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2016

July Issue

March Issue

July 2016 Issue

March 2016 Issue

Highlights:

  • Submission Deadline Approaches: DHS Provider Enrollment Revalidation
  • Focusing on Our Providers
  • Health Partners Foundation’s CHILL Program
  • Low English Proficiency
  • Billing for Combined Sick Visits and Well Child Visits (Modifier 25)
  • New CDC Guideline for Prescribing Opioids for Chronic Pain
  • Clinical Care Management Program Now Available for Medicare Members
  • Medicare Part D Enrollment Requirements: Postponed until February 2017
  • Formulary Changes – June 2016

Highlights:

  • Health Partners Plans to continue the colorectal screening program in 2016
  • Growing trend of mobile device use in healthcare calls for boost in security
  • 90-day prescription benefit for Medicare members
  • HPP announces a new partnership with eviCore healthcare
  • Self-auditing and reporting / False Claims Act
  • No financial incentive for service denial
  • Formulary updates
  • Pennsylvania Access Card information
  • Unapproved compounding kits unavailable for payment at pharmacies

 January Issue

 
 January 2016 Issue  
 Highlights:
  • Medicare prescriber enrollment requirements
  • Quality Management online resources
  • Clinical and preventive guidelines updates
  • 2016 HEDIS chart reviews
  • Quality Management provider referral line
  • Formulary updates
  • Digital breast tomosynthesis Medicaid coverage
 
   
   
   
   
   
   

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