PROVIDER MEETINGS & TRAININGS
Optum is pleased to work with our Alaska Medicaid providers to provide training opportunities throughout the year. Please be sure to take note of registration requirements and details.
New Trainings
The Technical Assistance Teleconferences are held on the 2nd Wednesday of the month. The next Technical Assistance Teleconference is “Service Authorization: Form Submission and Live Demonstration of Online Portal.
These trainings are held on the 2nd Wednesday of each month. We encourage you or your staff to register and attend at the link below:
Topic: Service Authorization
Date: March 8, 2023
Time: 9:00 a.m. AKDT
Click here to register
OptumHealth Education is an Accredited Medical Education platform for the Interprofessional Health Care Team.
We offer Free CEU’s to those meeting the criteria of each activity.
There are over 10 overarching activity Categories with multiple subject topics, under each category. Most learning is on-demand, so you can gain knowledge at your leisure, get on a mailing notification for new or updated activities as they are added monthly. Click here for information on how to create an account to access OHE’s content.
Care Philosophy Training Program
The Care Philosophy program offers a foundation for establishing a trauma-informed environment, rooted in evidence-based best practices and integrates the medical, behavioral, and social components of care for individuals with the most complex needs. Designed with the inter-professional healthcare team in mind, this series was developed to promote collaborative practice in health care delivery by providing a broad range of topics for a variety of learners.
This no-cost program is made available through a partnership with OptumHealth Education and provides for up to 6 CEUs/CMEs to those interested in earning credit.
Click here for registration instructions.
Previous Trainings
Date | Description | Presentation Name |
|---|---|---|
| 2023 | ||
| 02/08/2023 | Technical Assistance Teleconference | Claims: Updates, Projects, and Submitting Corrected or Voided Claims |
| 01/11/2023 | Technical Assistance Teleconference | Case Management Services |
| 2022 | ||
| 12/14/2022 | Service Authorization Review: Technical Assistance Teleconference | Service Authorization Review: Technical Assistance Teleconference |
| 11/09/2022 | ASAM Level 2.5 Substance Use Disorder Partial Hospitalization Program | ASAM Level 2.5 Substance Use Disorder Partial Hospitalization Program |
| 10/12/2022 | 1115 Waiver Services Intensive Outpatient SUD and BH IOP | 1115 Waiver Services Intensive Outpatient SUD and BH IOP |
| 09/28/2022 | Online Service Authorization Form Submission Demonstration | Online Service Authorization Form Submission Demonstration |
| 09/14/2022 | Claims Updates – Top Claims Denials, Causes, and Resolutions | Claims Updates – Top Claims Denials, Causes, and Resolutions |
| 08/24/2022 | Service Authorizations 101 including Q&A follow up and What, Where, Why, When Guidance | Service Authorizations 101 |
| 07/27/2022 | Claims Updates – Top Claims Denials, Causes, and Resolutions | Claims Updates – Top Claims Denials, Causes, and Resolutions |
| 06/22/2022 | Service Authorization Submission 101 | Service Authorization Submission 101 |
| 05/25/2022 | Appeals and Complaints Training | Appeals and Complaint |
| 04/27/2022 | Claims Updates | Claims Updates |
| 04/13/2022 | Service Authorization Submission 101 | Service Authorization |
| 03/23/2022 | Telehealth – Trends 2 years Post Public Health Emergency | Telehealth |
| 03/09/2022 | Claims Status Summary How to Adjust, Correct and Void Claims; Top 5 Trending Denials. | Reprocessed Claims |
| 02/23/2022 | Clinical Criteria: A clinical approach to understanding medical necessity Dr. Vanessa Venezia, Optum Chief Medical Officer Heather Brady, Optum Director of Clinical Operations | Clinical Criteria |
| 02/09/2022 | What’s New Alaska Online Provider Remittance Advice Alaska Optum Provider Portal Trending Top 5 Denials for Alaska | Claims Updates |
| 01/12/2022 | Understanding Peer Support Rahne Smith Optum Peer Support Specialist | Understanding Peer Support |
| 2021 | ||
| 12/08/2021 | Service Authorization Submission 101 – Repeat Session Vanessa Venezia Heuer, MD Optum Chief Medical Officer | Service Authorization Submission 101 - Repeat session |
| 11/24/2021 | Service Authorization Submission 101 Vanessa Venezia Heuer, MD Optum Chief Medical Officer | Service Authorization Submission 101 |
| 11/10/2021 | Cultural Competence: from awareness to empowerment Teisha Simmons Optum Tribal Liaison | Cultural Competence: from awareness to empowerment |
| 10/27/2021 | Payment Cycles Alaska Optum Provider Portal Claim Status Summary How to adjust, correct, and void claims Reading a Provider Remittance Advice | Reprocessed Claims and Submitting Corrected Claims |
| 10/13/2021 | Purpose of Optum Case Management Why Care Coordination Matters The Optum Team and Roles Community and Provider Engagement Continuum of Care Coordination Resources | Optum Case Management Services Overview |
9/16/2021 | Billing with other insurance information Billing Medicare non covered services Third Party Liability Avoidance | Billing Claims with Third Party Liability and TPL Avoidance for Claims |
8/31/2021 | Provider Portal: First Time Registration for One Healthcare ID Provider Express Electronic Payment and Statements with Optum Pay Claims Submission and Claims Problem Resolution Provider Training and Service Authorization Support Provider Relations Staff and Pathways for Support | Onboarding Alaska Independent Providers |
8/25/2021 | Top Claim Denials Claims Updates Billing Procedures – Services Covered under 7 AAC 135: Optum Pay Updates and Provider Express Services Reminders | Claims and Optum Pay Updates |
8/5/2021 | Historical trauma impacts and healing | Multigenerational Trauma: insights from a personal story of healing |
7/14/2021 | Claim Updates | NCCI Edits – Modifier Guidance |
6/23/2021 | Onboarding for Mental Health Physician Clinics – Repeat Session | Introduction to Optum: Onboarding Alaska Medicaid Behavioral Health Providers |
6/9/2021 | Claims Updates | Claims Updates |
5/26/2021 | Onboarding for Mental Health Physician Clinics | Introduction to Optum: How to Register with Optum and Onboarding for Mental Health Physician Clinics |
4/28/2021 | Communication Plan to Providers about Optum Services and Outreach | Optum Alaska Communication and Outreach |
4/14/2021 | Claims Updates | Claims Updates |
3/24/2021 | Training for providers who submit claims through AKAIMS | Alaska Training/check list for AKAIMS/iEDI Billers
|
3/10/2021 | Claims Updates | Claims Updates |
3/5/2021 | Training for providers who submit claims through AKAIMS
This training include four separately recorded sessions (links below), plus this AKAIMS Provider Set Up Check List.
| Alaska Training/check list for AKAIMS/iEDI Billers
|
| 2/24/2021 | Third Party Liability Avoidance for Claims | Third Party Liability for Claims |
| 2/10/2021 | Concurrent and Contraindicated Services – Repeat Session | Concurrent and Contraindicated Services |
| 1/13/2021 | Optum Pay Upgrades | Optum Pay Upgrades |
| 12/16/2020 | Claims Updates | Claims Processing: Billing with Service Authorizations and Autism Services Authorization Process |
| 12/9/2020 | Division of Behavioral Health presentation on Peer Support Professional Certification | Peer Support Professional Certification |
| 11/25/2020 | Claims Updates | Claims Payment Training |
| 11/4/2020 | Service Authorization Training Series | Service Authorization Requests for 1115 Substance Use Disorders |
| 10/28/2020 | Service Authorization Training Series Introduction to Online Submission of Service Authorization Request – Repeat Session | Introduction to Online Submission of Service Authorization Request
|
| 10/14/2020 | Tobacco Cessation Provider Education | Tobacco Cessation Provider Education |
| 10/14/2020 | Reading a Remittance Advice | Reading a Remittance Advice |
| 9/23/2020 | Service Authorization Training Series | Introduction to Online Submission of Service Authorization Requests |
| 9/9/2020 | Optum Case Management Services | Case Management Services |
| 8/26/2020 | Service Authorization Training Series | The Right Service to the Right Person at the Right Time: Introduction to Levels of Care |
| 8/12/2020 | Claims Updates | Claims Problem Resolution |
| 7/22/2020 | Cultural Competency | Cultural Competency |
| 6/24/2020 | Onboarding for Community Behavioral Health Services Providers | Introduction to Optum – Onboarding Alaska Medicaid Behavioral Health Providers |
| 6/10/2020 | Stress Management Strategies | Stress Management Strategies |
| 5/27/2020 | Managing in a Work at Home Environment | Managing in a Work at Home Environment |
5/13/2020 | Navigating through Change | Navigating through Change |
| 4/22/2020 | Claims Updates | Procedural Updates |
4/22/2020 | Practical Telehealth Strategies for Behavioral Health Providers | Practical Telehealth Strategies |
2/28/2020 | Service Authorization Training Series | Service Authorization Training for 1115 Waiver SUD Services |
2/12/2020 | Claims Updates | Claims Problem Resolution |
| 1/30/2020 | Claims Updates | Claim Modifiers for 1115 Waiver SUD Services |
| 12/20/2019 | Onboarding for 1115 Waiver Substance Use Disorder Services Providers | Introduction to Optum Alaska Behavioral Health Administrative Services Organization |
Intensive Case Management and Community Recovery Support Services
- Intensive Case Management
- Recording (19 min.)
Partial Hospitalization Program (PHP) Services and Intensive Outpatient (IOP) Services
- Recording (31 min)
Previous Meetings
2021 Optum Collaborative Day One March 31, 2021
- Opening Remarks
- Slides
- Recording (Coming soon)
- 2021 Collaborative Welcome
- Social Determinants of Health (SDOH)
- Keynote – Mental Health and Substance Use Disorders: Impact of COVID-19
- Qungasvik: A Model for Promoting Reasons for Life and Well-Being in Yup'ik and Cup'ik Communities
2021 Optum Collaborative Day Two April 1, 2021
- Cultural Competence: From Awareness to Empowerment
- Assertive Community Treatment (ACT) Team Evidence-Based Practice Recovery in the Community
- Turning a New Leaf: From Struggles to 1115 Waiver Success
- Ethical Considerations in a Pandemic
Slides:
- Introduction to Optum
- History of Behavioral Health in Alaska
- 1115 SUD and Behavioral Health Waivered Services
- Alaska Mental Health Trust and SeaView Community Services
- Managing Through Disruption
- ASAM, LOCG and other four-letter words: How evidence-based tools positively impact care delivery
- Introduction to Optum Alaska Care Coordination and Advocacy (CCA)
- Quality Assurance/Performance Improvement (QAPI) Committee Structure
- OptumHealth Education: Accredited Medical Education for the Interprofessional Health Care Team
Recordings:
- Welcome and Introduction to Optum
- 1115 Waiver Services
- Managing Through Disruption
- ASAM, LOCG and other four-letter words: How evidence-based tools positively impact care delivery
- Introduction to Optum Alaska Care Coordination and Advocacy
- Quality Assurance/Performance Improvement (QAPI) Committee Structure
- Optum Health Education: Accredited Medical Education for the Interprofessional Health Care Team