Claims | Clinical/UM | Provider Enrollment | Provider Relations | Quality Mgt | Provider Newsletters | Beaver | Butler | NWBHP

Claims Dept

• Appendix AA -- Prior Authorization Requirements
• Autism Insurance Act (Act 62) Webinar (April 6, 2010)
  • Q&A Resulting from Act 62 Webinar
  • VBH-PA Frequently Asked Questions for Act 62
• Claims Submission Addresses
• CMS-1500 Instructions
• CMS Place of Service Codes
• Explanation of Payment (EOP) Codes
• Free Medicare Consumer Workbook
• Frequently Asked Questions from the Member and Provider Service Representative
  
• National Provider Identifier (NPI) 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
• ValueOptions Provider Guide to Using Direct Claim Submission

Clinical / Utilization Management

• Auto Auths
  • Auto Auth FAQs
  • Tips for Submitting Auto Auth Requests through ProviderConnect
• How to submit IP MH auths via ProviderConnect
• 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
  

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 - Lag Reduction Initiative
• Expedited Enrollment - Presentation
• Provider Advisory Council
• Provider Advisory Council Mission Statement

Provider Relations

• Deficit Reduction Act
• HealthChoices BH Program-Program Standards and Requirements
• Lab Services
• Paxil Update
• Provider Covered Services Grid - HIPAA Compliant
• Summer Therapeutic Activities Program (STAP) Webinar (2010)

Quality Management

Annual Summary

• Quality Management/Utilization Management Annual Summary 2009

Provider Profiling Reports

• 2008 Inpatient Provider Profiling Report
• 2008 Residential Treatment Facility (RTF) Provider Profiling Report
• 2008-09 BHRS Provider Profiling Report
• 2008-2009 Family Based Provider Profile

Tools

• BHRS Unit Calculator Tool
• Chart Audit Tool

Treatment Guidelines

• Diagnosis-Based Adherence Indicators for Inpatient
• Diagnosis-Based Adherence Indicators for Outpatient
• 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
  • Schizophrenia Footnote

Provider Newsletters

• The Prescriber Post
  • July 2010
  • December 2009
  • September 2009
  • June 2009
  • March 2009
    
    

• Value Added Newsletters
  • Act 62 Special Edition
  • August 2010

Value Added Newsletter Archive >

County Specific Provider Information

Beaver County

• Beaver County BHRS Independent Evaluator Listing
• COD Update
• Vol. 2, Issue 1
• COD Update Newsletter Archive

Butler County

• Butler County Independent Prescriber Directory

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

• Frequently Asked Questions (BHRS Providers only)
• Independent Prescriber Directory