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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.

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

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
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


Quarter 4
Category October 2010 November 2010 December 2010
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 Academies


    Products
    		Priority Health Medicare plan enrollment begins 11/15

    HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
    Last modified 02/09/10