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Now available: The December 2012 edition of Partners in Health Update
Professional; Facility; Ancillary
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The December 2012 edition of Partners in Health Update is now available.
As always, Partners in Health Update provides you with up-to-date and
important information covering topics on administrative and medical processes
and updates, pharmacy services, preventive health updates, and more.
Articles included in the December 2012 edition:
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ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Mental and
Behavioral Disorders)
Professional Injectable and Vaccine Fee Schedule updates effective January 1,
2013
Nutrition counseling not eligible for payment in group setting
Significant changes in 2013 to CPT® codes for behavioral health
services
Changes to Continuity of Care request form submissions
Reminder: Provider self-service requirements
Policy notifications posted as of November 30, 2012
Health care reform: Expansion of 100 percent coverage for women's preventive
health services
Updated policy for Never Events and Preventable Adverse Events
Reminder: Coverage change for Plan B One-Step® (Levonorgestrel,
Next Choice®)
Reminder: New prior authorization requirements for AmeriHealth
65® NJ HMO and AmeriHealth 65® Preferred HMO
members effective January 1, 2013
Changes to growth hormone prescribing procedures
Prescription drug updates
Select Drug Program® Formulary updates
Reminder: Authorization submission requirements through NaviNet
Our Quality Management Program promotes quality of care and service
Resolution solution: The SilverSneakers® Fitness Program
The 2012-2013 Clinical Practice Guideline Summary now available
Case management: Help for your patients when they need it