2 calls from this number in the last week

robo call - just spam telemarketing

robo call - just spam telemarketer or worst, waste of time

Scam

Another Medicaid Fraud Scheme Kickback to Doctors for referrals.

Welcome to AmeriChoice of Pennsylvania

On behalf of AmeriChoice of Pennsylvania, I would like to welcome you as a participating provider in our Medicaid and Children?s Health Insurance Program (CHIP) products. We are committed to working with you and your staff to achieve the best possible outcomes for our members. This welcome kit contains valuable information about important contacts, policies, procedures and services to help you to conduct business with us as efficiently as possible. For easy navigation through the kit components, you can click on each link in the Table of Contents, which will bring you directly to that section. You can also download the Physician, Health Care Professional, Facility and Ancillary Administrative Guide by logging on to www.americhoice.com . This is a comprehensive reference source for the information you and your staff need regarding claims, benefits, prior authorization, medical management and other plan components. Again, we are pleased that you are one of our participating providers delivering quality care to our members. If you have any questions about your participation with AmeriChoice, or need a printed copy of this welcome kit, please call the Provider Service Helpline at 1-800-345-3627.

Sincerely,

Ernest Monfiletto Pennsylvania-East, Chief Executive Officer AmeriChoice of Pennsylvania AmeriChoice Provider Welcome Kit

This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590.

AmeriChoice Provider Welcome Kit This chart identifies bonus payments available to you, in addition to your regular payments, for compliance with HEDIS measures as defined by the National Committee for Quality Assurance (NCQA). For more information, call Jessica Anglin at 215-832-4590. Provider Incentives  Measure Requirements AmeriChoice Will Available Referrals Adolescent Well-Care ? Provider Incentive:$100/4th qtr 2008 only;$50/visit all other months ? Member Incentive: 2 movie tickets Ages 12?21 years ? Well-care visit ? Physical exam ? History of health & development ? Education & guidance ? Call members ? Offer auto messaging for providers ? Mail reminders ? Provide member list with addresses and phone numbers ? Provide EPSDT grid Healthy First Steps® (HFS) 877-651-6667 Lead Screening ? Provider Incentive: $15/submitted test ? Member Incentive:$15 VISA gift card ? Documented levels ? 9-19 months and <3rd birthday ? Call members ? Provide Case Management for elevated levels ? Offer auto messaging for providers ? Provide member list with addresses and phone numbers ? Provide MEDTOX in-office testing MEDTOX 877-725-7241 Healthy First Steps (HFS) 877-651-6667 Childhood Immunizations All immunizations ? Call members ? Mail reminders ? Review registry for Philadelphia County ? Offer uto messaging for providers ? Provide EPSDT grid Healthy First Steps (HFS) 877-651-6667 BMI Ages 2-20 years Documentation in chart ? Offer auto messaging for providers ? Offer BMI wheel Healthy First Steps (HFS) 877-651-6667 Dental Screenings Ages 2-20 years ? Mail reminders ? Call members ? Offer auto messaging for providers Healthy First Steps (HFS) 877-651-6667 Case Management 877-651-6667 Asthma Ages 5-56 years ? Identify as having persistent asthma ? At least one Rx ? Preferred asthma therapy education? Create member medication profiles ? Call members ? Provide Case Management referrals ? Offer LifeLink Case Management 877-651-6667

AmeriChoice Provider Welcome Kit Pa

Measure Requirements AmeriChoice Will Available Referrals Breast Cancer ? Member Incentive: $50 VISA gift card Mammogram Females, Ages 40-69 years ? Call members ? Mail reminders ? Offer auto messaging for providers ? Assist in locating providers and scheduling appointments ? Assist with  ransportation QM Coordinator 215-832-4524 Case Management 877-651-6667 Cervical Cancer Screening (PAP) ? Member Incentive: $25 VISA gift card Females, Ages 21-64 years ? Call members ? Mail reminders ? Offer auto messaging for providers ? Assist in locating providers and scheduling appointments ? Assist with transportation QM Coordinator 215-832-4524 (to help schedule) Case Management 877-651-6667 Diabetes Care Provider Incentive: ? Phase 1: Completed E and M visit ($100.00) and completed Cholesterol and HbA1C Screening ? Phase 2: Diabetes managed ? ($150.00); Cholesterol below 100 mg; HbA1c below 9 Ages 18-75 ? HbA1C testing and documentation <9 ? LDL screening and documentation <100 mg/dL) ? Retinal eye exam performed ? Blood pressure control ? (<140/90 mm Hg) ? Nephropathy screening test Urine macroalbumin ? Visit to nephrologist ? Treatment for nephropathy ? Therapy with ACE inhibitor/ARBs ? Call members ? Mail reminders ? Provide Case Management ? Offer auto messaging for providers Case Management 877-651-6667 Frequency of Ongoing Prenatal Care ? Provider  ncentive: $250 for completed prenatal intake form ? Submission of completed prenatal intake form by provider ? FAX to AmeriChoice HFS at 215-832-4986 ? Provide Case Management Healthy First Steps (HFS) 877-651-6667 ER Diversion ? Decrease overutilization of ER services for non-urgent diagnosis ? Call members ? Provide Case Management Case Management 877-651-6667

We all remember the TV show "Roots" could this have been the real inspiration for AmeriChoice Health. The 101 Dumbest Moments In Business 2003 EDITION Whiffed pitch No. 6: blatant stereotyping.   By Mark Athitakis April 1, 2003  (Business 2.0)? GRAND PRIZE WINNER, DUMBEST MOMENT OF 2002
In September, insurance company AmeriChoice brings trucks to blighted neighborhoods in New York City and gives away coupons for free chickens as an incentive for the underprivileged to switch their Medicare coverage. New York state senator Carl Kruger files a complaint with the state attorney general. The 101 Dumbest Moments In Business 2003 EDITION - April 1, 2003   Apr 1, 2003 ... Just don't tell him about the "Chinese health balls." ..... In September, insurance company AmeriChoice brings trucks to blighted ... New York state senator Carl Kruger files a complaint with the state attorney general..... Falling on his sword, Welch announces he'll give up most of the perks,...

2009 and 2010 $120,000 from your tax dollars at work
Philadelphia PA Mayor Nutter received two years in a row $60,000 checks to help keep open and operate the city swimming pools. These checks came from AmeriChoice Health and on the surface seems like fine gifts. Yet, they are Bribes non the less, these checks come from a company who receives all its money from the Federal State Governments as a vendor for Medicare Medicaid services is not allowed to offer bribes kickbacks and money gifts of any kind in order to promote its share of the market place. This is also not allowed as a use of your taxpayers dollars yet it happens.What does it really cost the City of Philadelphia to receive this money? Americhoice Health has a long history of corruption over the years yet seems to be protected by those who are responsible to over see their actions why is that? Sorry must apologize just received a notice that AmeriChoice Health was under the impression they thought they were suppose to have started their very own stimulus and economic program package and the one they implemented, they had no idea it violated all the Stark ,Health and Kickbacks laws. Some one will have to notify the following departments it was all a mistake or error in judgement, the Department of Justice, CMS, Dept of health and Human resourses,the FBI,and IRS, and any other agency effected by this tragedy or unfortunate misunderstanding. No harm, no fowl, forgive and forget, OK, then how about some coupons for a free whole fried chicken.....

Among its provisions, the anti-kickback statute penalizes anyone who knowingly and willfully solicits, receives, offers or pays remuneration in cash or in kind to induce, or in return for: A. Referring an individual to a person for the furnishing, or arranging for the furnishing, of any item or service payable under the Medicare or Medicaid program; or B. Purchasing, leasing or ordering , or arranging for or recommending purchasing, leasing or ordering, any goods, facility, service or item payable under the Medicare or Medicaid program. Violators are subject to criminal penalties, or exclusion from participation in the Medicare and Medicaid rograms, or both. A violation of the anti-kickback law is a felony offense that carries criminal fines of up to $25,000 per violation, imprisonment for up to five years and exclusion from government health care programs.The federal anti-kickback statute, 42 U.S.C.§ 1320a-7b(b), prohibits individuals or entities from knowingly and willfully offering, paying, soliciting or receiving remuneration to induce referrals of items or services covered by Medicare, Medicaid or any other federally funded program.

If this were any one person not a corporation they would be in jail now, if the FBI were called in on this matter they would be in jail now, if the IRS were notified they would be in jail now. Since all Ameri-Choice checks come from the United Health's home office they should be held equally responsible for any bribes, kickbacks, Stark, Fraud and inducements violations that have occured. Federal and State Governments have developed such a depended position with this company that laws and rules no longer apply for them.This role is nothing new for the AmeriChoice people and its been going on for years, look at some of the prior news articles that date back for years only now they can afford to hire the best of Law firms and give the most for Political contributations all on the back of the taxpayer. Sure the Laws have become tighter but you can still dance away their problems.

Three years ago they were reported to these Federal agency's and as of todays date not only were they allowed to continue doing business but were never charged once. Protected vendor status sure, politics sure,limited government budgets sure, Federal and State officals looking the other way sure, and rather then stop these activities a strong desire not to rock the boat existed. Even with the vast changes in the laws and budgets,a hands off policy remains, you tell me what's wrong with this picture? The Government created this monster and now they don't know what to do about it, like shooting yourself in your own foot etc. Tons of money to advance their national growth, its market positions, tons of money for political donations, tons of money to send 75 millon back to its home office from New York state alone, tons of money to suppot National TV shows, tons of money to pay hugh State fines, tons of money to hire the very best law firms, tons of money to pay for bribes and kickbacks, tons of money for hugh salarys and bonuses, all done on the back of the American taxpayor, you see this company receives all its money from the Federal government. Should your tax dollars be held to a higher standard? Should the government agencys responsible for there review be held to that same standard?Should the IRS audit their corruption? Why has this company not been charged? How long can the buck be passed here in more ways then one? Hey, it's your tax dollars don't complain now then don't complain later.

Not Obama, it is a call from AmeriChoice.  They are calling to see if all of your needs were met in a recent hospital stay or if you need additional help to find the care you need.  It is a patient advocate from your insurance company.  If you aren't an AmeriChoice member, are you on NJFamilyCare or are your children?  That is why they call me anyway.

Voice mail left from this number on my cell phone: "Please call Americhoice regarding your health care"

That is not my heath care provider. ??? probably has something to do with Obama's health care plan as I am on Obama's list and have in the past received calls with news. Not a big deal to me...I have unlimited calling with T-Mobile but FYI for others....

robo call - just spam telemarketer or worst - waste of time

reported to no call

Ignored the call, left a voice mail and only recorded the very last of the message.  Automated voice saying:  ". . . from 8am to 8pm."