WorkSmart Institute Administrative Simplification Tools

 

In order to provide easily accessible information to provider and hospital staff in their offices, and with the goal of saving time and reducing phone calls to health plans, the Administrative Simplification Workgroups collaborated on the development of these dynamic reports.

  1. Using Common Modifiers: This report defines how participating health plans will handle the twenty-five most commonly questioned modifiers.

  2. Splitting Claims: This report defines the conditions under which participating health plans will split a claim.

  3. Prospective Review Guidelines: This report defines which services can be prospectively reviewed by participating health plans.

  4. Inpatient Stay Review: This report answers common processing questions about inpatient stays for participating health plans.

  5. Health Plan Contacts: This report provides contact information for:
  6. Adoption Matrix: This report provides a matrix of health plans who have adopted each of the Forum's policies on Administrative Simplification.
Return to OneHealthPort
View Admin. Simp. Policies & Guidelines
View HIPAA Policies & Guidelines
View "ROI" Summary Table
Tools Quicklink:
» Using Common Modifiers
» Splitting Claims
» Prospective Review Guidelines
» Inpatient Stay Review
» Health Plan Contacts
» Adoption Matrix

Powered By OneHealthPort
WORKSMART Institute is a program of the
Washington Healthcare Forum,
operated by OneHealthPort



© 2008 OneHealthPort. All Rights Reserved.