iehp health education December 4, 2020 – Posted in: Uncategorized

Fraud is knowingly and willfully executing, or attempting to execute, a scheme or artifice to defraud any health care benefit program, or to obtain, by means of false or fraudulent pretenses, representations, or promises, any of the money or property owned by, or under the custody or control of, any health care benefit program. Evidence-based guidelines from nationally recognized professional healthcare organizations and public health agencies. (800) 718-4347 (TTY), IEHP 24-Hour Nurse Advice Line (for IEHP Members only) If you have questions or additional suggestions, please e-mail The IEHP Compliance Department at compliance@iehp.org. 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The Fenway Institute (TFI) is an interdisciplinary center for research, training, education, and policy development that works to ensure access to quality, culturally affirming medical and mental health care for traditionally underserved communities, including LGBTQIA+ people and those affected by HIV/AIDS. To learn about AHRQ’s tools to address health literacy, visit Health Literacy Topics at https://www.ahrq.gov/health-care-information/topics/topic-health-literacy.html Must also demonstrate knowledge proficiency of internal IEHP and external community resources in Inland Empire to support Member needs. Paying a "kickback" in exchange for a referral for medical services or goods, Allowing unauthorized individuals to use ID card to obtain benefits, Falsifying residence information to obtain benefits, Drug seeking or doctor shopping to obtain narcotics. Periodically perform internal audits of billing practices and compare billing records with payments received. Coverage Determinations: Phone: (888) 860-1297, Expedited Appeals: Phone: (866) 233-4347 and Fax: (909) 890-5748, Interdisciplinary Care Team (ICT) Fact Sheet (PDF), IEHP Guidelines for Care Management Training (PDF), IEHP Guidelines for Care Management Training (HTML), Focus Group Incentive (FGI) - Request for Approval Form (PDF), Focus Group Incentive (FGI) - Evaluation Form (PDF), Member Incentive (MI) Program - Request for Approval (PDF), Member Incentive (MI) Program - Annual Update/End of Program Evaluation (PDF), Survey Incentive (SI) - Request for Approval Form (PDF), Survey Incentive (SI) - Evaluation Form (PDF), Coordination of Benefits with Other Health Coverage (OHC) (PDF), Frequently Asked Questions (FAQs) - OHC (PDF), Assisting Patients with Requests for Workplace Accommodations or Leaves of Absence (PDF), Supporting Patients in Pregnancy: ACEs and Maternal Health (PDF), Initial Health Assessment Standards (PDF), Staying Healthy Assessment (SHA) Training (PDF), SHA Pediatric Questions by Age Group (PDF), The National LGBT Health Education Center Webinars, HIV Prevention/PrEP at Health Centers: An Overview and Current Best Practices, What’s new in PrEP and STIs? Ages: 18 years and over. Since medical technology is constantly evolving, our clinical guidelines are subject to change without prior notification. If you are referring back to yourself, please indicate such. Reporting results to Compliance Committee, Governing Body, and IEHP as necessary. Resources are not limited to webinars, computer based training, and webinars. Format: Online (small group) The file lists the maximum reimbursement rates payable by the Medi-Cal program for covered procedures described in the HCPCS and CPT-4 coding system. Abuse involves payment for items or services when there is no legal entitlement to that payment and the provider has not knowingly and/or intentionally misrepresented facts to obtain payment. Version: 2.2.0.26 An extensive list of health education materials about healthy weight and physical activity in English and Spanish. After hour care includes the 24-Hour Nurse Advice Line, DocOnline and Urgent Care Clinics. Review of the National Practitioner Databank (NPDB). Providers may obtain information about criteria, either in general or relating to specific UM decisions, from IEHP upon request by contacting the IEHP UM Department. It's just one click away. Inland Empire Health Plan (IEHP) Remove Inland Empire Health Plan (IEHP) from comparison. Select the growth chart form that you need by clicking on the link below: To submit a referral to IEHP, please fill out the referral form below, include all clinical notes and fax it to IEHP. To sign up, simply go to https://www.capolstregistry.org/#/mdsignup. An Updated Overview of Health Literacy Easy-to-read handouts in English, Spanish and other languages on nutrition, diabetes, depression and other topics related to women’s health. Abuse includes actions that may, directly or indirectly, result in unnecessary costs and improper payment or services. Browser suggestions for the live audio cast:(results may vary based on individual settings on your device) Team Member benefits include: CalPERS Retirement; 457(b) option with contribution match; Health … IEHP has established a HIPAA Privacy Program to ensure that Member’s health information is properly protected while allowing the flow of health information needed to provide and promote high-quality health care. Inland Empire Health Plan (IEHP) expects Team Members and business entities doing business with IEHP to conduct business activities in an ethical and professional manner that promotes public trust and confidence in the integrity of IEHP. The recorded message may be heard in English and four other languages: Spanish, Vietnamese, Cambodian, and Russian. The law does allow information to be accessed, used, or disclosed when it is related to treatment, payment, or healthcare operations directly associated with the work that we do at IEHP on behalf of our Members. Resource: website, Information on services covered by the Medicare Physician Fee Schedule (MPFS). Resource: website, This website is aimed at providing information to Providers on Medicare's National CCI edits, but will not address specific CCI edits. About Inland Empire Health Plan IEHP is the largest not-for-profit Medi-Cal and Medicare health plan provider in the Inland Empire area of California, and one of the fastest-growing health plans in the nation. If you suspect that errors in billing may have occurred, contact your IEHP Provider Services Representative at (909) 890-2054. ©2020 Inland Empire Health Plan All Rights Reserved. Securely manage your healthcare online from anywhere in the world. The 2016 GNA Report describes Medi-Cal Members’ health risks and practices, chronic health condition incidence, utilization patterns, health education and cultural and linguistic needs. Schedule appointments, message your physician, view test results, refill medications and more with MyDMG Health. The Department of Health and Human Services supports work completed by the USPSTF. (800) 720-4347 (TTY). Online: Report a Compliance Issue Click Here (By clicking on this link, you will be leaving the IEHP website). IEHP's provider portal is equipped with resources to equip all of our providers with easy to use tools. 2016 Group Needs Assessment (GNA) Report (PDF) Select Language: English, Spanish, Arabic, Armenian, Chinese, Call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users to see if a workshop is coming up near you! Call IEHP Health Education Department at 1-866-224-IEHP (4347) or 1-800-718-4347 for TTY users to see if a workshop is coming up near you! Materials can be printed or ordered. DocOnline Physicians will triage, assess, and provide diagnoses for minor acute conditions. Providers must complete the SHA Training. IEHP is dedicated to your child’s health at every stage of development. Box 1800 Identification with both a picture and a signature, such a valid driver's license or State identification card, are suggested. Organized as a Joint Powers Agency, Inland Empire Health Plan (IEHP) is a local, not-for-profit, public health plan. Weight and physical activity in English and Spanish versions are available through IPA. Program helps you make real changes that last rates payable by the IEHP Provider Services Representative at ( 909 890-2968. Guidelines are subject to change without prior notification women ’ s Health & Wellness programs help Members how... In creating this page are recommended by IEHP to direct iehp health education referral, please click Here Members learn to! To equip all of our friendly bilingual Enrollment Advisors contact IEHP Health Education Department at Compliance @.! 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