Office Managers

Articles with relevant information for Office Managers.
14Dec

Texas Health Steps Checkup Documentation — Essential to Medical Records

As a Texas Health Steps (THSteps) provider you affect the lives of many young Texans. The care you provide helps prevent serious or chronic health-care problems and often helps young patients begin to develop positive lifelong health-care habits. Being a THSteps provider can be very rewarding. It can also be very challenging, especially when it comes to medical checkup documentation. Independent studies of THSteps medical checkups indicate that records were most commonly missing documentation of appropriate laboratory tests and immunizations.   THSteps...

By Office Managers, , , 0 CommentsRead more...
12Dec

Are you meeting access standards?

Primary care providers must be accessible to Texas Children’s Health Plan members 24 hours a day, 7 days a week. Acceptable after-hours coverage includes: The office telephone is answered after-hours by an answering service that meets language requirements of the major population groups and that can contact the PCP or another designated medical practitioner. All calls answered by an answering service must be returned within 30 minutes. The office telephone is answered after normal business hours by a recording in the language of...

By Office Managers, Primary Care Providers, , 0 CommentsRead more...
14Nov

Provider Demographics

Texas Children’s Health Plan is required to provide members with online access to updated provider information. To do this, Texas Children’s Health Plan requires that providers update their demographics whenever there is a change in hours, address, days of week and languages provided. There are multiple ways to notify Texas Children’s Health Plan of these changes. Providers can email Texas Children’s Health Plan at tchpprovrel@tchp.us, they can send a message to http://www.thecheckup.org/contact-us/, fax the change information to 832-725-8750, or call...

By Office Managers, 0 CommentsRead more...
25Oct

Upcoming Texas Children’s Health Plan Provider TouCHPoint portal changes: Provider Attestation required

The Texas Children’s Health Plan Provider portal is changing. In order to be compliant with HHSC guidelines to confirm provider demographic information, the Texas Children’s Health Plan Provider portal will require a quarterly attestation of information by NPI number. If access to the secure portal has been blocked because of needed attestation, users will not be able to access the portal until an office administrator for the account attests the information on file. Only staff with office administrator-level access can provide...

By Office Managers, Primary Care Providers, Specialists, , 0 CommentsRead more...
30Aug

Additional electronic payments offered with Virtual Credit Card option

You now have an additional payment option The Virtual Credit Card (VCC) has been made available through ChangeHealth, previously known as Emdeon. This option is available for all providers. VCC allows providers to accept a virtual payment instead of a paper check or electronic funds transfers. When you use VCC, providers will receive a unique 16-digit credit card number for every payment made by Texas Children’s Health Plan. That number is then keyed into your credit card terminal to receive...

By Facilities, Office Managers, , 0 CommentsRead more...
05May

Provider Alert! Reminder on the use of the U8 Modifier

To: All Texas Children’s Health Plan Providers Subject: Reminder on the use of the U8 Modifier All eligible organizations and covered entities that are enrolled in the Federal 340B Drug Pricing Program to purchase 340B discounted drugs must use modifier U8 when submitting claims for 340B clinician-administered drugs. Non-compliance with this new requirement to use modifier U8 on all claims submitted for 340B clinician-administered drugs may jeopardize a covered entity’s 340B status with the U.S. Department of Health and Human Services Health Resources...

By Office Managers, Provider Alert, , , 0 CommentsRead more...
17Mar

Provider Alert! LARC Billing Update

Paragard and Nexplanon have been added to the Long-Acting Reversible Contraceptives (LARC) Buy Back Program. Paragard IUD (manufactured by Teva) and Nexplanon Implant (manufactured by Merck), have been added to the LARC Buy Back program, as the Mirena and Skyla currently are. Mirena and Skyla are currently available from Walgreens Specialty Pharmacy (NOTE: that has not changed from before). The Texas Medicaid/CHIP Vendor Drug Program has verified which pharmacies the Paragard IUD and Nexplanon Implants are available. In the case of Paragard: Biologics, Inc, Specialty...

By OB/GYNs, Office Managers, , , , , , , 0 CommentsRead more...
21Jan

Provider Alert! Annual Reminder on Copayments and Deductibles

To:  All Texas Children’s Health Plan Providers Subject: Annual Reminder on Copayments and Deductibles Texas Children’s Health Plan will pay for a primary insurance deductible with proof of assignment to the deductible on the primary evidence of procedure. Payments will be made up to Medicaid allowable only. Claims for primary insurance copayments should be sent to Texas Medicaid and Healthcare Partnership directly.  Texas Children’s Health Plan will not pay CP001 or CP002 on a claim as these are not payable by the managed...

By Office Managers, Provider Alert, , , , 0 CommentsRead more...
23Dec

Provider Alert! Billing Update for Texas Health Steps

To: All Texas Health Steps Providers Subject: Reminder – Billing for Texas Health Steps Services to Texas Children’s Health Plan Texas Children’s Health Plan follows the State of Texas Medicaid guidelines for Texas Health Steps checkups including the following: “Texas Health Steps medical checkups reflect the federal and state requirements for a preventive checkup. Preventive care medical checkups are a benefit of the Texas Health Steps program if they are provided by enrolled Texas Health Steps providers and all of the required components...

By Office Managers, Primary Care Providers, Provider Alert, , , , , , 0 CommentsRead more...
23Dec

Provider Alert! Long Acting Reversible Contraception (LARC) Billing Changes

To: All Providers and Facilities Subject: Long Acting Reversible Contraception (LARC) Billing Changes Recent changes at Health and Human Services Commission (HHSC) has improved the accessibility of LARC devices for Medicaid members. HHSC is currently working to add ParaGard, Nexplanon and Liletta to the Medicaid Vendor Drug Program formulary. More information on these products and the process to order will be supplied as these are added. Once added, providers may choose to continue to “buy and bill” or they may choose to...

By OB/GYNs, Office Managers, Provider Alert, , , , , , , , 0 CommentsRead more...