Two upcoming Opportunities Monday, May 12th at 4:00pm MT (plan for one hour) Register Here Thursday, May 15th at 9:00am MT (plan for one hour) Register Here   ***Sessions will be recorded and uploaded to our website if you are unable to attend. Agenda Qualitrac...

Two upcoming Opportunities   Tuesday, April 8th at 10:00 am MT- Click here to register Wednesday, April 16th at 4:00pm MT- Click here to register   ***Sessions will be recorded and uploaded to our website if you are unable to attend. Agenda Introduction of...

Retrospective post payment Medical Necessity and DRG validation cases previously technically denied for not submitting medical records are now eligible to be reopened for review.   Reopening Technically Denied Cases 

Acute Care Hospitals will be subject to updates to the 3MTM All Patient Refined DRG (3M APR DRG) Software reimbursement methodology effective October 1, 2024.  This update will result in changes to base rates, and policy adjusters.  This change will not affect...

New Idaho Behavioral Health Plan launching July 1st, 2024.  Telligen will no longer do reviews for inpatient psychiatric hospital stays or pediatric residential treatment facilities. Launch Plan