
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eQSuite Login - Kepro
(9 days ago) WebClick on utilities tab and submit just the d/c date. For stays 2 or more days, please submit a d/c review (cont stay)for quality screening. Physician CONTACT: It is VITAL to have an updated phone number for the Physician in eQSuite. Please verify that the phone on file is correct or add new phone number in the Physician grid.
https://ilwebapps.eqhs.org/WebPortal/Pages/WelcomePage.aspx
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Kepro - eQHealth Services
(Just Now) WebAn eQHealth representative will contact you. HOSPITALS LOG IN HERE. Acentra Health 500 Waters Edge, Suite 125 Lombard, IL 60148 Business Phone: (630) 317-5100 Provider Helpline: 800-418-4045 Business Fax:800.418.4039. Review Certification Line: 800.418.4033 - Mon-Fri, 8:30 am to 5:00 pm, CST Provider Helpline: Submit your …
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Quality Review Requirements - Kepro
(7 days ago) WebThe Arkansas Department of Human Services, Division of Medical Services, has contracted with eQHealth Solutions to complete retrospective review of services delivered to Medicaid beneficiaries by doing the following: (1) Determine if those services are delivered in accordance with the plan of care and conform to generally accepted professional
https://ar.eqhs.com/Quality-Review-Requirements
Category: Medical Show Health
Home - Florida Medicaid UM
(3 days ago) WebEffective 11/29/21, our office will relocate to 5201 W. Kennedy Blvd #900, Tampa, FL 33609. We ask that you update your records to reflect this change. Our contact numbers will remain the same, Phone: 855-444-3747 and Fax: 855-440-3747.
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Web Review Request Home Health eQSuite® User Guide
(6 days ago) WebPhysician and other Health Care Practitioners The Florida physician Medicaid number of the physician rendering the service must be entered here. This can be the license number, the NPI number or the Florida Medicaid physician number. To enter the Medicaid number into the grid, you must select the Edit link. If the number is unknown,
https://fl.eqhs.com/LinkClick.aspx?fileticket=_QO9AekbKg8%3d&tabid=267&mid=789
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eQHealth/Kepro Retrospective Review & Billing Errors Webinar
(3 days ago) WebRefer to eQHealth/Kepro Physician Reviewer o Hospital clinical information does not satisfy criteria o Quality of care screen(s) failure 11 12. 12/7/2022 7 Prepayment Review Process 13 Physician Review (PR) Process o Matched by physician specialty and assigned to a PR, who uses their clinical expertise to render a determination or …
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MENU OPTIONS eQSuite User Guide
(9 days ago) Web»24/7 accessibility to submit review requests to eQHealth via Web. » Secure transmission protocols that are HIPPA security compliant. » Easy to follow data entry screens. » System access control for changing or adding authorized users. » A reporting module that allows hospitals to obtain real-time status of all reviews. » Rules-driven functionality and system …
https://il.eqhs.com/Portals/0/eQSuite%20Menu%20Features.pdf
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Peer Review Organization (PRO) / Quality Improvement - Illinois
(3 days ago) WebThe department has executed a contract with eQHealth Solutions (eQH). eQH provides concurrent, retrospective prepayment and post payment reviews for services provided in the inpatient hospital setting for participants eligible for Medical Assistance. eQH provides quality of services review including medical necessity, reasonableness and …
https://hfs.illinois.gov/medicalproviders/proqio.html
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Health First Colorado Utilization Review
(2 days ago) WebMedical necessity means a Medical Assistance program good or service that will, or is reasonably expected to prevent, diagnose, cure, correct, reduce, or ameliorate the pain and suffering, or the physical, mental, cognitive, or developmental effects of an illness, injury, or disability. It may also include a course of treatment that includes
Category: Medical, Course Show Health
Field Based Reviewer jobs in Jersey City, NJ - Indeed
(3 days ago) Web9 Field Based Reviewer jobs available in Jersey City, NJ on Indeed.com. Apply to Account Manager, Integration Consultant, Medical Director and more!
https://www.indeed.com/q-Field-Based-Reviewer-l-Jersey-City,-NJ-jobs.html
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Provider Manuals
(8 days ago) WebReview Certification Line: 800.418.4033 - Mon-Fri, 8:30 am to 5:00 pm, CST Provider Helpline: Submit your questions online through eQSuite®, Monday - Friday 8:30 am to 5 pm, CST . Critical access and out-of-state hospitals please call 800.418.4045 for assistance.
https://il.eqhs.com/ProviderResources/ProviderManuals.aspx
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Medical Injectables Program Provider Questions and Answers
(8 days ago) WebMicrosoft Word - Updated_Provider_MIP_FAQs_July20.docx. Three Penn Plaza East Newark, NJ 07105-2200 HorizonBlue.com. Medical Injectables Program Provider Questions and Answers. Horizon Blue Cross Blue Shield of New Jersey collaborates with Magellan Rx Management (formerly ICORE Healthcare, LLC), to manage our Medical …
https://www.horizonblue.com/sites/default/files/pdf/Updated_Provider_MIP_FAQs_July20.pdf
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Florida Division
(8 days ago) WebDME Provider Manual – Florida Division. Section I – Introduction About eQHealth Solutions. September 20, 2012 Effective: October 1, 2012 Proprietary About eQHealth Solutions Page 3 of 29. Mississippi. Under contract with the State of Mississippi’s Division of Medicaid (DOM) since , eQHealth Solutions serves as the utilization …
https://fl.eqhs.com/LinkClick.aspx?fileticket=_n9eJG01HF0=
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PHYSICIAN CHECKLIST - Horizon BCBSNJ
(5 days ago) WebA completed copy of the N.J. Universal Physician Application. Please note that paper applications take significantly longer to process. 7. Explanations of all “Yes” answers to questions on the N.J. Universal Physician Application concerning malpractice cases, suspension of license, etc. 8. 9. A copy of your current state medical license. 10.
https://www.horizonblue.com/sites/default/files/2019-09/32214_physician_checklist.pdf
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