The Connection OnlineSM
February 2010
Welcome to The Connection Online
This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
Editions are published in February, April, June, August, October and December. As a reminder, our newsletter will be published online only. You will no longer receive paper issues of The ConnectionSM or Dental News.
If you haven't already, please subscribe to receive email notifications when new editions are available.
Note: Other important updates can be found in our What's New section.
Provider workshop format is changing
This year, all of our provider workshops will be offered online as self-paced courses and webinars.
Paperless efforts continue this year
As part of our continuing efforts to help provider offices' maximize their use of online tools and increase efficiencies, we will introduce the following electronic services this year:
Our members use Enhanced Provider Profile information
Asuris members use Enhanced Provider Profile information to find physicians, dentists, other health care and dental professionals, and facilities.
Administrative and Billing Updates
- Administrative Manual updates
- Advance directive documentation
- Complications from non-covered procedures
- Correct Code Editor updated
- Description required for implant devices
- Fourth quarter claims processing results
- HEDIS® medical record review for Medicaid members
- Receive your provider agreement and amendment notifications via email
- Update your information in our Provider Directory
Products and Networks
Policies
Changes to our medical and reimbursement policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly) and a complete list of code groupings.
Medical
- Investigational and medical necessity reviews
- New Multi-chamber Programmable Pneumatic Compression Pumps policy
- Varicose Vein Treatment policy reminder
Reimbursement
Medication
Summaries of recent changes (PDF) and detailed policies are available in our Medication Policy Manual at http://blue.regence.com/policy/medication/
View our group and Individual products Preferred Medication List/Formulary.
Search the Asuris TruAdvantageTM + Rx and Medicare Part D formulary.