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Definitions of Claim Denial and Remark codes

Aetna Better Health of Kansas provides initial orientation for newly contracted providers after they join our network. Orientation also is available prior to joining our network and before you see members.

Following your initial provider orientation, we provide a variety of educational forums for ongoing provider training and education. Estos incluyen:

  • Routine visits to your office
  • Group or individualized training sessions on select topics. Algunos ejemplos son:

- Claims coding
- Appointment availability standards
- Member benefits
- Aetna Better Health of Kansas website navigation

Upcoming trainings

All provider trainings require you to RSVP. Each session has a maximum of 100 so, please RSVP here as soon as possible.

 

2019 Trainings:

Monthly Webinar Training

7.13.19 June Presentation

All MCO Spring Aetna Presentation

January 2019 Trainings

 

As always, if you have any questions, just give us a call at 1-855-221-5656.

 

Q:  How often is data refreshed in the Aetna Better Health of Kansas Web Portal?
A:  The Aetna Better Health of Kansas Web Portal connects with back-end systems in real-time so data is always current and up-to-date. 

Q:  If I have an issue/problem or suggestion related to the Aetna Better Health of Kansas Web Portal, who should I contact?
A:  You can use the portal secure internal messaging to communicate your issue/problem or suggestion directly to the health plan. You may also call the health plan Provider Experience Service’s staff at 1-855-221-5656.

Q:  When selecting the Submit Prior Authorization link in my Tasks navigation menu, I am connected to a new authorizations submission form and work queue. Should I look in this queue or in Search Authorizations for prior authorization status?
A:  Both systems will reflect the current status of a prior authorization but the new authorization system will contain all of the details of the authorization; the Search Authorizations function only provides the high level detail. 

Q:  I am a provider and I see that my address is incorrect in the Provider Details section of the portal. Can I correct that information myself?
A:  Please contact our Provider Experience Services staff at 1-855-221-5656 for address changes.

Cultural competency is a process that promotes the ability to effectively and respectfully bridge differences between one's own culture and the culture of others. It includes the development of practices, skills, and behaviors to ensure that all members receive high-quality, effective services that are respectful and responsive to the needs of diverse populations served.

Members are to receive covered services without concern about race, ethnicity, national origin, religion, gender, age, mental, or physical disability, sexual orientation, genetic information or medical history, ability to pay or ability to speak English. Aetna Better Health expects providers to treat all members with dignity and respect as required by federal law including honoring member's beliefs, be sensitive to cultural diversity, and foster respect for member's cultural backgrounds.  Title VI of the Civil Rights Act of 1964 prohibits discrimination on the basis of race, color, and national origin in programs, and activities receiving federal financial assistance, such as Medicaid.

Aetna Better Health has developed effective provider education programs that encourage respect for diversity, foster skills that facilitate communication within different cultural groups and explain the relationship between cultural competency and health outcomes. These programs provide information on our members' diverse backgrounds, including the various cultural, racial, and linguistic challenges that members encounter, and we develop and implement methods for responding to those challenges.

Los proveedores reciben educación sobre temas importantes como:

  • The reluctance of certain cultures to discuss mental health issues, and of the need to proactively encourage members from such backgrounds to seek needed treatment.
  • The impact that a member’s religious and cultural beliefs can have on health outcomes (e.g., belief in non-traditional healing practices).
  • The problem of health illiteracy and the need to provide patients with understandable health information (e.g., simple diagrams, communicating in the vernacular, etc.).
  • History of the disability rights movement and the progression of civil rights for people with disabilities.
  • Physical and programmatic barriers that impact people with disabilities accessing meaningful care.

Cultural Competency Policy

KS Provider Cultural Competency Training