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Quarterly schedule for providers

Quarterly schedule for provider meetings, changes and education

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

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

Quarter 4
Category October 2009 November 2009 December 2009
Chart
reviews		 Medicare Medicare
Contracting

Contracts reviewed
Enrollment


Medical      
Pharmacy     Education on
upcoming formulary changes
PIP
 
  • BMI chart review
  • Blood pressure entry
  • Tobacco use chart review
Programs

 
Seminars &
Training
  • Priority Health Academy
    West Region
    October 28
  • Priority Health Academy
    North Region
    October 29
    • Priority Health Academy
      East Region
      November 4
    • PHO/PO Leadership & Quality Improvement Teams
      November 9
    • Lunch & Learn, Grand Rapids
      Priority Health Conference Center
      December 4, 12-1 p.m.
    • Grand Rapids Practice Administrator Operations Group (formerly Office Advisory)
      December 9
    Products

    		Priority Health Medicare plan enrollment begins 11/15

    Quarter 1
    Category January 2010 February 2010 March 2010
    Chart
    Reviews
    • Medicare
    • Tobacco chart review for PIP
    • Submit all MCIR reports
    		Medicare
    • Medicare
    • HEDIS®
    Contracting Contracts reviewed

    Enrollment 80% of all groups renew

    Medical


    Pharmacy Formulary changes implemented

    PIP
    • BMI chart review
    • Supplemental data entry
    • Tobacco use chart review
    • Supplemental data due 2/28/2010
    • Tobacco use chart review
    Programs


    Seminars &
    Training    		 Early registration deadline for "Code with Confidence" 10-week course in Grand Rapids is Jan. 4 "Code with Confidence" 10-week course begins Feb. 1 in GR "Intro to ICD-10-CM" half-day class in GR
    Quarter 2
    Category April 2010 May 2010 June 2010
    chart
    reviews
    • Medicare
    • HEDIS
    • Medicare
    • HEDIS
    		 Medicare
    Contracting Contracts amended, fee schedule updated


    Enrollment


    Medical


    Pharmacy

    		Education on upcoming formulary changes
    PIP
    		PIP settlement April 15

    		Mid-year BMI chart review
    Programs


    Seminars &
    Training


    Products



    Quarter 3
    Category July 2010 August 2010 September 2010
    Chart
    reviews
    • Medicare
    • Access & availability (applicable only to rural areas)
    		 Medicare Medicare
    Contracting


    Enrollment


    Medical      
    Pharmacy Formulary changes implemented
    		 
    PIP
    		BMI mid-year update via Patient Profile
    		Review your member listing report
    Programs

    		 
    Seminars &
    Training


    Products



    HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
    Last modified 11/10/09