Reference Library
From details on how to use our provider portal, to guides to MVP policies, MVP’s reference library offers quick access to a variety of helpful resources.
Billing Procedures
MVP’s Payor ID is 14165
Have a Transaction Account?
Log in here if you have an existing account to submit 837 files or retrieve 835/999/277CA files. MVP is not currently accepting new applications for internet claim submissions.
EDI Forms
EDI Guides
- 5010 Secondary Payer and COB Rules (PDF)
- EDI Error Codes (PDF)
- Professional Implementation Guide—837 (PDF)
- Testing & Implementation Guide—8371 (PDF)
- Transaction Standard Companion Guide—270/271 & 276/277 (PDF)
- Transaction Standard Companion Guide—835 (PDF)
EDI Routine Maintenance Schedule
Questions? Contact our EDI Service Department
Call 1-877-461-4911 or email EDIServices@mvphealthcare.com
Coding, Medical Record Documentation and Education
Medical Coding and Training Resources
- American Academy of Professional Coders (AAPC)
- American Health Information Management Association (AHIMA)
- Clinical Documentation ICD-10 (PDF)
- Clinical Documentation Physician Tips (PDF)
- HCC Training for Providers (PDF)
- HEDIS 2017 Coding Reference Guide for OBGYN (PDF)
- HEDIS 2017 Coding Reference Guide for Primary Care (PDF)
- HEDIS 2017 Coding Reference Guide for Behavioral Health (PDF)
- Medicare Learning Network
If you feel your office would benefit from additional ICD-10-CM coding training, please contact our Medicare Risk Adjustment Team Trainers.
West/Central Regions
MaryEllen Reardon at (585) 279-8583 or mreardon@mvphealthcare.com
East Regions
Shannon Chase at (518) 386-7502 or schase@mvphealthcare.com
Additional Resources
- Medical Coding and Training Resources
- Taxonomy Reference Site
- Vermont Health Care Price and Quality CPT Codes (PDF)
- Medical Records Requirements (PDF)
Provider Education
- Diagnosis Coding Principles (PDF)
- Commandments of Coding (PDF)
- Improving Clinical Documentation (PDF)
Disease Specific Chapters
- Certain Infectious and Parasitic Diseases (PDF)
- Neoplasms (PDF)
- Diseases of the Blood and Blood-forming Organs and Certain Disorders Involving the Immune Mechanism (PDF)
- Endocrine, Nutritional and Metabolic Diseases (PDF)
- Mental, Behavior and Neurodevelopment Disorders (PDF)
- Diseases of the Nervous System (PDF)
- Diseases of the Eye and Adnexa (PDF)
- Diseases of the Ear and Mastoid Process (PDF)
- Diseases of the Circulatory System (PDF)
- Diseases of the Respiratory System (PDF)
- Diseases of the Digestive System (PDF)
- Diseases of the Skin and Subcutaneous Tissue (PDF)
- Diseases of the Musculoskeletal System and Connective Tissue (PDF)
- Diseases of the Genitourinary System (PDF)
- Pregnancy, Childbirth and the Puerperium (PDF)
- Certain Conditions Originating in the Perinatal Period (PDF)
- Congenital Malformations, Deformations and Chromosomal Abnormalities (PDF)
- Symptoms, Signs and Abnormal Clinical and Laboratory Findings (PDF)
- Injury, Poisoning and Certain Other Consequences of External Causes (PDF)
- External Causes of Morbidity (PDF)
- Factors Influencing Health Status and Contact with Health Services (PDF)
HEDIS 2018 Reference Guides
HEDIS 2018 Tip Sheets
- Adolescent Well-Care (AWC) Weight Assessment and Counseling for Children and Adolescents (WCC) Adolescent Preventive Care (ADL) (PDF)
- HEDIS 2018 Coding Reference Guide for Breast Cancer Screening (BCS) (PDF)
- Cervical Cancer Screening (CCS) (PDF)
- Childhood Immunization Status (CIS) Lead Screening in Children (LSC) (PDF)
- Chlamydia Screening In Women (CHL) (PDF)
- Controlling High Blood Pressure (CBP) (PDF)
- Colorectal Cancer Screening (COL) (PDF)
- Comprehensive Diabetes Care (CDC): Overview (PDF)
- Comprehensive Diabetes Care (CDC): Blood Pressure Control (PDF)
- Comprehensive Diabetes Care (CDC): Nephropathy (PDF)
- Comprehensive Diabetes Care (CDC): Retinal Exam (PDF)
- Comprehensive Diabetes Care (CDC): HbA1c (PDF)
- Follow-Up Care for Children Prescribed ADHD Medication for Attention Deficit Disorder (ADD) (PDF)
- Primary Care Medication Management for People with Asthma (MMA) and Asthma Medication Ratio (AMR) (PDF)
- Scheduling Guidelines (PDF)
- Well-Child Visits in the First 15 Months of Life (W15) (PDF)
- Primary Care Medication Management for People with Asthma (MMA) and Asthma Medication Ratio (AMR) (PDF)
ICD-10 Updates and FAQs
The U.S. Department of Health and Human Services established a new set of standards for the electronic exchange of HIPAA transactions between providers and payers. Included in this new set of standards is support for ICD-10 (International Classification of Diseases, 10th Revision) codes, which provide a better definition of diagnoses and procedures. MVP will provide current news on ICD-10 information to help you move to ICD-10, and information on MVP’s implementation of ICD-10. Please check often for updates.
ICD-10 Resources
- 2016 ICD-10-CM Changes (PDF)
- ICD-10 Issues: Questions and Answers (PDF)
- ICD-10 Specialties Training Presentations
Health Home
Guides to MVP Benefits & Plans
Understanding MVP’s National Alliance with Cigna HealthCare
- CIGNA Reference Guide (PDF)
Learn about MVP Policies
- Code of Ethics and Business Conduct Summary (PDF)
- Corporate Code of Ethics and Business Conduct (PDF)
- Detecting and Preventing Fraud, Waste and Abuse (PDF)
- Independent Dispute Resolution Process for Emergency and Surprise Bills—Health Care Providers (PDF)
- Medical & Pharmacy Policy Updates Archive
- NPI Information
Guides for Using Our Site