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  • Home - HealthSmart MSO
    Welcome to HealthSmart MSO Inc HealthSmart Management Services Organization, Inc is a full service MSO focused on process and results in Managed Care Our Client’s consist of Independent Physician Associations (IPA’s), Medical Groups, Hospitals and Physician Practices We strive to provide our Client’s and their contracted Health Plans, Providers and Patients with cost effective
  • HSMSO Services - HealthSmart MSO
    HSMSO Services Claims Credentialing Finance Health Education Member Services Eligibility Management Information Systems Provider Relations Contracting Provider Member Outreach Utilization Management Quality Management ASP (Application Services Provider)
  • Claims - HealthSmart MSO
    HealthSmart MSO claims department provides efficient and prompt claims processing services for our contracted IPA’s, Managed Hospitals and provides claims adjudication in contract agreements Our experienced staff at HealthSmart MSO is familiar with Medicare (CMS), Medi-Cal, Healthy Families and Commercial regulatory requirements, including claims timeliness guidelines to ensure claims are
  • HealthSmart Management Services Organization, Inc.
    HSMSO Employees and Contractors shall ensure that HSMSO Clients and their Health Plan members are informed of their appeal rights through member handbooks and other communications in accordance with HSMSO’s Client’s contracted Health Plans policies and procedures and applicable law Employees and Contractors shall address, investigate, and assist HSMSO in coordinating resolution of Clients
  • PCP Only - HealthSmart MSO
    Required Training: Fraud, Waste, and Abuse General Compliance Training The Centers for Medicare Medicaid Services (“CMS”) require Health Plans to Provide Fraud, Waste and Abuse (“FWA”) and General Compliance Training to their contracted first-tier, downstream and related entities (“FDRs”); as well as FDRs employees who are involved in administration or delivery of Medicare Part
  • Whole Child Model (WCM) - HealthSmart MSO
    The Training can be located by: Please click on the Optima Whole Child Model Training below, under the Whole Model Provider Training section Training Link Please complete the training and submit the attestation via fax to Provider Services at 714-947-8708
  • Finance - HealthSmart MSO
    Finance Department is responsible for the preparation of the Internal Financial Function for our contracted clients and in accordance with SB-260 Regulations The Finance Department evaluates the profitability of each of the health plan’s contract, its products, risk pools and assists the outside independent accounting firm in complying with federal and state regulatory requirements
  • Contact Us - HealthSmart MSO
    info@healthsmartmso com | (714) 947-8600 | 5785 Corporate Ave, Cypress, CA 90630 About Us HSMSO Services How to Join Members PCP Only Provider Login Whole Child Model (WCM) Urgent Care Sitemap
  • PCP Remote Access - HealthSmart MSO
    Remote Access for Primary Care Physicians HealthSmart MSO offers a web-based portal for contracted primary care physicians Submitting claims encounters and authorization requests online provide a high tech solution to eliminating the paper associated with these traditional processes PCPs are also able check the status of their claims and authorizations and verify eligibility Please contact
  • About Us - HealthSmart MSO
    About Us The Vision HealthSmart MSO, Inc (HSMSO) is a management service organization serving the needs of providers in a managed care setting Our Vision is to motivate, facilitate, and create opportunities for our client’s and team





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