Quality Results
News and Updates for Providers
September 2017
Countdown to Online Pre-authorizations!
The date is set! MCG Cite AutoAuth for online pre-authorizations will launch September 25 for certain elective inpatient procedures. The system will also accept Home Health requests for nurse and therapy visits. Accessing AutoAuth, and its additional benefits, will be easy!
Using the My Account Online Provider Portal
Get the information you need through the fast and secure My Account portal, where you can:
  • Check member eligibility and benefits
  • Search and view claims and RAs
  • Search and view referrals and pre-authorizations
  • Generate useful reports
  • Access CPC+ information
  • Request pre-authorizations
Collaborating on Coordinated Care
In the Summer issue of  Quality Results , we asked you to collaborate with us on finding the most efficient way to deliver high-quality, cost-effective, patient-friendly healthcare. Thank you for your response! We learned that coordinated care is important to you. It's also important to us. 

Dr. Milton Hammerly, QualChoice Chief Medical Officer, shares in his letter to you how QualChoice is helping improve care coordination. 

New and Improved Payment System
Your experience as our partner in business is important to us.

When you indicated that quick reimbursement and efficient payment reconciliation are high priorities, we heard you. We're excited to announce the implementation of our new payment solution! In November 2017, we're changing our Electronic Funds Transfer (EFT) system from ProviderNet to ECHO Health, Inc.

Stay Up to Date on Medical Policies
Check your inbox on the first day of each month to find QualChoice New & Amended Medical Policies and Coming Amendments.

REMINDER: Be sure to Use In-Network Services
Contracted QualChoice providers are required to use in-network laboratory or pathology groups. Using out-of-network facilities violates your agreement with QualChoice and causes patients to pay significantly more for these services.

Review Your Demographic Information
Please check the information about your practice in our online directory to make sure it is current and accurate.

Updated Forms
To make sure you are using current QualChoice forms, please download directly from the Forms page at QualChoice.com each time you need to use one.
In the Media
Nicole Zulpo with Qualchoice joins Fox 16 Good Day to share some tips on how you can stay healthy while tailgating.

In the Community
One Walk - Oct. 8, 2017
Race for the Cure - Oct. 14, 2017
Dove Tree Wrapping Party -   Dec., 2017 (date TBA)

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