Provider Newsflash MARCH 2021
Provider Newsflash MARCH 2021 Provider Portal: HomeBridge Enhancement Notification Purpose of this communication: To inform providers of changes and enhancements to the Provider Portal: HomeBridge beginning March 21, 2021. What I need to know? Beginning March 21,2021, the following changes to the authorization/registration process will be effective on the CareCentrix Provider Portal: HomeBridge : Authorizations o Authorization Add-On option will no longer be available o Authorization Edit functionality has been enhanced Ability to cancel/withdraw individual service lines will now be available to users Service code/UOM (Unit of Measure) and primary diagnosis edit options will no longer be available to users Users will no longer have the option to add attachments while editing an authorization o Authorization Status Users will be able to view and upload documents directly from Authorization Status o Authorization ID Changes The la el Autho izatio ID ill ha ge to Se i e Auth/Li e Nu e i the Reauthorization and CareCentrix Direct screens Auth ID has ee ha ged to Se i e Auth/Li e Nu e o the Service Registration Form (SRF) Providers can now complete an Authorization Search ased o Se i e Auth/Li e Nu e What do I need to do? Make any administrative adjustments or required system configurations as necessary For additional information on these updates, please reference the HomeBridge Enhancements Quick Reference Guide CareCentrix requires providers to submit a pre-notification/registration for all services arranged through our network. This enables CareCentrix to validate that services are delivered on time in the patie t’s ho e. Ca eCe t i o l e ui es p io autho izatio o a su set of these se i es. Providers can obtain information on the codes for which prior authorization is required through EDRC 1984b. 032021. HomeBridge is a registered trademark of CareCentrix, Inc.
our Provider Prior Authorization Tool posted under the Resources and Forms section of the CareCentrix Provider Portal: HomeBridge. Thank you in advance for your cooperation and continued partnership. EDRC 1984b. 032021. HomeBridge is a registered trademark of CareCentrix, Inc.
CareCentrix HomeBridge Provider Portal Enhancements Introduction The purpose of this reference guide is to give providers updates that will be available in the HomeBridge portal beginning March 21, 2021. CareCentrix requires providers to submit a pre-notification/registration all services arranged through our network. This enables CareCentrix to validate that services are delivered on time in the patient’s home. CareCentrix only requires prior authorization on a subset of these services. Providers can obtain information on the codes for which prior authorization is required through our Provider Prior Authorization Tool posted under the Resources and Forms section of our HomeBridge Provider Portal at www.carecentrixportal.com. Removing the Add-On Option The Add-On option in HomeBridge will no longer be available. Users must enter the request using Request an Initial Authorization or Request a Reauthorization. EDRC 1984. 032021. HomeBridge Enhancements Page 1 of 10
Edit an Authorization Changes Authorization edit functionality has been enhanced to align with industry standards and offer users additional options to edit a request. Cancel/Withdraw a Request Users have the option to cancel service lines directly in Edit an Authorization in certain circumstances. The users will be prompted to select a requestor type and a cancellation reason For Medicare members, if the requestor type for the cancellation is a patient, patient beneficiary, or ordering physician, the status of the request may update to Medicare Withdrawn, if the UM Determination has not been completed. For all other requestor types, the status of the request will remain Cancelled. For Commercial members, the status of the request will display as Cancelled. A new dropdown option can be found in Edit an Authorization – “Cancel Service Auth/Line Number” New Cancellation Requested By options New Cancel/Withdrawal Reason options EDRC 1984. 032021. HomeBridge Enhancements Page 2 of 10
The Status will display as “Cancelled” in Authorization Status. Medicare Withdrawn Status Edit Options Removed Two edit options will no longer be available to users in Edit an Authorization. Service Code/UOM Primary Diagnosis If any other edit, such as Units, Start or End Date, is performed on the approved line, the Show Diagnosis/Physician will no longer be available. Users will need to cancel the EDRC 1984. 032021. HomeBridge Enhancements Page 3 of 10
service line and resubmit the request as an Initial referral. Request Type When selecting “Edit Units/Start Date/Exp Date,” the system will prepopulate the previous Request Type (i.e. Urgent or Routine) that was selected in the initial request. The field will be greyed out and the user will not be able to change the Request Type. Adding Attachments Removed in Edit an Authorization Users will no longer have the option to add attachments while editing an authorization. However, the attachments may still be added in Authorization Status. EDRC 1984. 032021. HomeBridge Enhancements Page 4 of 10
Authorization Status Users will see new changes in Authorization Status specific to search options and adding documents. Searching Providers can search by Service Auth/Line Number (formerly Authorization ID). Add Documents Link The portal user can now attach documents at any point in the portal request, even after it has been submitted by clicking on the “Add Documents” link. Users will select a document type for each attachment uploaded and can upload multiple documents at one time. 1. Click “Add Documents”. EDRC 1984. 032021. HomeBridge Enhancements Page 5 of 10
2. Click “Choose File” to locate the file to upload. EDRC 1984. 032021. HomeBridge Enhancements Page 6 of 10
3. Choose a document type from the Attachment dropdown. 4. Click “Upload” to add the document. Users can add multiple files at once. The files will display in the window. EDRC 1984. 032021. HomeBridge Enhancements Page 7 of 10
5. Click “Confirm” and a thank you page will display. View Documents Link Clicking “View Documents” will display the Service Registration Form, if approved, and any additional clinical documents uploaded, including Health Plan Instruction form, if applicable. EDRC 1984. 032021. HomeBridge Enhancements Page 8 of 10
Reauthorization and CareCentrix Direct The label “Authorization ID” will change to “Service Auth/Line Number” in the Reauthorization and CareCentrix Direct screens. EDRC 1984. 032021. HomeBridge Enhancements Page 9 of 10
Service Registration Form (SRF) Changes Updates have been made to the Service Registration Form. Auth ID has been changed to “Svc Auth Line” Additional cosmetic changes have been made to the field names in the form. EDRC 1984. 032021. HomeBridge Enhancements Page 10 of 10
arranged through our network. This enables CareCentrix to validate that services are delivered on time in the patient's home. CareCentrix only requires prior authorization on a subset of these services. Providers can obtain information on the codes for which prior authorization is required through our Provider Prior Authorization Tool posted
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Provider Transition Plan (PTP) System PTP #AD-003910 Provider Information * Mandatory (required) fields below are marked with an asterisk. Legacy Provider ID * 0 New Provider ID * 0 Provider Name * Demonstration Provider Provide
Medicine provider, but they had insufficient data (i.e., the provider group does not have enough commercial health plan claims data to be evaluated, as required by the statistical requirements of the Provider Excellence Program; the provider group did not have enough quality data; or the provider group does not have enough cost-efficiency data). 3.
Provider ID: 1457472029 Provider Gender: Male Accepting New Patients: Yes Anthony Euser, DO 2801 Purcell St Brighton, CO 80601 303-659-7600 Adams County Provider ID: 1588634810 Provider Gender: Male Accepting New Patients: Yes John Fontenot, MD 1860 E Egbert St Brighton, CO 80601 303-659-4000 Adams County Provider ID: 1033373410 Provider Gender .
Important Days in March March 1 -Zero Discrimination Day March 3 -World Wildlife Day; National Defence Day March 4 -National Security Day March 8 -International Women's Day March 13 -No Smoking Day (Second Wednesday in March) March 15 -World Disabled Day; World Consumer Rights Day March 18 -Ordnance Factories Day (India) March 21 -World Down Syndrome Day; World Forestry Day
Provider Directory Validation Ensure provider directory contains accurate information for members Baseline Study: 80% for initial provider accuracy rate Subsequent Studies: 95% accuracy rate Phase 1: Provider Access Study The four activities included in Phase 1 are described in Figure 1: Phase 1—Provider Access Studies.
Demographic Change Form User Guide . Version 1.0 TX . 10/01/2020. 6. * Type of Provider (Note: Form needs to be completed and submitted for each applicable provider and/or group provider record ID#) A. Individual Provider is a provider who will not be employing another professional provider a.
The Machinery, Automotive EMC, and Medical Devices directives and their harmonised standards do make some attempt to cover these issues, but fail to address them correctly [4]. Refer to the IEE Guidelines on EMC and Functional Safety [5], and articles on it [4], [6], [7], IEC 61508-2 [8] and IEC/TS 61000-1-2 [9] for more on these increasingly vital issues. These issues should be covered to be .
