Physician Resources

Welcome to the one-stop resource page for our physicians and office staff! Please visit this page to stay connected with up-to-date patient management tools, newsletters, trainings, and announcements from Noble AMA IPA. For questions or additional information please contact our provider relations department at (760) 941-7309 x102.

Provider Relations & Patient Management

MDX Information

MDX logo

  • MDX Login Instructions: This document contains instructions for how to log into MDX, the data management portal for risk adjustment and quality measures. Please access this portal when completing the patients Annual Visit form.
  • AV Training Form: This detailed guide highlights the areas and proper completion of the patient Annual Visit form. Every field must be completed for processing.

    Provider Relations
     
  • Notice To Consumer Sign: Effective June 27, 2010, regulation by the Business and Professions Code section 138, requires physicians in California to inform their patients that they are licensed by the Medical Board of California and to include the Board contact information. This link offers sample signage to comply with this mandate.
  • Preventive Health Guideline 2017: Coverage determination guideline from United Healthcare provides assistance in interpreting certain standard benefit plans.
  • CDC Immunization Schedules – Adult: Center for Disease Control and Prevention adult immunization recommendations and details for healthcare professionals.
  • CDC Immunization Schedule – Children (0-18 Years) Center for Disease Control and Prevention child immunization recommendations and details for healthcare professionals.
  • PPACA: Important health care reform notice regarding preventive checkups, screenings, and vaccines with no out-of-pocket costs.
  • 2017 P4P Best Practices Guidelines: One-page reference guide outlining the current year's best practices for P4P measures related to commercial insurance plans.
  • 2017 CMS 5 Star Best Practices Guidelines: One-page reference guide outlining the current year's best practices for 5-star measures related to Medicare Advantage plans.
  • Required Prescription Drug Pre-Authorization Form: Printable PDF tool for authorization requests for prescription drugs.
  • Advanced Health Care Directive PCP Tool: This tool is intended to document your discussion with a patient regarding his or her advance directive.
  • Affirmative Statement: Quality utilization statement reflecting the basis for all utilization decisions as required by the National Committee for Quality Assurance (NCQA.)
  • PDR Form: Please complete this form for all provider dispute resolution requests.
  • HEIDIS Coding Guidelines with ICD-10: Two-page reference tip sheet outlining HEIDIS measures with associated CPT II codes and descriptions.
  • Risk Adjustment Common Codes: Crosswalk tool containing associated HCC, RAF, ICD-10 and 9, and description for common risk adjustment codes. 
  • Risk Adjustment Common Codes for Diabetes: Crosswalk tool containing associated Diabetic HCC, RAF, ICD-9 and 10 codes, and descriptions with associated manifestations. 

Provider Compliance Training
 

Health Plan Standards of Conduct

SNP MOC Training by Health Plan

Additional ICD-10 Training

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