Health Industry Collaboration Effort

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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
QI / UM Team - Main
Service Determination Standardization Team (SDS) - UM Templates & Tools
CSDN Training Presentation
To access the recorded training you will need to be logged in to your HICE account and visit your My HICE page and select the Trainings tab / 2023 HICE Team / Workgroup Training Modules.
UM Templates & Tools (Commercial)
UM Templates & Tools (Medi-Cal)
UM Templates & Tools (Medicare Advantage)
		File	Upload	Review
	Title	Size	Date	Date
	Detailed_Explanation_of_Non-Coverage_DENC_Instructions_March_2012	27 KB	3/13/2012	5/1/2024
	Detailed_Explanation_of_Non-Coverage_DENC_March_2012	47 KB	3/13/2012	5/1/2024
	Detailed_Explanation_of_Non-Coverage_DENC_Spanish_March_2012	18 KB	3/13/2012	5/1/2024
	Notice_of_Medicare_Non-Coverage_NOMNC_Instructions_March_2012	53 KB	3/13/2012	5/1/2024
	Notice_of_Medicare_Non-Coverage_NOMNC_March_2012	53 KB	3/13/2012	5/1/2024
	Notice_of_Medicare_Non-Coverage_NOMNC_Spanish_March_2012	23 KB	3/13/2012	5/1/2024
	Detailed_Notice _of_Discharge_and Instructions_07.2010	55 KB	2/24/2015	5/1/2024
	HICE_UM_TAT_CMS_Standards_with_EAE _rev9.24	210 KB	11/8/2024
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.