/TT3 1063 0 R Our experienced staff consistently receives high scores on all HMO audits. To learn more about Optum, please visitoptum.com/about-us/optum-care. Personalized care that's close to home. 0000010548 00000 n PCAC takes pride in contracting with over 400 Primary Care Physicians and over 2,600 Specialty Care physicians in 35 areas of specialty which includes Board Certified Physicians and Geriatricians. /Annots 1033 0 R << Thank you. PrimeCare Chino Optum Care Network-Citrus Valley Optum Care Network-Corona Optum Care Network-Hemet Valley << In each market, we have an IPA administrative office. << We work with our contracted Credentialing Verification Organizations (CVO) to ensure compliance with NCQA and other regulatory bodies. 0000034869 00000 n If we need additional clinical information or the case needs to be reviewed by the Medical Director it may take up to 14 calendar days to be notified of the determination. Providence provides access to medical records from our hospitals and other medical facilities to patients and their authorized representatives. Optum Care NetworkCitrus Valley >> PCAC does not provide incentives to encourage denial of patient care. Generate financial statements and budgets, and perform analysis for the following: Model new compensation and incentive models based upon IPA criteria, Manage each IPA bank account and reconcile bank statements, Audit and reconcile all health plan revenue collections, including risk pools, Manage relational database of benchmarks and historical experience to ensure the quality and integrity of the data, Develop ad-hoc reports on a prior approval basis, Audit capitation reports and reconcile eligibility files, Create and maintain capitation system tables, Administer current capitation methodology and recommend available options, Ability to assume institutional risk with flexibility in contracting and increased negotiation for improved contract rates, Allows payers to focus on their core strengths by shifting services to a highly regulated entity with a record of success, Assumption of additional delegated responsibilities and increased control over the cost and quality of these services, Provides protection from requirement of additional financial reserves.
Granulation Tissue Came Off Tooth Extraction, Articles P