Neighborhood News

Neighborhood's provider newsletter, Neighborhood News, has moved to an online blog. All articles and important information can be found below. If you're looking for an article from a previous edition of the newsletter, visit the archive page.

Top Stories

A Message from our Chief Medical Officer

Behavioral Health

Treatment

Quality Improvement

Important Updates and Information

Stop Fraud and Abuse

As part of the Neighborhood Fraud and Abuse Initiative, we use software to identify potential aberrant billing practices. Please refer to your remittance advice to review, if applicable, any identified billing errors. We encourage you to take the appropriate actions to correct any errors. For claims that do not meet CMS-mandated coding standards, Neighborhood will deny, adjust or retract payments. For questions about your claims, call Neighborhood Member Services at 1-800-459-6019. Neighborhood encourages you to report suspected cases of fraud and abuse. You can also report situations you think may not be right. Call the Neighborhood Compliance Hotline at 1-800-826- 6762 to tell us about fraud, abuse or your concern.