Policies & Rules
Registration is required in order to attend training. Please complete the steps below to ensure successful registration. You will receive a confirmation e-mail.
Fall 2016 Provider Training Workshop – Guymon
Tuesday, October 25, 2016, at 8:30 a.m.
Victory Memorial United Methodist Church - Family Enrichment Center
523 N Roosevelt St
Guymon, OK 73942
The following topics will be discussed:
Effective Provider Portal Solutions:
SoonerCare billing goals: #1—Get your claims submitted correctly; #2—Get paid.
Maximize your SoonerCare Provider Portal knowledge and accomplish your goals!
Topics range from refreshing your existing skills and expertise, including basic use of the provider portal, to mastering the most updated features and tools.
This class is geared toward anyone accessing the SoonerCare Provider Portal.
Understanding and Implementing CMS Ordering and Referring Guidelines:
CMS requirement 42 CFR 455.440 requires that all claims for payment for items and services that were ordered or referred to contain the National Provider Identifier (NPI) of the physician or other professional who ordered or referred such items/services.
Learn what information is required, how to use the SoonerCare Provider Portal to transmit this information, and how to submit claims that meet this requirement.
This class is geared toward all Patient-Centered Medical Homes (PCMHs), providers who order services and providers who receive orders or electronic referrals.
Prior Authorizations on the Provider Portal:
Get a step-by-step look at the prior authorization (PA) process through the SoonerCare Provider Portal. Topics will include: submitting authorizations on the portal (including document attachments); locating and completing required forms; requesting amendments; accessing reasons for authorization cancellations/denials; understanding request status; and FAQs.
This class is geared toward all SoonerCare providers who submit PA requests to OHCA; this class is NOT recommended for providers submitting PAs through eviCore.