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Reviewing Healthcare. Improving Quality.
Ohio Medicaid Quality Monitor

The Ohio Medicaid Quality Monitor is a quarterly newsletter, to help communicate review trends and project information to the doctors, hospitals, and health plans that serve Ohio Medicaid clients. Available newsletters include:

Ohio Medicaid Quality Monitor, Summer 2011
A Look at the Ohio Medicaid Developmental Disability Programs
New Year! New Contract!
New ImageNow Process

Ohio Medicaid Quality Monitor, Spring 2011
CMS' HACs and POA: What are they?
Observation Level of Care
MITS = Paperless Prior Authorization and Precertification

Ohio Medicaid Quality Monitor, Winter 2011
Bill Audit Project
EHRs and Meaningful Use
EDI Protocols

Ohio Medicaid Quality Monitor, Autumn 2010
Health Care Reform
Prior Authorization Through MITS
Forecasting the Future for EDs

Ohio Medicaid Quality Monitor, Summer 2010
Unlisted Codes: Part Two
Appeals & Reconsiderations of Determinations of Hospital Inpatient Services
Quality of Care Findings SFY 2008

Ohio Medicaid Quality Monitor, Spring 2010
Unlisted Codes: Right, Wrong or Time for Change
Ohio Medicaid Therapy Payment Changes
Current Quality Improvement Activities

Ohio Medicaid Quality Monitor, Winter 2010
Hospital Payments are Linked to Patient Safety
OAC Rule Changes
How to Submit a Claim After a Denial

Ohio Medicaid Quality Monitor, Autumn 2009
Utilization Trends of Medicaid MRI Use
Comparing Medicaid Developmental Disabilities Facility and Waiver Programs 

Obtain Precertification at HMSPermedion.com

Ohio Medicaid Quality Monitor, Summer 2009
When Every Code Counts
Welcome New Permedion Project Manager

Facility E&M Coding

Ohio Medicaid Quality Monitor, Spring 2009
The Growing Need for Interpreter Services in Health Care
Additional Statement Added to Permedion Denial Letters

Coding Malocclusion of Teeth

Ohio Medicaid Quality Monitor, Winter 2009
Quality of Care Findings SFY 2007
New Quality Improvement Studies
Helpful Hints: Rebilling a Permedion Denial

Ohio Medicaid Quality Monitor, Autumn 2008
Report on Recent Hospital Peer Group Patterns
Present on Admission Reporting Guidelines
Denial Hierarchy Table Applied During Retrospective Review

Ohio Medicaid Quality Monitor, Summer 2008
Permedion Presents at NAMPI
Why are Emergency Departments Crowded?
Hospital Billing for Hospice Patients

Ohio Medicaid Quality Monitor, Spring 2008
The Difference Between Permedion and HCE UR Programs
Denial Reason Based on Hierarchy Table
Welcome Dr. A.J. Beisler to Permedion

Ohio Medicaid Quality Monitor, Winter 2008
Permedion Review Processes, letter from Dr. David Sand
Nursing Facility and Waiver Functional Assessment Study
Billing a Claim that is Exempt from Precertification

Ohio Medicaid Quality Monitor, Autumn 2007
Who goes to the Emergency Room?
Guidelines for Selection of Principal and Secondary Diagnoses
Report Reveals Hospital Peer Group Patterns

Ohio Medicaid Quality Monitor, Summer 2007
Closing the Chart: Examining the Use of Health Care Services at the End of Life
Change to Permedion's DRG Reassignment Process
Ohio Medicaid Quality of Care Findings

Ohio Medicaid Quality Monitor, Spring 2007
Understanding Post-Acute Care Recovery Care Facilities
Billing Instructions for Special Cases
Who To Contact When Your Facility Changes Name or Location

Ohio Medicaid Quality Monitor, Winter 2007
Study Examines Post-Acute Care and Nursing Facility Placement
SURS to Now Perform Second Level Appeals
Update Your Contact Person Information with Permedion

Ohio Medicaid Quality Monitor, Autumn 2006
Study Examines Hospital Admissions and Readmissions
New Ohio Medicaid Precertification List (Article corrected to remove the word "urgent" from the following sentence: Procedures performed on an urgent or emergency basis do not require precertification.)
Introducing the new OHP Medical Director

Ohio Medicaid Quality Monitor, Summer 2006
Ohio Medicaid Congestive Heart Failure Study
Acute Coronary Syndrome Guidelines
CPT Codes That Require Precertification

Ohio Medicaid Quality Monitor, Spring 2006
Ohio Medicaid Shift to Managed Care
Precertification at Permedion.com
Outpatient vs. Inpatient Observation

Ohio Medicaid Quality Monitor, Winter 2006
Ohio Medicaid ABD Diabetes Study
Medicaid Co-Payment in Emergency Department
Request for Ohio Medicaid Provider E-mails

Ohio Medicaid Quality Monitor, Autumn 2005
Pediatric Asthma
Ohio Medicaid Billing Update
Introduction of Permedion's New Medical Director
Coding for Pediatric Asthma
Wheezing as a Symptom

Ohio Medicaid Quality Monitor, Summer 2005
Major Findings from Recent Adult Asthma Study
Quality Review Findings Reported for SFY 2004
No Reimbursement for Copying Medical Records
Ohio Medicaid Quality Monitor, Spring 2005
Hospital Peer Groups Patterns
New ODJFS Section Handling Administrative Appeals
New Precertification Codes for 2005
Ohio Medicaid Quality Monitor, Winter 2005
Observations on Observation Unit
New Criteria for Medicaid Reviews
Avoid Technical Denials
 
Ohio Medicaid Quality Monitor, Autumn 2004
Retrospective Review Denial Hierarchy Table
Outpatient Observation Services
Fax Your Way To Precertification
Ohio Medicaid Quality Monitor, Summer 2004
Medication Use in Nursing Facilities
Pattern Analysis Monitor Report Arriving Soon
Precertification 101
Ohio Medicaid Quality Monitor, Spring 2004
Unused Medications in Nursing Facilities
New Studies on Enhanced Care Management
Criteria Additions for the Precertification Program
Ohio Medicaid Quality Monitor, Winter 2004
Hospital Care Assurance Program Study
Provider Access to Medicaid Resources
Information on Enhanced Care Management Program
ODJFS and Permedion Contact Information
Ohio Medicaid Quality Monitor, Autumn 2003
Developing Quality Indicators
Medicaid Interactive Voice Response System
Hospital-related HIPPA Policy Changes
Ohio Medicaid Quality Monitor, Summer 2003
Medicaid Consumer Guide
Adverse Drug Events
Keeping Your Hospital's Contact Information Up-to-Date
Ohio Medicaid Quality Monitor, Spring 2003
Mapping in Health Research Analysis
Precertification Changes
Transmittal Letters go Electronic
Ohio Medicaid Quality Monitor, Winter 2003
Selection of precertification targets
Preventing technical denials
Improved data-collection process
Ohio Medicaid Quality Monitor, Autumn 2002
Medicaid's economic challenges
Quality concern appeals
Current studies overview
Ohio Medicaid Quality Monitor, Summer 2002
OHP Strategic Plan
Claims review and appeals
Order to admit
Ohio Medicaid Quality Monitor, Spring 2002
Outpatient utilization
Pattern analysis reports
Medical record review process
Ohio Medicaid Quality Monitor, Winter 2002
Pain management
Childhood immunization
Study steps: data collection and analysis

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