• Appendix AA -- Prior Authorization Requirements
• Appendix H -- Complaints, Grievances, Fair Hearings
• Claims Submission Addresses
• CMS-1500 Instructions
• CMS Place of Service Codes
• Explanation of Payment (EOP) Codes
• Free Medicare Consumer Workbook
• Frequently Asked Questions
• PaySpan Frequently Asked Questions
• PaySpan Payer User Guide
• PaySpan Provider User Guide
• Reportable ICD-9 Diagnosis Codes
• TPL Exempt Codes
• UB-04-CMS-1450 Instructions
• UB-04-CMS-1450 Type of Bill Codes

Clinical / Utilization Management

• CCASBE-LD Data Instructions
• CCASBE-LD Initial Template
• CCASBE-LD Reevaluation Template
• CCASBE-LD 2006 Initial Evaluation Monitoring Tool
• CCASBE-LD 2006 Reevaluation Monitoring Tool
• Resource Guide for CareConnect
• RTF Best Practice Standards
  
  

Northwest Behavioral Health Partnership
(this section is for NWBHP ONLY - Serving Crawford, Mercer & Venango Counties)

• Frequently Asked Questions (BHRS Providers only)
• Independent Prescriber Directory
• Mercer County ICR RFP
• Venango County RFP

Provider Enrollment

• Expedited Enrollment - Appendix V
• Expedited Enrollment - DRG Code List (per DPW 2004)
• Expedited Enrollment - ICD-9-CM Code List (per DPW 2006)
• Expedited Enrollment - ICD-9-CM Coding Presentation
• Expedited Enrollment - IVR Pointers
• Expedited Enrollment - Lag Reduction Initiative
• Expedited Enrollment - Presentation
• Provider Advisory Council
• Provider Advisory Council Mission Statement

Provider Relations

• Deficit Reduction Act
• Lab Services
• Paxil Update
• Provider Covered Services Grid - HIPAA Compliant

Quality Management

• 2006 Drug and Alcohol Provider Profile
• 2006 Outpatient Psych Provider Profiling Report
• 2006-2007 Family Based Provider Profile
• 2007 Inpatient Provider Profiling Report
• 2007 Residential Treatment Facility (RTF) Provider Profiling Report
• 2007-08 BHRS Provider Profiling Report
• BHRS Unit Calculator Tool
• Chart Audit Tool
• Quality Management 2007 Annual Summary
• Quality Management 2007 Annual Summary
  (Cambria, Crawford, Erie, Mercer, and Venango Counties)
• Quality Management Diagnostic Indicators
• Treatment Guidelines for AD/HD
• Treatment Guidelines for Bipolar Disorder
• Treatment Guidelines for Co-occurring Mental and Substance Related Disorders
• Treatment Guidelines for Major Depressive Disorder
• Treatment Guidelines for Schizophrenia

Value Added Newsletters

• November 2008
• October 2008
• September 2008
• August 2008
• July 2008
• June 2008
• May 2008
• April 2008
• March 2008
• February 2008
• January 2008

Value Added Newsletter Archive >