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An Open Community for networking, peer to peer engagement,
discussions and problem solving.

Recent Discussions

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    RE: MyNexus

    Posted in: Open Forum

    Yes, it has definitely been a challenge.  Make sure you know who your Provider Network Representative is and that you have the number to the Clinical Liaison Team.  Be prepared that even if you challenge and call the Clinical Liaison Team, you may not ...

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    RE: CAHPS SURVEYS

    Posted in: Open Forum

    Our agency uses Strategic Healthcare Programs and have had no issues. -- Thank you, Sherry Hawkins Director of Billing 321 N. Central Expressway # 350 McKinney, TX 75070-3552 Telephone:1-972-548-2163 ...

  • Dear members, Recently we were made aware of a situation with UHC Optum and therapy authorizations specifically re-evals. TAHCH reached out via email and had a phone conversation with UHC. Here is the email response: " When a provider ...

  • Posted in: Open Forum

    Our plan of care states that we will make visits up within the authorization period, not to exceed the authorized number of visits. We tell our therapists to make up the visit the week before or after. For one MCO, we have been told we can't make the ...

  • Yes, we have gotten quite a few of these and have already gone through this issue with two other MCOs. I have already submitted a complaint to UHC (which they did not process) and am about to send one to MCCO today on this issue. I recommend that if any ...

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