- LA Care Health Plan (Los Angeles, CA)
- …independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest ... program (MCLA), call documentation and categorization, service authorization request and coverage determination , Appeals and Grievances across all lines of… more
- Alameda Health System (Oakland, CA)
- …the American College of Radiology (ACR), The Joint Commission (TJC), Centers for Medicare & Medicaid Services (CMS), and the California Department of Public Health - ... Imaging Services Quality Assurance and Performance Improvement (QAPI) program, ensuring coverage of all modalities and sites. Collect, monitor, and analyze quality… more
- Banner Health (CA)
- …with regard to correct interpretation of coding guidelines and LCDs (Local Coverage Determinations) prior to referral to coding analyst , coding educator ... and regulations according to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG) and the Health… more