Medicaid Simplified

HEDIS is critical to Medicaid care. What is it and how does it affect healthcare providers and insurance plans? In this episode of Medicaid Simplified, we're breaking it down and reminding providers of the importance of HEDIS. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas. This podcast is designed to help health care providers deliver optimal care for Texas Medicaid members. Don't forget to rate, review and subscribe to Medicaid Simplified from wherever you listen....

Do you have a patient with autism? In Texas alone, there are at least 250,000 individuals with autism. In this episode of Medicaid Simplified, we will be discussing Autism Spectrum Disorder and Applied Behavior Analysis, which is now a new covered service for Medicaid members. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas. This podcast is designed to help health care providers deliver optimal care for Texas Medicaid members. Don't forget to rate, review and subscribe...

Are you a Medicaid health care professional looking for additional support? Our Medicaid Network team is here to answer your questions. In this episode of Medicaid Simplified, we’re going behind the scenes to help providers like yourself understand the structure of your support team at Blue Cross and Blue Shield of Texas (BCBSTX). Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas. This podcast is designed to help health care providers deliver optimal care for Texas...

Health care providers – like all professionals – are always looking for ways to save time and get more of their day back. In this episode of Medicaid Simplified, we’ll introduce to a new Medicaid enrollment system, the Provider Enrollment and Management System (PEMS). It can reduce their administrative burden – and give them MORE time for their patients. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas (BCBSTX). This podcast is designed to help health care providers...

Are you looking at ways to improve your patient's experience? Do you strive to ensure patients leave your office feeling confident about their health? In this episode of Medicaid Simplified, you’ll learn how to improve a patient’s experience while also achieving high scores from the Consumer Assessment of Healthcare Providers Systems (CAHPS) survey. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas (BCBSTX). This podcast is designed to help health care providers deliver...

What’s the difference between a claim reconsideration and a claim appeal? There are a lot of similarities, but it’s important to know the difference. In this episode of Medicaid Simplified, we’ll help you better understand these two processes. You’ll also learn about some resources that can assist with claims and ensure resolution for providers. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas (BCBSTX). This podcast is designed to help health care providers deliver...

Do you have a growing base of female patients? Perhaps you're a primary care physician or an OBGYN who wants to see Texas women thrive. And you can, thanks to the Healthy Texas Women program. Tune in to this episode of Medicaid Simplified to hear how the program improves health care access for women. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas (BCBSTX). This podcast is designed to help health care providers deliver optimal care for Texas Medicaid members. Don't...

How do you know if you're truly meeting the needs of your patients? Texas Medicaid pediatricians can refer to the Texas Health Steps program. It was designed to help you stay on task with the steps required for unhealthy childhood. Tune into this episode of Medicaid Simplified to get the scoop. Medicaid Simplified is hosted by Blue Cross and Blue Shield of Texas (BCBSTX). This podcast is designed to help health care providers deliver optimal care for Texas Medicaid members. Don't forget to...