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FLASH: Temporary Changes to Therapy Preauthorizations

After many discussions with providers and partners, we’ve decided to make significant temporary changes in the rollout of our preauthorization program with eviCore. In order to provide additional time for education, communication, and collaboration around this program, we’ll be significantly reducing or eliminating the clinical assessment required for getting therapy preauthorizations.

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FLASH: What’s the “Advantage” of Medicare Advantage Plans?

The Annual Enrollment Period is almost here! We can help you be prepared to field patient questions about Medicare. Providers and their office staff members are invited to join one of our upcoming webinars to learn more about our Medicare Advantage plans. 

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FLASH: New Process for New Therapy Preauthorization Requests through eviCore

For the first therapy request received during a patient’s episode of care, these are the minimum numbers of visits you can expect:

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FLASH: eviCore Spine Surgery Clinical Criteria Update

Starting September 15, preauthorizations for spine surgery will no longer require documentation of patient-reported outcome measures, including the modified Japanese Orthopaedic Association (mJOA), Short Form Health Survey Score/Mental Component Summary (SF-36 MCS) or the Oswestry Disability Index (ODI).

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FLASH: Hurricane Irma and eviCore

Because of the likely impact of Hurricane Irma on eviCore's contact centers in Florida and South Carolina, they are enacting their disaster response plan. They expect this will impact their operations between Saturday, September 9 and Tuesday, September 12. Because of this, you may experience longer phone hold times than normal.

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