If you do not see the images in this email, click here to view.

Optum
Patient Assessment Form (PAF) and Healthcare Quality Patient Assessment Form (HQPAF)
Resubmit Rejected 2016 Healthcare Quality Patient Assessment Form (HQPAF)/Patient Assessment Form (PAF)

Thank you for participating in the 2016 & 2017 HQPAF/PAF programs. The 2017 HQPAF/PAF program year is well underway. While the 2016 HQPAF/PAF program deadline has passed, there is still time to resolve rejected 2016 HQPAFs/PAFs. Over 30% of rejected HQPAFs/PAFs nationally remain in a rejected status. Rejected HQPAFs/PAFs can be resubmitted with the error corrected by May 31st, 2017. Most rejections can be easily and quickly resolved to permit processing. The top reasons for HQPAF/PAF rejections are:

  • No Provider Signature – No provider signature is on the progress note. Valid, signed progress note must be resubmitted.
  • Cover sheet only – Only HQPAF/PAF was submitted with no “change in patient status” boxes checked. Provider must send valid progress note or check a patient status exception.
  • Invalid DOS – DOS presented does not align with the project year. A valid DOS must be submitted for HQPAF/PAF to be processed. Provider needs to submit a DOS that is the same year as the PAF project. Example: PAF _2016 needs to be accompanied by a 2016 DOS for eligibility.
  • Signature Log Needed – The credentials are not present and/or identifiable on the progress note. Provider must submit a signature log. All providers using handwritten Progress notes must ensure that there is a signature log on file at Optum.
Your Healthcare Advocate can provide you with a report to identify which of your HQPAFs/PAFs are in a rejected status. You can refer to the Healthcare Quality Patient Assessment Form (HQPAF)/Patient Assessment Form (PAF) error code explanations document for additional reject reasons and solutions to resolve.
Did you know …

 Your Optum Healthcare Advocate or the Provider Support Center can provide access to a number of tools to assist you in tracking your participation in the program. Please contact your Healthcare Advocate or Optum’s Provider Support Center at 877‑751‑9207 or via email at providersupport@optum.com with any questions.

To minimize errors, or to correct previously rejected forms, please refer to the HQPAF Checklist and FAQ for Providers.

Remember …

PAF/HQPAF must be
submitted via:

• Traceable carrier (any commercial carrier with traceable delivery) to the following address:
Optum – Prospective Programs Processing
15458 North 28th Avenue
Phoenix, AZ 85053
• HQPAF/PAF Uploader: please visit optumupload.com
• Secure Fax:
1‑877‑889‑5747
Resubmit rejected HQPAFs/PAFs easily and quickly by using the HQPAF/PAF Uploader. The HQPAF/PAF Uploader was developed to provide an interface that allows multiple users to securely submit HQPAFs/PAFs without issue of failed delivery or suspended access. The HQPAF/PAF Uploader:

  • does not require any user credentials
  • complies with all HIPAA guidelines to protect your practice and your patient’s personal data
  • allows anyone in your office to access the site and upload documentation
  • securely transmits directly to Optum
The HQPAF/PAF Uploader requires less time and effort than preparing and submitting documentation via mail or fax. To get started, please visit: optumupload.com. Refer to the Healthcare Quality Patient Assessment Form (HQPAF)/Patient Assessment Form (PAF) Uploader document for additional instructions for submitting HQPAFs/PAFs via the HQPAF/PAF Uploader.
If you have any questions about the PAF or HQPAF programs, please contact your local Optum Healthcare Advocate or the Optum Provider Support Center between 6:30 a.m. – 4:30 p.m. PST, Monday – Friday, at 1‑877‑751‑9207 or email us here.

Thank you again for your participation in the Optum Patient Assessment Form (PAF) and the Healthcare Quality Patient Assessment Form (HQPAF) programs.

We no longer offer SFTP as an option to submit your Healthcare Quality Patient Assessment Forms/ Patient Assessment Forms (HQPAF/PAF). We encourage you to use our new HQPAF/PAF Uploader; an easier and faster submission method. The HQPAF/PAF Uploader requires less time and effort than preparing and submitting documentation via mail or fax.

The HQPAF/PAF Uploader was developed to provide an interface that allows multiple users to securely submit HQPAFs/PAFs without issue of failed delivery or suspended access. The HQPAF/PAF Uploader:
  • Does not require any user credentials
  • Complies with all HIPAA guidelines to protect your practice and your patient’s personal data
  • Allows anyone in your office to access the site and upload documentation
  • Securely transmits directly to Optum
To get started, please visit: optumupload.com.

For additional information as well as publications and products available for HEDIS®, please visit the National Committee for Quality Assurance (NCQA) website at ncqa.org.

For additional information about the Medicare Advantage Five‑Star Quality Rating System, please refer to: http://go.cms.gov/partcanddstarratings.
This message was sent by Optum™ | 11000 Optum Circle, Eden Prairie, MN 55344 USA | 1‑866‑306‑1317 | information@optum.com | www.optum.com | © 2017 Optum. All rights reserved.

This promotion was sent to <>. No Thanks. Your request to decline future email will be honored by Optum.
Opt out: click here.