It is highly suggested that all dental practices audit their HIPAA compliance each year, and there are many tools that you and your staff can use to perform your own internal audit. IDA does not currently endorse any HIPAA compliance providers. A service provider erroneously using the IDA name should raise a red flag.
The ProSites Premier product suite is now available to all dental offices nationwide. It includes personalized secure website, patient portal with digital patient onboarding forms, secure email, and call tracking to help dental offices understand the return on investment from their online marketing efforts.
IHCP clarifies how eligibility and coverage are reported in CoreMMIS The Indiana Health Coverage Programs (IHCP) has received a number of inquiries from providers regarding the eligibility and coverage information that CoreMMIS conveys through the IHCP Eligibility Verification System (EVS) options – the Provider Healthcare Portal (Portal), the Interactive Voice Response (IVR) system, and electronic data interchange (EDI) eligibility […]
by Dr. Leila Alter UPDATE: April 3, 2017 Hewlett Packard has put together more detailed explanation of how to submit secondary claims on the portal for Traditional (FFS) claims. If a service item paid zero, more detailed explanation is required. One way of adding this information is in the Claim Adjustment Detail Box which would require Adjustment […]
On March 21, 2017, the Indiana Health Coverage Programs (IHCP) published provider banner BR201712. The banner discusses several updates which affect dental services, including: Changed Web interChange to Provider Healthcare Portal (Portal) Included the Portal as an option for submitting fee-for-service claims, prior authorization requests, and claim history inquiries Removed reference to Care Select Updated […]
1115 Demonstration – Healthy Indiana Plan 2.0 Indiana submitted an application to extend the Healthy Indiana Plan 2.0 demonstration for three years. The demonstration authorizes the state to collect monthly premiums from individuals up to 133 percent of the federal poverty level (FPL) in an amount not to exceed 2 percent of household income, except […]
The Indiana Family and Social Services Administration (FSSA) has been informed that, effective April 1, 2017, MDwise will no longer be an authorized health plan for Hoosier Care Connect (HCC). Both Managed Health Services (MHS) and Anthem will remain with the program, so current HCC members will have the option to choose either MHS or […]
CoreMMIS Implementation Schedule available here >>> IHCP’s CoreMMIS will go live February 13, 2017. The original go live date was December 5, 2016. The Indiana Health Coverage Programs (IHCP) is replacing its current information processing system with the new CoreMMIS, which stands for Core Medicaid Management Information System. CoreMMIS will be a more modern […]
After some delay, IHCP’s CoreMMIS health care portal, which replaces the current IndianaAIM system, is expected to go live any day. Providers may only get a 5-7 day advance notice of the go-live date, according to Dr Leila Alter, IDA member of the Dental Medicaid Advisory Panel, so dental offices are encouraged to register at […]
The Indiana Health Coverage Programs (IHCP) announced in BT201678, that effective January 1, 2017, the management of dental benefits for members enrolled in Hoosier Healthwise would transition to the managed care entities (MCEs). Each MCE, along with any contracted dental benefit manager (DBM), would manage Hoosier Heathwise dental benefits and process dental claims. Accordingly, Hoosier […]