Network Engagement Hot Topics
Health care is a dynamic industry and Wellmark is an equally dynamic company. To keep you updated on the most important changes that affect you, please check this page regularly.
Hot topics for September include:
Coming soon: New tool will allow online tracking of credentialing submissions
Register now for the September 10th webinar for an introduction to an exciting web enhancement that will allow you to get the status of your credentialing submissions faster than ever before. During the presentation, you’ll get a sneak peak at this powerful online resource that tells you within seconds the status of your provider application, recredentialing submission or change request. The tool will even display the current average number of days a typical submission takes to process. Register today to learn more!
ICD-10 compliance date officially set
The Department of Health and Human Services has confirmed October 1, 2015 as the ICD-10 compliance date. With this implementation date, no more delays are expected and it’s time to begin preparing for the change. Wellmark plans to begin testing in early 2015. For additional information about Wellmark’s plans for implementation and testing, visit the ICD-10 Frequently Asked Questions page. Additional information will be communicated via Hot Topics and ICD-10 pages once available. Stay tuned for more information!
Submit clinical documentation for acute inpatient stays through the Utilization Management tool
The Utilization Management tool is designed to help you easily submit authorizations. Beginning September 1, 2014, Wellmark will discontinue accepting faxes to our general fax line for continued stay reviews for acute inpatient hospital stays. Instead, clinical documentation will need to be submitted through the Utilization Management tool on Wellmark.com or by using the fax cover sheet within the tool. If you do not have access to the Utilization Management tool to complete the task, contact the designated security coordinator in your organization to assign you the appropriate security role.
We want to hear from YOU!
The secure provider portal on Wellmark.com is designed to help you do business with Wellmark. During the next month or so, you will be invited to provide feedback on whether the tools and resources are meeting your needs. Once you have logged in, you may be asked to take a brief two or three minute survey. Don’t be shy. Your opinion matters to us.
Vote now for your favorite project to be awarded
Wellmark is celebrating its 75th anniversary this year! To mark this occasion and say “thank you” for a great 75 years, we’re giving back to the communities we serve. Ten local projects will receive a $7,500 award for helping improve the health of Iowans and South Dakotans. To view the project entries and vote for your favorite, visit Wellmark.com/75. Voting will close September 7, 2014.
Accountable care organizations (ACOs) show positive results
Results are in on five of the eight ACOs indicating that quality scores have increased by more than 35 percent and savings of more than $12 million in the first two years. The five ACOs recognized are: Mercy Medical Center in Des Moines and Mason City; UnityPoint Health; Genesis Health Systems in Davenport; Wheaton Franciscan Healthcare in Waterloo; and a collaboration between Mercy Medical Center in Cedar Rapids and University of Iowa Hospitals and Clinics. For more information about the recent performance results, check out our news release. To learn more about ACOs, visit the Accountable Care Organizations page on Wellmark.com.