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October 2016 Edition Articles

Behavioral health: Promoting provider communication and collaboration P
Benefit tier re-evaluation for Keystone HMO Proactive P, F, A
Claim submission changes for oral surgery P
Claims recovery period to align with CMS P, F, A
Coverage position changes for select medical services P, F, A
Discontinuation of the Physician Quality Measure and Blue Physician Recognition programs P
Important news about the annual Synagis® (palivizumab) distribution program P
Independence members rate their physician experience P
Independence offers services to help patients communicate P, F, A
Medicare Advantage plans: What’s new for 2017 P, F, A
NaviNet® Referral Submission transaction updates P
New iEXCHANGE® user guides available on the Independence Administrators website P, F, A
New Pennsylvania Prescription Drug Monitoring Program system now available P, F, A
Reminder: Document Exchange now available on NaviNet® P, F, A
Required lead time when updating your provider information P, F, A
Stelara®: Now eligible for coverage under the medical and pharmacy benefits P
Upcoming changes to drug precertification requirements for 2017 P, F, A
Upcoming changes to medical benefit specialty drug cost-sharing for 2017 P, F, A
Upcoming changes to precertification requirements for Cologuard and NIPT/NIPS P, F
Upcoming precertification changes for outpatient, non-emergent radiation therapy services P, F
Updated payer ID grids now available P, F
Updated policy for anesthesia services P
Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs P, F, A
View up-to-date policy activity on our Medical Policy Portal P, F, A

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