Health Industry Collaboration Effort

Library   

View our Library Tutorial videos for information on how to browse and search the Library.

Looking for a final HICE document/template? They can be found in the Final HICE Documents folder - click here for a list of available documents for each HICE team: FINAL HICE DOCUMENTS.

FINAL HICE DOCUMENTS
Claims Standardization Team
Compliance Team
Compliance Team Delegated Entity (DE) Compliance Workgroup
Compliance Team IT Systems Integrity Workgroup
Credentialing Shared Audit Policy Team - Main / California
Credentialing Shared Audit Policy Team - Main / Mid-Atlantic
Credentialing Shared Audit Policy Team - Main / Mid-Atlantic / Northwest / Texas
Credentialing Shared Audit Policy Team - Main / Northwest
Credentialing Shared Audit Policy Team - Main / Texas
Cultural & Linguistic (C&L) Services Team
Cultural and Linguistics Provider Toolkit
Encounters Standardization Team
Best Practices
		File	Upload	Review
	Title	Size	Date	Date
	HICE Encounters Standardization Team_MOOP Reconciliation Best Practices_Final_8-12-22	2490 KB	8/12/2022
	HICE Tertiary Billing Presentation _08112023_	1089 KB	12/15/2023
	HICE Vaccine Billing Best Practices Presentation_93022_Final	1017 KB	2/5/2023
	HICE_Ambulance_Billing_Best_Practices_Presentation_061423	975 KB	6/15/2023
	HICE_Medi-Medi_Billing_Best_Practice_Presentation_6.4.24	901 KB	12/4/2024
	HICE_Encounters_Standardization_Team_VAR_BILLING_Presentation_05.16.24	889 KB	5/22/2024
	HICE_Encounters_Standardization_Team_Surprise_Medical_Billing_06.14.24	434 KB	7/31/2024
	HICE_How to Submit Homeless Data in 837 File for Inst and Prof_Final_Approved	256 KB	3/17/2022	3/19/2025
	Reviewed 3/19/25
	HICE Encounters Standardization Team_MOOP Best Practices_Version 3_Final_8-12-22	107 KB	8/12/2022
	HICE Encounters Standardization Team_Reconciliation_Report_Best Practice_Final_8-12-22	15 KB	8/12/2022
Denial Claim Adjustment Reasons
Resources
QI / UM Team - Main
Service Determination Standardization Team (SDS) - UM Templates & Tools
UM Required Reports Team (formerly QI and UM Required Reports Team)
UM Templates & Tools (1) - Health Plan-Specific Template Location
UM Templates & Tools (Commercial)
UM Templates & Tools (Medi-Cal)
UM Templates & Tools (Medicare Advantage)

HICE documents can be altered for use by organizations/other regions as needed; however, the HICE logo/any HICE references should be removed if the document is not being used in its original format. Documents available within the Library are intended to be used as printed documents. To the extent such documents are used digitally, it shall be the user's responsibility to ensure their use of the documents adheres to the accessibility standards applicable to their organization.

HICE is a voluntary 501(c)3 organization that includes participation by and advice from accrediting and regulatory agencies. The goal of HICE work products is to offer HICE participating organizations standardized tools and best practices toward optimizing efficiencies to implement health industry requirements. HICE heeds feedback from accrediting and regulatory agency partners regarding HICE work products; however, HICE does not obtain official regulatory approval for its work products. As such, HICE work products are not to be considered exempt from any approval process required by regulatory agencies.