Icertis
Prior to Icertis, we used a contracting application called
What is Emptoris
File we use as a source of truth for provider taxonomy (and all other) information
What is the PEF/PDC file
Two internal signers for CCH/CCHN
Two documents needed for every contract regardless of provider specaity/type
What is a W9 & Schedule C
Third party vendor we use for optometry contracting
Who is Envolve Vision
Page the Schedule C (or contracted providers table) is located on
What is page 21
Compensation schedule when a provider has taxonomy 235Z00000X- Speech-Language Pathologist
What is the PT/OT/ST compensation schedule
Process used to upload a contract into Icertis when it does not move to executed status
What is Manual Signature Process
Two places you store contracting documents upon receiving them
What is Jira & RTP Sharepoint
Third party vendor we use for Non-Emergent Medical Transportation contracting
Who is Modivcare
Agreement template used to create contracts
What is Participating Provider Agreement
Compensation schedule selected when a provider has taxonomy 253Z00000X
What is Home Health and LTSS compensation schedule
All fully executed agreements should be uploaded into Jira by what day and time each week
What is Tuesday at noon
Form is required for contracting Home Health, Hospice, PCS, and Nursing services
What is LTSS Addendum
Third party vendor we use for pharmacy contracting
Who is Envolve Pharmacy Solutions
System Icertis uses to send agreements to the provider for external signature and then to our team for internal signature
What is Adobe Signature
Compensation schedule to select when a provider has 251S00000X- Community/Behavioral Health taxonomy code
What is the Behavioral Health Facility- Community Mental Health Center compensation schedule
Process used to upload a contract that was originally created in Emptoris into Icertis
What is the a Legacy Load
What is the Behavioral Health Addendum
Standard effective date of a PPA once it is executed
What is 30 days from first signature
Key components we must check for on the word document draft of a contract before sending for external signature
What is the providers information, the signature page, the schedule C, and that the compensation schedule and percentage in it are correct.
First step you should take when a provider shows 193400000X-single specialty or 193200000X-multi-specialty taxonomy to ensure you are selecting the correct compensation schedule
What is check the practitioners taxonomies affiliated with the group on the PEF to determine the provider specialty/correct comp schedule
Four dates that need to be entered when completing the manual signature process
Additional supporting document if the provider is contracting as an AMH
What is AMH preference form
One reason it is so important to get fully executed agreements each week loaded into Jira promptly
What is the PDM needing to send welcome packets with 5 days of contract execution (PDM SLAs)