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Qualitrac

Provider Portal

Qualitrac

Provider Portal

Register Now for CHIS Provider Training

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...

OPPORTUNITY FOR REVERSAL OF CLAIM RECOUPMENT

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 

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APR DRG Updates: Effective 10/1/2024

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...

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Attention Idaho Medicaid CHIS Providers

Provider Memo: Attention Idaho Medicaid CHIS Providers: You will no longer be prompted to enter MCG Guideline Documentation when submitting requests. You will now see this and all you need to do is click on the orange “Submit Request” button  

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