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This Provider Manual "Mini" Course is a condensed version of the Provider Manual Orientation training. This Course is for individuals who have previously taken the Provider Manual Orientation training.
Although this "Mini" Course is condensed and provides highlighted information, individuals are still responsible for all aspects of the current Provider Manual.
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The training covers the following:
- KHS Information
- Provider Responsibility Snapshot
- Quality Assurance(QA) and Performance Improvement(PI)
- Utilization Management Program
- Member Grievances
- Member Rights and Responsibilities
- Provider Responsibilities
- Suspected/Substantiated Fraud and Abuse
- Member Treatment Registration
- Claims Overview
- Plan Benefits/Services
- Regulatory Compliance
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