Availity webinars

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Important Notes For auditing purposes, you must register individually and complete and pass the assessment.

Recorded July Availity cannot issue refunds. Legal Disclaimer The information presented during or through this Webinar is made available solely for general information purposes and is not legal advice. Availity does not warrant the accuracy, completeness, or usefulness of this information.

Any reliance you place on such information is strictly at your own risk. The contents of the Webinar are prepared by a third party.

These materials do not necessarily reflect the opinion of Availity. Availity is not responsible, or liable to you or any third party, for the content or accuracy of any materials provided by any third parties. Read More. In this on-demand course, learn about common patient privacy and HIPAA-related issues that affect medical health providers and their staff. Healthcare Are you new to healthcare? Take this course to walk through the very basics of a healthcare practice preparing to see patients, seeing the patient and documenting the visit, and following up after the visit.

Do you need to understand the revenue cycle? Is this an area you want to become an expert in or increase your knowledge base? Some modules might better meet your needs depending on where you are in your performance related to the revenue cycle. These online courses are fun, interactive and include assessments. This increase also impacts your practice. Patients have higher co-pays and deductibles, and you have to collect these to pay for your costs and services. Elizabeth Woodcock guides you through the revenue cycle including planning, prepping, and being accurate.

In this module learn the basics of financial responsibility and bill collecting. Learn about coinsurance, copayment, out-of-pocket maximum, non-covered services, and premiums and then learn how to calculate payment due.

Join Elizabeth Woodcock for a journey down the financial clearance path. Continue gathering information. Join Elizabeth Woodcock for an exercise in documentation.

What is your job in this part of the revenue cycle? How do you make sure this doesn't get left unattended? Follow Elizabeth Woodcock down the collections path for your practice. Elizabeth Woodcock guides you through the challenges of contracts and agreements. You need to know how you are performing, how you can get better, and how to learn from the best. Learn about receivables, credits, denials, collections, revenue, and much more. Manage precertification?

Learn how to access Novologix through the Availity provider portal to submit a specialty drug prior authorization; initiate a National Comprehensive Cancer Network regimen NCCN and check the status of a request.

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Aetna Inc. The information you will be accessing is provided by another organization or vendor. If you do not intend to leave our site, close this message. Each main plan type has more than one subtype. Some subtypes have five tiers of coverage. Others have four tiers, three tiers or two tiers.

This search will use the five-tier subtype. It will show you whether a drug is covered or not covered, but the tier information may not be the same as it is for your specific plan. Do you want to continue? The Applied Behavior Analysis ABA Medical Necessity Guide helps determine appropriate medically necessary levels and types of care for patients in need of evaluation and treatment for behavioral health conditions.

Treating providers are solely responsible for medical advice and treatment of members. Members should discuss any matters related to their coverage or condition with their treating provider. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers will need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations applicable to this service or supply.

The conclusion that a particular service or supply is medically necessary does not constitute a representation or warranty that this service or supply is covered i. The member's benefit plan determines coverage. Some plans exclude coverage for services or supplies that Aetna considers medically necessary. Medical necessity determinations in connection with coverage decisions are made on a case-by-case basis.

This excerpt is provided for use in connection with the review of a claim for benefits and may not be reproduced or used for any other purpose. Copyright by the American Society of Addiction Medicine. Reprinted with permission. No third party may copy this document in whole or in part in any format or medium without the prior written consent of ASAM. Should the following terms and conditions be acceptable to you, please indicate your agreement and acceptance by selecting the button below labeled "I Accept".

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The information contained on this website and the products outlined here may not reflect product design or product availability in Arizona. Therefore, Arizona residents, members, employers and brokers must contact Aetna directly or their employers for information regarding Aetna products and services.

This information is neither an offer of coverage nor medical advice. It is only a partial, general description of plan or program benefits and does not constitute a contract. In case of a conflict between your plan documents and this information, the plan documents will govern. Working with us. Join our network. Confirm patient eligibility Precertification lists and CPT code search. Existing health care professionals. Availity provider portal Update your data Utilization management Provider referral directory.

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