provider non-homecare portal training - amazon s3 · 2018-01-24 · proprietary and confidential...

Provider Non-Homecare Portal Training

January 4, 2018

1PROPRIETARY AND CONFIDENTIAL INFORMATION OF HOMECARE SOFTWARE SOLUTIONS, LLC (HHAEXCHANGE)

Overall Objectives for NHP Defining the NHP

How to Access/Navigate the Portal Log in and Access Supporting Materials Portal (Home) Pending Placements Authorization Message Center Member Search


HHAX PA CHC Provider Information Centerhttps://hhaexchange.com/pachc


HHAeXchange: At a GlanceA Web-based system to help Providers effectively interact with MCOs

MemberManagement

CommunicationWith MCOs

Visit Entry• EVV• Manual• EDI

Billing


Requesting HHAeXchange User Access New User: Email to [email protected] Send: Agency Tax ID, Agency Legal Name, User’s First Name, Last Name, and

unique Email Address Requestor Receives: Email Confirmation, HHAX Username(s) New User Receives: Email with Temporary Password Email

Changing Temporary Passwords Deactivate User: Email to [email protected] Send: User’s Username, First Name, Last Name, Email Address, and Date to

deactivate Username

mailto:[email protected]

mailto:[email protected]


What is the Non-Homecare Portal?

MCOs issue Case Authorizations to Non-Homecare Providers Provider accepts the Case and logs Services for payment

Member requests installation of (home)

ramps to the MCO

The MCO processes the installation request and

issues a Case Authorization to the

Provider

Provider accepts the Case Authorization and logs

associated Service records for payment

Designed to accommodate Providers who offer services outside the homecare sphere


Access and Login Open browser to access HHAeXchange: https://hhaexchange.com Login with provided credentials First time users are required to accept terms and conditions as system

prompts.

https://hhaexchange.com/


Home (The Portal)


Pending CasesThe Pending Cases section contains any Case Authorizations issued by an MCO to the Provider for consideration and possible acceptance. Each one has an associated expiration time. To view a pending case, click the eye icon to the right of the pending case summary.


Pending CasesThe Pending Case window contains case details such as Placement Sent Dateand Cut-Off Time, Member Information, Service Location Code, and the Service Authorization summary.


Case Placement – Accepting or Declining a CaseAccepting a Service Case

Declining a Service Case

Accepted Cases move into the Recent Authorizations section (covered in the next section).

The system prompts a User to select a decline reason from the options provided.

MCO receives notification and the Case Authorization is then moved back to the MCO for placement with another Provider.


Recent AuthorizationsAccepted Cases move from Pending Cases to Recent Authorizations.The top 5 Recent Authorizations are displayed on the Homepage.


Authorizations Page

Search for Authorizations on the Portal using the available search filters.View a specific Authorization by clicking the eye icon.

All Case Authorizations are displayed on this page.


Authorizations Page – Viewing a Case

To add a Service to a case, click the Add Service button.

The details page provides Member Information and Authorization parameters.


Authorizations Page – Adding a Service

Specify the invoice details: Date of Service, number of Units, the DollarAmount, and a brief Description.

Use the Authorization parameters as guidance when invoicing.


Authorizations Page – Adding a Service

The added service appears in green indicating that the invoice is within Authorization.

1 of the 3 Units are used. Click the Add Service button to add other invoices.

The Authorization details recalculate as services (invoices) are added.


Authorizations Page – Additional Invoices

Top two invoices are within Authorization (green)Third invoice (pink) exceeds the authorized Units (3) and Auth Limit ($1,500). Users may choose to edit or delete pending Invoices to make adjustments.

Authorized vs. Not Authorized


Message Center

Unread Remain on the Home screen pending attention. Once

read, it moves to the Read box. Notes are read-only; User cannot reply or forward.

Sent Record of Sent messages using the NHP Users can send a Note from the Sent box

Read Record of messages received and read.

Communication hub between Provider and MCO


Message Center – Reading a Received Note

From the Unread box, click on the message to access.

The Note Detail window opens indicating the Sender, the Member (if applicable), the Subject, and Note (content).

Click the Close button or X on the top-right corner to close the window.

Notes are read-only.

Received Note


Message Center – Sending a Note

Click the New Note button. Complete applicable fields and click the Send button.

New Note


Member Search

Use the search filters and click the Search button to generate results. Search by Member’s Last Name, First Name, Member ID, or MCO

Locate a Member in the System


Billing - Summary

Use the search filters to view Billing Summary Information.

View Billing Summary


Billing - Details

View Billing Details by Service Date for a Member

View Billing Details


System Demo of Non Homecare Portal

provider non-homecare portal training - amazon s3 · 2018-01-24 · proprietary and confidential...

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