Highmark Blue Cross Blue Shield of Western New York offers an extensive library of training and continuing education opportunities. We will add presentations, videos and other training documentation as they are available.
Documents
There are many on-demand videos and reference documents to help you understand the Interactive Care Reviewer (ICR), our online medical and behavioral health self-service authorization tool. To access these tutorials:
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.
Improving the Patient Experience
Documents
CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ).
HEDIS is a registered trademark of the National Committee for Quality Assurance (NCQA).
The provider manual provides key administrative information, including the quality improvement program, the Utilization Management program, quality standards for participation, claims appeals, and reimbursement and administration policies.
You can access many of the tools you need from your Availity Portal account — eligibility and benefits inquiry, claims submission, claims status inquiry, and authorizations. You can find instructions for locating and using these tools on the Learn about Availity page.
A clinician’s tool for identifying risky substance use 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 below to obtain a downloadable flier and brochure. For any further discussions regarding SBIRT, please contact your Provider Experience or Provider Relations representative.