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December 2011 Edition Articles


Attention: Changes to the Provider Automated System postponed until mid-December P, F, A
Brand Lipitor® available to members through May 2012 P
Case management - Help for your patients when they need it P
Change to mass adjustments for outpatient fee schedule changes for IBC member claims F, A
ClaimCheck® upgrade and edit clarification P
Expanded infant sleep guidelines from the AAP P
IBC follows CMS lead with HIPAA 5010 90-day enforcement grace period P, F, A
IBC network medical directors launch physician-to-physician email platform P
ICD-10 readiness for IBC-participating facilities P, F, A
Information about Keystone 65 Select HMO available online P, F, A
Managing bladder control problems P
New ACIP guidelines for pertussis vaccine P
Policy notifications posted as of November 23, 2011 P, F, A
Precertification process change for certain infusion therapy drugs P
Prescription drug updates P, F, A
Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2012 P, F, A
Reminder: Authorization submission requirements through NaviNet P, F, A
Reminder: Change to anesthesia claims payment methodology calculation P
Reminder: Provider self-service requirements now in effect P, F, A
Resolution solution: The SilverSneakers® Fitness Program P
Select Drug Program® Formulary updates P, F, A
Upcoming benefits change for progesterone in oil P




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