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Category: Informed Flash

FLASH: More Claims Editing Enhancements Coming in March

February 27, 2018

Principal or Primary Diagnosis for Chemotherapy Administration According to the ICD Manual guidelines, encounter for antineoplastic chemotherapy (ICD-10 code Z51.11) or encounter for antineoplastic immunotherapy (ICD-10 code Z51.12) must be the principal or primary diagnosis, followed by the diagnosis of the current acute disease or injury for chemotherapy administration (96401-96450,... View Release

FLASH: Asking Is Key for Chlamydia Screening

February 20, 2018

Dr. Kristine Carpenter, a Carle family medicine OB-GYN in Mattoon, IL, boasts high numbers when it comes to chlamydia screening rates. While the subject matter is sometimes tricky to approach, there is nothing tricky about her approach at all. “What’s really interesting is there’s nothing really earth-shattering about it,” Carpenter... View Release

FLASH: Freestyle Libre Covered Under DME Benefit

February 14, 2018

There’s a new blood glucose-monitoring device, called Freestyle Libre, which uses sensor needle pads for continuous glucose readings instead of frequent finger sticks. While this device is available through certain DME providers and in retail pharmacies, we are only covering the Freestyle Libre under the DME benefit. We cover all... View Release

FLASH: Moving Preauthorizations on CPAPs and Supplies to eviCore

February 2, 2018

We were having you send preauthorizations on CPAPs and supplies for certain self-funded group plans through the Your Health Alliance preauthorization forms. Starting February 1, please send these preauthorizations through eviCore instead. Use the Request Preauthorization tab on Your Health Alliance for providers to start a preauthorization with eviCore. These... View Release

FLASH: Make Sure Patients Can Reach You

January 12, 2018

Our provider directories are a key resource for our members to reach you. Members use them to search for new providers, get directions to clinics, and find contact information to schedule appointments. To make sure the information in our provider directories is accurate, we are performing audits. CMS audits are... View Release