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


APPROVED HICE DOCUMENTS

 Click to open category Appeals and Grievances Improvement Team  
 Click to close category Claims  
     Click to close category Click to Download All Documents in Subfolder Approved Claims Documents
Health plan-specific letter templates that used to be located in this area of the library can now be found in the Health Plan Specific Letter Templates library document section here.
       File   Upload   Review
  Title     Size   Date   Date
  ICE_Claims_Comm_MoQtr_Final_041409Instruction rev 03_10 (2)   76 KB   6/3/2011   2/28/2022
  HICE_Claims_Medi-Cal_MoQtr_Final__040121___rev_12_21   81 KB   12/22/2021   
  ICE_ER_Diagnosis_List_ICD10__ICE_approved_12.15.17_v2 110218   84 KB   11/5/2018   2/23/2022
  Assembly Bill 72 09252020   99 KB   9/25/2020   
  Multi_PrincipalOfficerForm   131 KB   6/11/2020   
  ICE_CMS_MA_MTR_revised_09_2020   157 KB   9/15/2020   
  ICE_Claims_Commercial_Denial_Reasons_Guide_Revised_052016   168 KB   5/10/2016   5/13/2022
  ICE_Claims_Medicare_Advantage_Denial_Reason_Guide_Revised_052016   200 KB   5/10/2016   5/13/2022
     Click to open category CMS Provider Dispute Resolution (PDR) Process Documents
     Click to open category Commercial Provider Dispute Resolution (PDR) Process Documents
     Click to open category Training Documents
 Click to open category Compliance Team (formerly Contracting & Compliance Team)  
 Click to open category Compliance Team Delegated Entity (DE) Compliance Workgroup  
 Click to open category Compliance Team IT Systems Integrity Workgroup  
 Click to open category Credentialing Shared Audit Policy Team - Main / California  
 Click to open category Credentialing Shared Audit Policy Team - Main / Mid-Atlantic  
 Click to open category Credentialing Shared Audit Policy Team - Main / Northwest  
 Click to open category Credentialing Shared Audit Policy Team - Main / Texas  
 Click to open category Cultural & Linguistic Services Team  
 Click to open category Cultural and Linguistics Provider Toolkit  
 Click to open category Encounters Standardization Team  
 Click to open category QI / UM Team - Main  
 Click to open category UM Required Reports Team (formerly QI and UM Required Reports Team)  
 Click to open category UM Templates & Tools (1) - Health Plan-Specific Template Location  
 Click to open category UM Templates & Tools (Commercial)  
 Click to open category UM Templates & Tools (Medi-Cal)  
 Click to open category 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.

   


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