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January 2015 Edition Articles


2014 Cumulative Index now available P, F, A
All Medicare Advantage HMO and PPO members migrated to the new platform P, F, A
Changes coming in February 2015 to NaviNet® P, F, A
Changes to the experimental/investigational services policies effective January 1, 2015 P, F, A
Download the latest precertification requirement list P, F, A
Ensure patients know how to access care after office hours P
Highlighting HEDIS®: Cervical cancer screening P
Injectable hyaluronate acid products being removed from the Direct Ship Injectables Program P
Medical and claim payment policy activity posted from November 21 – December 19, 2014 P, F, A
Medicare Advantage HMO and PPO policies now in effect P, F, A
Modifier 25 required for reporting removal of impacted cerumen P, F, A
New codes for digital breast tomosynthesis P, F, A
New Preventive Plus benefit now in effect P, F
Precertification requirement for non-emergent outpatient radiation therapy now in effect P, F
Precertification requirement for outpatient echocardiography services for Medicare Advantage HMO and PPO members now in effect P, F
Precertification requirements for FEP members for BRCA testing and outpatient services P, F
Reminder: Precertification requirements for DME providers are now in effect P, A
Things to remember when prescribing narcotic therapy P
Upcoming changes to the CAQH recredentialing process P
Updated payer ID grids available soon P, F, A
What's Up Wednesday returns on January 21, 2015 P, F, A




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