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Are your billers and claims specialists receiving Department email notifications? Oftentimes, only the credentialing specialist who originally enrolled the provider is subscribed to our mailing list. To make sure the appropriate person within your practice is getting the information they need, please invite them to sign up here. Under Email Lists, select “00 – All Provider Emails to receive: 1) a weekly Last Week in Review newsletter, which includes Hot Topics, Featured Provider Resources, and status updates on Known Issues; 2) a monthly notification when the Provider Bulletin is published; and 3) occasional general announcements relevant for all providers. Select your provider type to subscribe to communications specific to your provider type, including status updates on Known Issues. Also, make sure to keep contact information up to date in the Provider Web Portal.
For further details, refer to the communication sent to all Hospital - General providers on February 27, 2019, titled Inpatient Hospital Review Program (IHRP) Implementation Notification. A copy of the communication is also posted to this web page, under Emails to Providers > Hospital - General drop-down section.
Effective April 1, 2019, back surgery and other select surgical codes will require a PAR through the Department’s PAR vendor, eQHealth Solutions. Codes requiring a PAR will be noted in Appendix M - Procedures Requiring Prior Authorization, available on the Billing Manuals web page under the Appendices drop-down section. A PAR can be requested utilizing the online PAR portal, eQSuite®.
Visit the ColoradoPAR website for more information, including training opportunities for utilizing eQSuite®, the specific codes requiring a PAR, and other provider resources.
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