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December 2013 Edition Articles


Change in reimbursement display for multiple outpatient surgical procedures F
Changes to sleep study precertification requirements for Medicare Advantage HMO and PPO members P, F, A
Contraceptive coverage update for religious organizations P
Coverage for certain surgical procedures P, F
Coverage for injectable drugs that reduce the risk of preterm birth P
Enforcement of industry standards related to platform transition P, F, A
Help your older adult patients understand the connections among depression, sleep, and exercise P
IBC services help patients communicate P, F, A
Keystone HMO Proactive coverage starting in 2014 P, F, A
Medically Unlikely Edits now applied to professional and facility claims P, F
New FutureScripts Preferred Pharmacy Network P, F, A
New NaviNet® functionality for ePayment, Cap/QIPS Rosters, and other transactions P, F, A
New payment option for migrated members with spending accounts P, F, A
Our Quality Management Program promotes quality of care and service P, F, A
Policy notifications posted as of November 25, 2013 P, F, A
Prescription drug updates P, F, A
Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2014 P, F, A
Provider Automated System not available for migrated members P, F, A
Putting ICD-10 into Practice: Coding exercises and scenarios P, F, A
Reminder: Updates to precertification requirements effective January 1, 2014 P, F, A
Revised time line for new CMS-1500 (02/12) claim form P
Select Drug Program Formulary updates P, F, A
Standards for medical record documentation P
Stay connected: New features available on IBX App P, F, A
Stay informed during our transition to a new operating platform P, F, A
Updated Claims Preprocessing Edits and Claims Resolution Document now available P
Verify member cost-sharing at the time of service P, F, A
What’s Up Wednesday P, F, A




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