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Waste and Abuse Training |  |\n| - Palliative Care Guidelines for Coordination and Referral |  |\n\nChapter 1  \nIntroduction  \nOctober 2025  \nDear Valued Provider:  \nWelcome to Omnicare Medical Group!  \nAs a valued member of our progressive network of healthcare providers serving Compton, Lynwood, and surrounding communities, we thank you for your commitment to delivering quality care to our members.  \nThis Provider Manual contains important information about working with Omnicare, including guidance on submitting referral authorizations and claims. We encourage you to review all sections carefully—especially the Provider Responsibilities section—to ensure your practice remains in full compliance with Omnicare policies, as well as applicable state and federal regulations.  \nPlease note: This Manual is a living document and will be updated periodically to reflect changes in Omnicare practices, legislation, and Health Plan requirements. We recommend that you review updates regularly to stay informed.  \nWe appreciate your partnership and look forward to a long, collaborative relationship as we work together to provide exceptional healthcare services to our members.  \nIf you have any questions, please contact your assigned Provider Network Administrator or reach out to Omnicare directly at (310) 900-4280.  \nSincerely,  \nCorey Moffatt  \nCorey Moffatt  \nDirector, Provider Network Administration Altura Management Services  \nOMNICARE: A COMPANY OVERVIEW  \nThe Company  \nOmnicare Medical Group once was started and operated by a group of dedicated physicians committed to providing quality healthcare to the citizens in the Lynwood, Compton and surrounding communities. Currently, with a network of 125 Primary Care Physicians and over 300 Specialty Providers, Omnicare serves approximately 38,000 lives. Our membership is expected to grow by expanding our relationship with other healthcare partners. Our core hospitals are St. Francis Medical Center and Long Beach Memorial Medical Center.  \nThe transition of ownership to AltaMed Health Services in 2016 provided additional resources for continued growth and quality services for our membership. The officers for Omnicare Medical Group are as follows: Cristian Rico, MD, President; Rashi Hemnani, VP IPA Network Operations; and Srinivasu Sunkara, MD, IPA Medical Director.  \nOmnicare is fiscally sound, offers competitive reimbursement, commitment to attracting and retaining our membership and providing the most up to date information regarding the healthcare industry and how it may impact your practice. Omnicare has remained active in educating and","cbCairC8tIkqRcsd","https://ap.wps.com/l/cbCairC8tIkqRcsd","pdf",2122405,43,"English","# Chapter 1 Introduction\n## A Message From Provider Network Services\n## Omnicare: A Company Overview\n# Chapter 2 – Provider Network Services\n## Provider Network Services\n## Management Company-Altura MSO\n# Chapter 3 – Medical Management\n## Case Management\n## Utilization Management\n## Referrals/Authorization\n# Chapter 4 – Provider Responsibilities\n## Provider Responsibilities\n# Chapter 5-Claims\n## Billing Guidelines\n## Provider Disputes\n## Balance Billing Guidelines\n# Chapter 6 – Member Rights\n## Member Rights\n# Chapter 7 Urgent Care Locations\n## Urgent Care listing\n# Chapter 8 – Cultural Linguistics\n## Interpreting Services – Health Plan numbers\n# Chapter 9 – Trainings/Education\n## Balance Billing\n## Fraud, Waste and Abuse Material\n## Palliative Care Guidelines for Coordination and Referral\n# Chapter 10 – Contact Information\n## Omnicare Support Contacts\n# Appendix\n## Altura Authorization Request Form\n## Provider Network Oversight Policy: Access and Availability Standards\n## Provider Data Validation Form\n## Balance Billing Training\n## Fraud, Waste and Abuse Training\n## Palliative Care Guidelines for Coordination and Referral","[{\"question\":\"What is the purpose of the Omnicare Provider Manual (October 2025)?\",\"answer\":\"It provides important information for working with Omnicare, including guidance on referral authorizations and claims, plus instructions to help practices maintain compliance with Omnicare policies and applicable state and federal regulations.\"},{\"question\":\"How do provider network administrators (PNAs) support participating providers?\",\"answer\":\"Each provider is assigned a dedicated PNA who helps navigate Omnicare systems, address provider needs, and maximize the value of the partnership, including support activities such as site visits and staff training on Omnicare policies and procedures.\"},{\"question\":\"What topics are covered under claims and billing?\",\"answer\":\"The manual includes billing guidelines, provider disputes, and balance billing guidelines, along with related training materials listed in the appendix.\"}]","Omnicare Medical Group Provider Manual - October 2025 | PDF",1789633535]