SHORTs
CareFirst SHORTs are Simple, Human, Original, Relatable, and Timely short-form, graphic content that allows you to review popular, quick-hit topics quickly and effectively.
Select a SHORT below to get started.
Videos
Benefit Year
All Providers | Key points on how to understand the benefit year.
BlueChoice Advantage
All Medical Providers | An overview of the BlueChoice Advantage product.
Blue Vision
All Vision Providers | A specialty short video for vision providers including information on policy, claims, submission and authorizations.
The Find-a-Doctor Tool
All Providers | How to confirm your network participation with our Find-a-Doctor tool.
Improving Antibiotic Prescrition Practices - HEDIS (AAB)
All Medical Providers | A short tutorial on Improving Antibiotic Prescription Practices (AAB), the diagnosis, and exclusive measures.
Improving CPT Coding and Documentation Practices - (CIS-Combo 10)
All Providers | A short video on Improving CPT Coding and Documentation Practices for the CIS-Combo 10 HEDIS measure.
Risk Adjustment - Chart Retrieval
All Medical Providers | A short video on the chart retrieval process and why it is vital that provider networks partner with health plans to access member medical records through EMR access.
Think M.E.A.T.!
All Medical Providers | A short video on tips for thorough and complete medical documentation improvement.
What is CAHPS?
All Medical Providers | An overview of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey with a focus on provider influenced CAHPS measures.
What is Concurrent Clinical Review (CCR)?
All Providers | Key points in the CCR process.
Microlearning Modules
Adding Level of Care to Inpatient Authorization/Notification Requests
Medical Providers | A short tutorial on how to add level of care to inpatient authorization/notification requests in the authorization portal.
Attaching Clinical Documentation to Claims in CareFirst Direct
All Providers | Step-by-step instructions on uploading clinical supporting documentation to claims returned requesting additional information.
Authorization Lookup for Servicing Providers - Advanced Imaging (EviCore's CareCore National Portal)
All Medical Providers and Office Staff | A short tutorial for Servicing Providers on requesting prior authorizations for Advanced Imaging Cardiology and Radiology through EviCore’s Prior Authorization system (CareCore National Portal).
Submitting Observation Notifications in the Authorization System
Medical Providers | A short tutorial on how to submit observation notifications within the authorization portal.
CareFirst Direct Portal Administrator Access
All Providers | How to request Office Administrator Access to access NOPs and fee schedules within the CareFirst Direct portal.
How to Identify Commercial Fully Insured Members in CareFirst Direct
All Medical Providers and Office Staff | A short tutorial on identifying Commercial Fully Insured members in CareFirst Direct.
How to Locate a Member’s Formulary in CareFirst Direct
All Medical Providers and Office Staff | An overview of locating a member's formulary in CareFirst Direct.
Improving Antibiotic Prescription Practices (AAB)
All Medical Providers | A short tutorial on Improving Antibiotic Prescription Practices (AAB), the diagnosis, and exclusive measures.
Improving CPT Coding and Documentation Practices - (CIS-Combo 10)
All Providers | A short tutorial on Improving CPT Coding and Documentation Practices for the CIS-Combo 10 HEDIS measure.
PT/OT/ST Utilization Management
PT/OT/ST Providers | An overview of medical policy and utilization management tips.
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