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July 2015 Edition Articles


Billing requirement for anesthesia claims P
Claims processing requirements for PCPs rendering services to members in long-term care facilities P, A
Clarifying member cost-share amounts for medical benefit drugs P
Get ready for the upcoming ICD-10 compliance date P, F, A
Highlighting HEDIS®: Osteoporosis management in women who had a fracture P
Independence to roll out new and improved member portal P, F, A
Join us for the next What’s Up Wednesday on July 15, 2015 P, F, A
New mail-order facility for your patients with FutureScripts® Secure coverage P, F, A
Obtaining precertification for non-emergent radiation therapy services through NaviNet® P, F
Procedures for terminating a patient from a practice P
Reminder of upcoming July NaviNet® release P, F, A
Reminder: Use –X{EPSU} modifiers to report separate, distinct, or independent non-E&M services on the same day P, F
Suicide: A concern for all health care providers P
View up-to-date medical and claim payment policy activity on the Medical Policy Portal P, F, A




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