Clinical Quality and Outcomes : Learn about Medicare, Medicaid, commercial and Star quality measures and best practices for improving your ratings.
Commercial risk adjustment: Learn about commercial risk adjustment and the importance of proper coding.
Commercial risk adjustment model: Learn about commercial risk adjustment’s origins, how it works and how risk scores are calculated.
Go365™: Medicare physicians and other Medicare health care professionals can learn about the features and benefits of this wellness incentive program that is available for many Humana members.
HumanaAccessSM Visa Card: Learn the proper procedures for accepting the card.
Humana Member Summary: See an overview of the Humana Member Summary for clinicians who will be linking their electronic medical records (EMRs) to Humana via Certify connectivity. With connectivity, physicians receive their patients’ Humana Member Summaries through their practices’ EMRs.
A Humana Member Summary frequently asked questions document provides additional information.
Making It Easier for Health Care Providers: Explore a series of presentations about Humana’s claim payment policies.
Special Needs Plans (SNPs):Learn about the SNPs we offer in Alabama, California, Colorado, Florida, Georgia, Illinois, Indiana, Kentucky, Louisiana, Maine, Missouri, Mississippi, Montana, Nebraska, Nevada, New York, North Carolina, Ohio, Pennsylvania, Puerto Rico, South Carolina, Tennessee, Texas, Virginia and Washington and the critical role you play in the care of our SNP members View the 2017 SNP provider training. (Spanish version is available here.)
Texas-based providers can learn how to check their deficient claims online by viewing this presentation.
Humana overview: Learn about Humana and what you need to know to do business with us.
Instructions on how to listen to these Education-on-Demand presentations over the telephone.
ConsultTM Online (2.06 Mb): This PDF tutorial shows you how to request, schedule and follow up on imaging services online for your Humana-insured patients.