AmeriHealth New Jersey is offering an incentive to providers who have
face-to-face encounters with and submit medical documentation for Medicare
Advantage HMO members who, based on our information, may not have had an office
visit with their primary care physician in the past year or who may have a
chronic condition.
Eligible providers will receive a letter from AmeriHealth New Jersey describing
this incentive opportunity along with a list of their AmeriHealth New Jersey
members who meet the criteria. By submitting a SOAP (Subjective, Objective,
Assessment, and Plan) Progress Note for these members, per the instructions
found in the letter you received or will be receiving, providers can earn
incentives for the initial submission, as well as any subsequent face-to-face
encounters and SOAP Progress Note submissions. We have partnered with Inovalon,
Inc., a company that provides secure, clinical documentation services, to
process member assessments.
The results from your face-to-face encounters can be entered electronically
through the NaviNet[
]?[] web portal. By going to the Eligibility and
Benefits Inquiry transaction and selecting the member?s Clinical Alert,
providers can access the ePASS[
]?[] system to enter in the
appropriate information from the encounter.
If you have any questions regarding SOAP Progress Notes or ePASS, please
contact Inovalon at [
]1-877-448-8125[]. For
questions about this initiative, please contact Customer Service at [
]1-800-275-2583[].
Note: Incentive payments will be sent within 90 days of your submission of the
SOAP Progress Note.
[
NaviNet® is a registered trademark of
NaviNet, Inc.
]