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Washington Providers

Training academy

Amerigroup Washington, Inc. offers an extensive library of training and continuing education opportunities. We will add presentations, videos and other training documentation as they are available.

Training and tutorials

Additional resources

This training is offered for new or established institutional provider groups interested in an overview of how to bill and code form CMS-1450 and CMS-837 institutional claims. Institutional providers include hospitals, residential treatment centers, skilled nursing facilities, hospice organizations, critical access hospitals, etc.

Highlights of the training include:

  • An overview of components to ensure accurate billing, such as type of bill, admission type, admission source and discharge status coding, and other key elements that can cause claim denials.
  • Health Care Authority billing guides and revenue codes.
  • Provider educational resources.

HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).

CAHPS is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).

You are invited! Amerigroup Washington, Inc. presents: No Wrong Door House Bill 2642

Amerigroup Washington, Inc. is hosting open office hours to discuss the House Bill 2642 — No Wrong Door, which went into effect January 1, 2021.

January 28, 2021 at 11 a.m.

February 25, 2021 at 11 a.m.

Amerigroup Washington, Inc. offers a variety of provider HEDIS® webinars throughout the year to help you and your staff stay up to date.

All of our HEDIS webinars will be via WebEx. In order to register, please follow the below link.

Schedules and registration

Provider Pathways Digital Provider Orientation

Provider Pathways is a 24/7 educational resource that offers a foundation for doing business with Amerigroup.

Provider manual

The provider manual provides key administrative information, including the Quality Improvement program, the Utilization Management (UM) program, quality standards for participation, claims appeals, and reimbursement and administration policies.

View or download manual

Learn about Availity

Many of the tools you need — eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations — can be accessed from your Availity* account. You can find instructions for locating and using these tools on the Learn about Availity page.

Screening, Brief Intervention, and Referral to Treatment (SBIRT)

SBIRT Toolkit

A clinicians' tool for identifying risky behaviors and providing appropriate intervention.

Screening, brief intervention, and referral to treatment, commonly referred to as SBIRT, is an evidence-based, comprehensive, integrated approach to the delivery of early intervention and treatment services to people with substance misuse and those at risk of developing disorders.

The goal of SBIRT is to reduce and prevent related health consequences, disease, accidents, and injuries. Risky substance use is a health issue that often goes undetected; providers can help by incorporating this evidence-based tool that is demonstrated to be valid and reliable in identifying individuals with problem use or at risk for a substance use disorder (SUD).

If you wish to print SBIRT educational materials, please review the links to obtain a downloadable flier and brochure. For any further discussions regarding SBIRT, please contact your Provider Experience or Provider Relations consultant.

Cultural competency resources

My Diverse Patients

The My Diverse Patient website offers learning experiences, techniques, and helps you to provide the individualized care every patient deserves regardless of their diverse backgrounds:

All contracted health care providers with Amerigroup should complete the online cultural competency training.

Online training

Amerigroup offers online training to assist you in caring for our members with consideration of their personal language needs, thoughts, customs, beliefs and values.

Accessing training within Availity’s Custom Learning Center

  1. Log in to Availity Portal.
  2. From the Availity home page, select Payer spaces from the top navigation.
  3. Select the Amerigroup Real Solutions health plan from the Payer spaces menu.
  4. Select Access Your Custom Learning Center from the Applications tab.
  5. Complete your Profile if prompted.
  6. Choose from the available courses listed, search the catalogue or navigate to specific courses using the Filters menu on the left side of the screen.

Provider tools & resources

Interested in becoming a provider in our network?

We look forward to working with you to provide quality service for our members.