Proper Documentation and Coding
Angina Documentation and Coding
Documentation for Major Depression (MDD)
Risk Adjustment Claims Coding
Institutional Claim Edits
Professional Claim Edits
Durable Medical Equipment Claim Edits
4-13-18 MediGold Oncology Prior Authorization Process (18 minutes)
Presented to network oncologists: Beginning 5-28-18 oncology prior authorization will be done in-house. This is an overview of what the changes are, what the new process will be, required documentation and the prior authorization decision-making process.
12-6-17 MediGold/MCG Experience Webinar (34 minutes)
Presented to network hospitals: Overview of the MediGold Promise to our providers and our commitment to working and collaborating with you to develop a pathway of shared success. Discusses results of recent Hospital Listening Tours, our new methodology of working with you one on one with our Provider Relations Network Managers (quarterbacks) and introduces Alternate Payment Models customized to each provider. Includes an overview of how our Concurrent Review Process with our Utilization Management team, how MCG will be incorporated into our clinical judgement decisions and presents nurse assignments to each hospital.