Virtual Office Advisory (VOA) webinars

We offer these one-hour noontime educational webinars several times a year, to connect you with Priority Health experts and to help your practice maximize its effectiveness.

Invitations are emailed to any provider who checked the Manager/Supervisor or Administrator roles in their account profile. You can add or delete roles if you go to your account profile, click Online account information, and then scroll to the Roles section.

Register now for the 2019 VOA webinars

Billing & reimbursement series 

General topic series  

Agendas will be posted as we have them.

VOA webinar recordings

September 2019 56 min.

  • January 2020 formulary changes
  • New 2020 Health Risk Assessment (HRA) and Healthy Behavior requirements for Healthy Michigan Plan members
  • AHA visits and what you need to do before the year’s end
  • Tips and tricks for PIP program success 

August 2019 34 min.

  • How to term and add providers to your practice using the provider information form
  • Updating your information on the Council for Affordable Quality Healthcare (CAQH) provider data base
  • The most common causes for billing denials
  • Common clinical edits and how you can submit an appeal for review

July 2019 32 min.

  • Community Health Automated Medicaid Processing System (CHAMPS) requirements and enrollment
  • Key gaps in care
  • The Medicare 5-Star challenge and how to achieve 5-Star quality
  • Our annual provider survey
  • What you need to know about in our recent news highlights 

June 2019 28 min.

  • How to get your questions answered quickly at Priority Health
  • The most common causes for billing denials and tips to avoid denials
  • Common code edits and how you can submit an appeal for review

May 2019 21 min.

  • Formulary changes coming July 1
  • Patient eligibility for our Medicaid member diaper incentive program
  • New Medicaid Tobacco Cessation outreach and Quitline initiatives

March 2019 45 min.

  • Coding requirements 
  • Life cycle of a question at Priority Health 
  • Coordination of benefits
  • Medicaid third party liability 
  • Medicare STAR rating and CAHPS
  • HOS surveys

February 2019 60 min.

  • New member discharge policy
  • Reimbursement of payable drugs and biological agents require modifier
  • New online provider portal manual layout

December 2018 60 min.

  • Risk adjustment encounter data
  • PIP 2019 program
  • Thyroidectomy medical policy change
  • Orientation to the Priority Health website

November 2018 55 min.

  • Clinical updates
  • Colorectal cancer screening tests
  • Blood pressure best practices
  • Medicare authorizations and organization determinations
  • New product offerings

October 2018 55 min.

  • Formulary changes
  • Home Health upcoming changes 
  • Chiropractic changes

August 2018 41 min.

  • In-home health assessments
  • eviCore authorizations relaunch
  • Provider directory requirements

June 2018 50 min.

  • Overview of Clear Coverage®
  • eviCore update
  • Comprehensive authorizations Q&A

April 2018 43 min.

  • Pharmacy and formulary changes coming July 2018
  • Clear Coverage™ prior authorization tool overview

February 2018 40 min.

  • Risk adjustment impact for providers
  • Priority Health Academy events
  • Care management and incentive programs

January 2018 33 min.

  • Top 5 reasons for inquiries to Provider Services
  • Fee schedules - where to find them and how to interpret them
  • Payment take backs and reconciliations
  • New provider relations education staff
  • Call center scope change

December 2017 38 min.

  • 2018 product changes
  • 2018 PCP Incentive Program changes

October 2017 35 min.

  • Medicare 2018 plans & changes
  • NCD/LCD edits
  • Medicare billing and reimbursement
  • Qualified member beneficiaries
  • Part D outreach

September 2017 35 min.

  • An introduction to the new Provider Center
  • Medicaid maternity resources

August 2017 32 min.

Inpatient authorization automation with Clear Coverage™

July 2017 44 min.

  • Billing and reimbursement Provider Manual overview
  • Provider Center tools
  • Top 5 reasons for inquiries

July 2017 22 min.

Introducing the Priority Health opioid utilization management strategy

June 2017 52 min.

  • Risk adjustment
  • CPC+
  • eviCore healthcare authorizations
  • Medicare Part D updates

March 2017 57 min.

  • CPC+ incentive program
  • Diagnosis coding
  • Healthy Michigan Plan HRA
  • Clear Coverage™ prior authorizations

February 2017 31 min.

Medicaid updates

January 2017  55 min.

  • Clear Coverage™ prior authorizations
  • CPC+ update
  • SIM update
  • Medicare MOON