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May 2015 Edition Articles


CareCore's radiation therapy criteria now in effect P, F
Changes to NaviNet® Referrals transaction coming in May P, F
Changes to the Direct Ship Injectables Program P
Encourage pregnant Independence members to register for Baby BluePrints® P
Enforcing claims processing requirements P, F, A
Help your heart failure patients avoid hospital readmission P
Help your patients stay fit this spring with SilverSneakers® P
Highlighting HEDIS®: Well-child visits in the third, fourth, fifth, and sixth years of life P
Independence's guidelines for submitting authorizations and referrals P, F, A
Independence encourages medical and behavioral health providers to work together P, F
Join us for the next What’s Up Wednesday call on May 20, 2015 P, F, A
Medical and claim payment policy activity posted from March 24 – April 24, 2015 P, F, A
Overpayments for certain Medicare Advantage members identified and corrected P, A
Positive results in Independence's 2014 Provider Satisfaction Survey P
Reminder: Billing requirements for billing multiple services P
Reminder: Important billing information for modifiers 25 and 59 P
Reminder: Pre-service review for out-of-area members available through NaviNet P, F
Report prescription drug or health care fraud P, F, A
Suicide: A concern for all health care providers P
Updated Hospital Manual now available F, A




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