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Schedule

Quarterly schedule for provider meetings, changes and education

All dates subject to change without notice. Please check back for the most updated information.

Jump to:
Q2: April/May/June
Q3: July/August/September
Q4: October/November/December
Q1: January/February/March


Quarter 2 2011
CategoryAprilMayJune
Chart
reviews
  • Medicare
  • HEDIS
  • Medicare
  • HEDIS
Medicare
Contracting Contracts amended, fee schedule updated

Enrollment


Medical
AIM call center closed on Memorial Day (5/30) Order high-tech imaging auths online.
Pharmacy


PIP
PIP settlement
Mid-year BMI chart review
Programs


Seminars &
training



Products


Quarter 3 2011
CategoryJulyAugustSeptember
Chart
reviews
  • Medicare
  • Access & availability (applicable only to rural areas)
Medicare Medicare
Contracting


Enrollment


Medical AIM call center closed on July 4. Order high-tech imaging auths online.   AIM call center closed on Labor day (9/5). Order high-tech imaging auths online.
Pharmacy Formulary changes implemented  
PIP BMI mid-year update via Patient Profile

Programs

 
Seminars &
training


"Code with Confidence" course offered in Grand Rapids, 9 Mondays beginning 9/12
Products

Quarter 4 2011
CategoryOctoberNovemberDecember
Chart
reviews
Medicare Medicare Medicare
Contracting

Contracts reviewed
Enrollment


Medical    AIM call center closed on Thanksgiving Day (11/25). Order high-tech imaging auths online. AIM call center closed on the Monday after Christmas (12/26). Order high-tech imaging auths online.
Pharmacy     Education on
Upcoming formulary changes
PIP
 
  • BMI data entry
  • Blood pressure entry
Programs

 
Seminars &
training
   

Products Priority Health Medicare plan enrollment begins 10/15


Quarter 1 2012
CategoryJanuaryFebruaryMarch
Chart
Reviews
  • Medicare
  • Submit all MCIR reports
Medicare
  • Medicare
  • HEDIS®
Contracting
  • Contracts reviewed
  • 2012 Fee schedule reviewed


Enrollment 80% of all groups renew

Medical AIM call center closed on New Year's Day, Martin Luther King Jr. Day. Order high-tech imaging auths online.


Pharmacy Formulary changes implemented

PIP
  • BMI chart review
  • Supplemental data entry
  • Reconcile Lab, BMI, MCIR and HTN data with Patient Profile
  • Tobacco use chart review

Programs


Seminars &
training



Products

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