- THCA

Volume XXX, Number 10
October 2015

Update from Amerigroup on Claims Payment

Amerigroup has reported that the Nursing Facility adjustments for Amerigroup that were scheduled to process by September 29 were processed and finalized. EFTs and checks were sent to providers. Providers usually see the money in their bank accounts within 24-48 hours if they are set up with Electronic Funds Transfer. These adjustments included any daily delta files received up until September 21 (including the 8/28 Recon file). Amerigroup applied the adjustments to applicable claims processed in their system back to March 1. Amerigroup reported that this project brings them to a current status with adjustments. Amerigroup will also start processing adjustments weekly starting next week. Amerigroup will continue this weekly process until the long term solution (automated process) is in place at the end of October.

President’s Report

President’s Report

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Legislative Update

Senator Kolkhorst Honored as Long Term Care Champion

THCA Joins Events for Texas Congressmen

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Commitment to Care

Commitment to Care – Topic of the Month
Have you Heard? About the One a Month Campaign

If you missed the Update of Quality Concerns in Dementia Care Webinar – Why Doctors Should Rarely Prescribe Antipsychotics in Texas Nursing Homes?

MDS Member Alerts

October is here and so is ICD-10

ICD-10 Prohibited HIV/AIDS codes for MDS 3.0

jRAVEN Software Version 1.3.0 Available

Resident Assessment Instrument (RAI) Manual v1.13 Released

MDS 3.0 Quality Measures Manual V9.0 Released

Important Payroll Based Journal (PBJ) Provider Action Items

MDS System-Generated Final Validation Reports Available in Text and XML Format

Did You Miss the MDS 3.0 Update Webinar on Sept. 28?

If you have any questions about the THCA C to C Initiative or would like to share your facilities successes please contact me at gbwilliams@txhca.org or call (512) 458-1257.

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