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Cumulative Index

The Provider Publication Cumulative Index is an annually updated index of articles published in our provider publications, including Partners in Health Update, Coding Guidelines and Policy Updates (discontinued in the fall of 2008), and Clinical Update (discontinued in the Spring of 2007).

Effective January 1, 2017, archived articles can be accessed by selecting the appropriate year and month below. The articles are listed in descending chronological order.

Archive of publication-based communications prior to 2017:

2023 Updates

2022 Updates

2021 Updates

2020 Updates

2019 Updates

2018 Updates

Blue
2017 Updates
- •
  Important: Postponement of new AmeriHealth New Jersey policy regarding CPT^® consultation codes (Medical)
  Posted: 12/28/2017 , Audience: P, F
- •
  Our prescription drug program and safe prescribing procedures (Pharmacy)
  Posted: 12/28/2017 , Audience: P, F, A
- •
  Upcoming changes to billing requirements for neuropsychological testing for neurologically based conditions (Medical)
  Posted: 12/27/2017 , Audience: P
- •
  Precertification requirement for fractional flow reserve added to AIM Radiology Guidelines (Medical)
  Posted: 12/22/2017 , Audience: P
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 12/21/2017 , Audience: P, F, A
- •
  2018 out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 12/21/2017 , Audience: P, F, A
- •
  Collaboration with behavioral health providers can improve patient outcomes (Quality Management)
  Posted: 12/21/2017 , Audience: P
- •
  Change in after-hours coverage for urgent discharge planning (Administrative)
  Posted: 12/20/2017 , Audience: P, F, A
- •
  Registered Nurse Health Coaches: Supporting providers and patients (Health and Wellness)
  Posted: 12/20/2017 , Audience: P
- •
  Reminder: Important information about the Medicare Outpatient Observation Notice (Administrative)
  Posted: 12/19/2017 , Audience: F
- •
  Reminder: Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 12/18/2017 , Audience: P, F, A
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 12/15/2017 , Audience: P, F
- •
  Update regarding InterQual^® guidelines for 2017 (Medical)
  Posted: 12/15/2017 , Audience: P, F, A
- •
  Reminder of utilization management programs effective January 2018 and delegation of precertification review to AIM (Medical)
  Posted: 12/15/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/14/2017 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 12/14/2017 , Audience: P, F, A
- •
  AmeriHealth offers services to help members communicate (Quality Management)
  Posted: 12/11/2017 , Audience: P, F, A
- •
  Updated Institutional Claims Resolution Matrix now available (Billing & Reimbursement)
  Posted: 12/11/2017 , Audience: F
- •
  Upcoming HEDIS^® medical record review (Administrative)
  Posted: 12/8/2017 , Audience: P
- •
  Preferred specialty pharmacy providers (Pharmacy)
  Posted: 12/7/2017 , Audience: P, F, A
- •
  ICD-10 in Action: Interpreting 'with' or 'in' (Billing & Reimbursement)
  Posted: 12/7/2017 , Audience: P, F, A
- •
  2017-2018 Clinical Practice Guideline Summary now available (Administrative)
  Posted: 12/6/2017 , Audience: P
- •
  Reminder: AmeriHealth Advantage and Tier 1 Advantage expand to include RWJBarnabas (Administrative)
  Posted: 12/4/2017 , Audience: P, F, A
- •
  Precertification of spinal bone growth stimulators (Medical)
  Posted: 12/4/2017 , Audience: P
- •
  Closing of pathology network for new office-based pathology providers (Medical)
  Posted: 12/1/2017 , Audience: P, F, A
- •
  Updated Member Wellness Guidelines now available (Quality Management)
  Posted: 12/1/2017 , Audience: P
- •
  Announcing the expansion of the AmeriHealth Musculoskeletal Utilization Management Program to include services for interventional pain management (Medical)
  Posted: 12/1/2017 , Audience: P
- •
  Home-based sleep testing to require precertification (Medical)
  Posted: 12/1/2017 , Audience: P
- •
  AmeriHealth drug program formulary updates (Pharmacy)
  Posted: 11/30/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2018 (Billing & Reimbursement)
  Posted: 11/30/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 11/29/2017 , Audience: P, F, A
- •
  AmeriHealth Advantage provider network for 2018 (Products)
  Posted: 11/28/2017 , Audience: P, F, A
- •
  Reminder: New Cardiology Utilization Management Program through AIM (Medical)
  Posted: 11/28/2017 , Audience: P
- •
  Reminder: New utilization management program for musculoskeletal services (Medical)
  Posted: 11/28/2017 , Audience: P
- •
  Statin therapy for diabetic patients (Pharmacy)
  Posted: 11/21/2017 , Audience: P
- •
  Update regarding InterQual^® guidelines for 2017 (Medical)
  Posted: 11/20/2017 , Audience: P, F, A
- •
  Reminder: Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 11/17/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 11/17/2017 , Audience: P, F, A
- •
  Three drugs to be added to the Dosage and Frequency Program (Medical)
  Posted: 11/15/2017 , Audience: P, F
- •
  New policy for laboratory-based vestibular function testing (Medical)
  Posted: 11/15/2017 , Audience: P
- •
  Reminder: Claim investigation and corrected claim submission procedures (Billing & Reimbursement)
  Posted: 11/15/2017 , Audience: P, F, A
- •
  Updates to our policy on presumptive and definitive drug testing in substance abuse and pain management treatments (Medical)
  Posted: 11/15/2017 , Audience: P
- •
  Updates to the list of specialty drugs that will require precertification (Medical)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Changes to recent Notification regarding precertification requirements for CINV/antiemetic agents (Medical)
  Posted: 11/14/2017 , Audience: P, F
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Upcoming enhancement to the NaviNet^® Authorizations transaction (NaviNet)
  Posted: 11/14/2017 , Audience: P, F, A
- •
  Providers must obtain precertification for certain items and/or services when required (Administrative)
  Posted: 11/7/2017 , Audience: P, F, A
- •
  Coordination of care improves member outcomes (Quality Management)
  Posted: 11/7/2017 , Audience: P
- •
  Member benefit changes and clarifications for Pennsylvania commercial members (Products)
  Posted: 11/6/2017 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 11/6/2017 , Audience: P
- •
  Reminder: AmeriHealth Advantage and Tier 1 Advantage expand to include RWJBarnabas (Administrative)
  Posted: 11/2/2017 , Audience: P, F, A
- •
  Updated policy on the treatment of glaucoma (Medical)
  Posted: 11/1/2017 , Audience: P
- •
  CRNP policy expanded to include physician assistants (Administrative)
  Posted: 11/1/2017 , Audience: P
- •
  ICD-10 in Action: “Code Also” instructional note (Billing & Reimbursement)
  Posted: 10/30/2017 , Audience: P, F, A
- •
  Now in effect: Preferred product for enzyme replacement to treat Gaucher's disease (Medical)
  Posted: 10/26/2017 , Audience: P
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/25/2017 , Audience: P, F
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 10/25/2017 , Audience: P, F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/24/2017 , Audience: P, F, A
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/23/2017 , Audience: P, F, A
- •
  New medical and pharmacy product portfolios available in Pennsylvania for 2018 (Products)
  Posted: 10/20/2017 , Audience: P, F, A
- •
  Look for our redesigned member portal (Administrative)
  Posted: 10/20/2017 , Audience: P, F, A
- •
  Interventions for PCPs and behavioral health providers to promote sleep (Health and Wellness)
  Posted: 10/20/2017 , Audience: P
- •
  AmeriHealth Advantage and Tier 1 Advantage expand to include RWJBarnabas (Administrative)
  Posted: 10/19/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/18/2017 , Audience: P, F, A
- •
  Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 10/16/2017 , Audience: P, F, A
- •
  Reminder: Referring members for laboratory services (Administrative)
  Posted: 10/13/2017 , Audience: P
- •
  Important information regarding retinal screening codes (Quality Management)
  Posted: 10/11/2017 , Audience: P
- •
  NaviNet^® Eligibility and Benefits Inquiry enhancement\t (NaviNet)
  Posted: 10/11/2017 , Audience: P, F, A
- •
  Prepare now for the new NaviNet^® Authorizations transaction (NaviNet)
  Posted: 10/10/2017 , Audience: P, F, A
- •
  Reminder: LabCorp named exclusive nationally based outpatient laboratory provider for AmeriHealth New Jersey as of May 1, 2018 (Administrative)
  Posted: 10/6/2017 , Audience: P, F, A
- •
  AmeriHealth and Tower Health reach agreement on new three-year contract (Administrative)
  Posted: 10/6/2017 , Audience: P, F, A
- •
  Change to the outpatient laboratory provider network for AmeriHealth Pennsylvania members now in effect (Administrative)
  Posted: 10/6/2017 , Audience: P, F, A
- •
  Changes to management of subcutaneous immunoglobulin now in effect (Medical)
  Posted: 10/5/2017 , Audience: P, F, A
- •
  The AmeriHealth Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/5/2017 , Audience: P, F, A
- •
  New AmeriHealth New Jersey policy regarding CPT^® consultation codes (Medical)
  Posted: 10/3/2017 , Audience: P, F
- •
  Announcing Cardiology Utilization Management Program through AIM (Medical)
  Posted: 10/3/2017 , Audience: P
- •
  Announcing new utilization management program for musculoskeletal services (Medical)
  Posted: 10/3/2017 , Audience: P
- •
  Upcoming changes to specialty drugs requiring precertification (Medical)
  Posted: 10/2/2017 , Audience: P, F, A
- •
  Select chemotherapy-induced nausea and vomiting drugs to require precertification (Medical)
  Posted: 10/2/2017 , Audience: P, F
- •
  Important: Information regarding the acquisition of five Community Health Systems, Inc. hospitals (Administrative)
  Posted: 10/1/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 9/29/2017 , Audience: P, F, A
- •
  New precertification requirement for CAR T-cell therapy (Medical)
  Posted: 9/22/2017 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 9/22/2017 , Audience: P
- •
  Updated policy on cast and splint applications and supplies (Medical)
  Posted: 9/21/2017 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 9/21/2017 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 9/18/2017 , Audience: P, F, A
- •
  Billing and cost-sharing for individuals enrolled in the Qualified Medicare Beneficiary Program (Billing & Reimbursement)
  Posted: 9/15/2017 , Audience: P, F, A
- •
  Important information regarding our transition to a new medical management system (Administrative)
  Posted: 9/12/2017 , Audience: P, F, A
- •
  Updates to our Most Cost-Effective Setting Program now in effect (Medical)
  Posted: 9/7/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2017 (Billing & Reimbursement)
  Posted: 9/6/2017 , Audience: P, F, A
- •
  Reminder: Medically Unlikely Edits applied to professional and facility claims for AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 9/6/2017 , Audience: P, F
- •
  Important: Review the address before submitting paper claims (Administrative)
  Posted: 9/5/2017 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaching (Medical)
  Posted: 9/5/2017 , Audience: P, F, A
- •
  Reminder: LabCorp named exclusive nationally based outpatient laboratory provider for AmeriHealth New Jersey as of May 1, 2018 (Administrative)
  Posted: 9/1/2017 , Audience: P, F, A
- •
  AmeriHealth drug program formulary updates (Pharmacy)
  Posted: 9/1/2017 , Audience: P, F, A
- •
  Change to requirements for billing with POA indicator (Billing & Reimbursement)
  Posted: 9/1/2017 , Audience: F
- •
  Reminder: Upcoming change to the outpatient laboratory provider network for AmeriHealth Pennsylvania members (Administrative)
  Posted: 9/1/2017 , Audience: P, F, A
- •
  Clarification to the CRNP policy for services performed in a specialist’s group (Administrative)
  Posted: 8/31/2017 , Audience: P
- •
  ICD-10 in Action: Code First coding convention (Billing & Reimbursement)
  Posted: 8/31/2017 , Audience: P, F, A
- •
  Test Your Knowledge – True or False: Conventions, general, and chapter-specific guidelines – August 2017 (Billing & Reimbursement)
  Posted: 8/31/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 8/24/2017 , Audience: P, F, A
- •
  Use of epinephrine in the treatment of anaphylaxis (Pharmacy)
  Posted: 8/23/2017 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 8/22/2017 , Audience: P, F
- •
  Reminder: Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 8/17/2017 , Audience: P, F, A
- •
  Updates to NaviNet^® Claim Investigation: Best practices for Facility Pricing Inquiry (NaviNet)
  Posted: 8/16/2017 , Audience: F, A
- •
  Get up-to-date health notifications for your patients (Medical)
  Posted: 8/16/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 8/11/2017 , Audience: P, F, A
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 8/10/2017 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 8/9/2017 , Audience: P
- •
  Initiatives to combat opioid misuse and abuse for AmeriHealth Pennsylvania members (Medical)
  Posted: 8/7/2017 , Audience: P, F, A
- •
  Initiatives to combat opioid misuse and abuse for AmeriHealth New Jersey members (Medical)
  Posted: 8/7/2017 , Audience: P, F, A
- •
  New resources available for our transition to a new medical management system (Administrative)
  Posted: 8/3/2017 , Audience: P, F, A
- •
  Upcoming changes to billing requirements for septoplasty (Medical)
  Posted: 8/3/2017 , Audience: P
- •
  Billing reminder for acute care hospitals and SNFs (Billing & Reimbursement)
  Posted: 7/31/2017 , Audience: F
- •
  Update: Our policy on credentialing providers still in training (Administrative)
  Posted: 7/31/2017 , Audience: P, F
- •
  Reminder: LabCorp named exclusive nationally based outpatient laboratory provider for AmeriHealth New Jersey as of May 1, 2018 (Administrative)
  Posted: 7/27/2017 , Audience: P, F, A
- •
  AmeriHealth Administrators network providers can sign up for free ERA/EFT (Administrative)
  Posted: 7/27/2017 , Audience: P, F
- •
  Preferred product designated for enzyme replacement to treat Gaucher's disease (Medical)
  Posted: 7/26/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 7/25/2017 , Audience: P, F, A
- •
  Updates to the policy on Modifier 25 reporting and reimbursement (Medical)
  Posted: 7/24/2017 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 7/20/2017 , Audience: P, F
- •
  ICD-10 in Action: Coding sequence and coding specificity/unspecified codes (Billing & Reimbursement)
  Posted: 7/18/2017 , Audience: P, F, A
- •
  Test your knowledge: Coding specificity – July 2017 (Billing & Reimbursement)
  Posted: 7/18/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 7/17/2017 , Audience: P, F, A
- •
  Upcoming change to the outpatient laboratory provider network for AmeriHealth Pennsylvania members (Administrative)
  Posted: 7/14/2017 , Audience: P, F, A
- •
  Reminder: Our policy on opioid management (Pharmacy)
  Posted: 7/11/2017 , Audience: P
- •
  Updates to presumptive and definitive drug testing in substance abuse and pain management treatments (Medical)
  Posted: 7/7/2017 , Audience: P
- •
  Reminder: Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 7/6/2017 , Audience: P, F, A
- •
  Updated billing requirements for preventive colonoscopy and flexible sigmoidoscopy services provided to AmeriHealth Pennsylvania members (Medical)
  Posted: 7/5/2017 , Audience: P
- •
  Updated billing requirements for preventive colonoscopy and flexible sigmoidoscopy services provided to AmeriHealth New Jersey members (Medical)
  Posted: 7/5/2017 , Audience: P
- •
  CRNP policy expanded to include services performed in a specialist’s group (Administrative)
  Posted: 6/30/2017 , Audience: P
- •
  Updated policy on toe nail debridement (Medical)
  Posted: 6/29/2017 , Audience: P
- •
  LabCorp named exclusive nationally based outpatient laboratory provider for AmeriHealth New Jersey as of May 1, 2018 (Administrative)
  Posted: 6/29/2017 , Audience: P, F, A
- •
  AmeriHealth Advantage and Tier 1 Advantage networks expand to include AtlantiCare (Administrative)
  Posted: 6/29/2017 , Audience: P, F, A
- •
  Changes to management of subcutaneous immunoglobulin (Pharmacy)
  Posted: 6/28/2017 , Audience: P, F, A
- •
  Medical codes for services that require precertification (Medical)
  Posted: 6/28/2017 , Audience: P, F, A
- •
  Reminder: Important information for AmeriHealth Pennsylvania professional providers (Billing & Reimbursement)
  Posted: 6/28/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/23/2017 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2017 (Medical)
  Posted: 6/21/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/19/2017 , Audience: P, F, A
- •
  Precertification requirements for Spinraza™ (nusinersen) and Bavencio^® (avelumab) (Medical)
  Posted: 6/15/2017 , Audience: P, F
- •
  Updated Lab Management Clinical Guidelines (Medical)
  Posted: 6/13/2017 , Audience: P, F
- •
  Our policy on opioid management (Pharmacy)
  Posted: 6/9/2017 , Audience: P, F
- •
  Reminder: Our policy on appeals for lack of medical necessity (Administrative)
  Posted: 6/9/2017 , Audience: F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 6/9/2017 , Audience: P
- •
  Policy and guideline resources available online (Administrative)
  Posted: 6/8/2017 , Audience: P, F, A
- •
  Combined policies for abdominoplasty, panniculectomy, abdominal lipectomy, and other excisions of redundant skin (Medical)
  Posted: 6/7/2017 , Audience: P, F
- •
  Updated CMS-1500 toolkit and UB-04 guide now available (Billing & Reimbursement)
  Posted: 6/5/2017 , Audience: P, F, A
- •
  Update: New NaviNet^® Authorizations transaction (NaviNet)
  Posted: 6/2/2017 , Audience: P, F, A
- •
  Update to our Radiation Treatment of Breast Carcinoma guideline (Medical)
  Posted: 6/1/2017 , Audience: P
- •
  AmeriHealth drug program formulary updates (Pharmacy)
  Posted: 5/31/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2017 (Billing & Reimbursement)
  Posted: 5/31/2017 , Audience: P, F, A
- •
  New policy for autonomic nervous system testing (Medical)
  Posted: 5/26/2017 , Audience: P
- •
  Medications to be excluded from the Select Drug Program^® Formulary (Pharmacy)
  Posted: 5/25/2017 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 5/23/2017 , Audience: P, F, A
- •
  Feedback on AmeriHealth provider resources (Administrative)
  Posted: 5/22/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 5/19/2017 , Audience: P, F, A
- •
  Reviewing your provider demographic information in the AmeriHealth provider directory (Administrative)
  Posted: 5/19/2017 , Audience: P
- •
  Seven drugs to be added to Most Cost-Effective Setting Program (Medical)
  Posted: 5/16/2017 , Audience: P, F, A
- •
  Billing for habilitative and rehabilitative services (Billing & Reimbursement)
  Posted: 5/15/2017 , Audience: P, F, A
- •
  Update: Transition to a new medical management system (Administrative)
  Posted: 5/12/2017 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 5/10/2017 , Audience: P
- •
  New NaviNet^® Authorizations transaction (NaviNet)
  Posted: 5/10/2017 , Audience: P, F, A
- •
  Clear Claim Connection^™ transaction to be removed from NaviNet^® (Medical)
  Posted: 5/9/2017 , Audience: P, F, A
- •
  Reminder: Our policy on inpatient hospital readmissions (Medical)
  Posted: 5/4/2017 , Audience: F
- •
  AmeriHealth encourages medical and behavioral health providers to work together (Health and Wellness)
  Posted: 5/4/2017 , Audience: P, F
- •
  Important information for AmeriHealth Pennsylvania professional providers (Billing & Reimbursement)
  Posted: 5/2/2017 , Audience: P
- •
  Updated policy on Modifier 25 reporting and reimbursement (Medical)
  Posted: 5/1/2017 , Audience: P, F, A
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 5/1/2017 , Audience: P, F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 4/26/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 4/20/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Investigation: Best practices for Facility Pricing Inquiry (NaviNet)
  Posted: 4/18/2017 , Audience: F
- •
  Medical policy for Frenectomy or Frenotomy for Ankyloglossia (Tongue-Tie) (Medical)
  Posted: 4/14/2017 , Audience: P, F
- •
  Four drugs added to the Dosage and Frequency Program (Medical)
  Posted: 4/13/2017 , Audience: P, F
- •
  Updated claims resolution matrices now available (Billing & Reimbursement)
  Posted: 4/12/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Investigation: Best practices when submitting a claim review request (NaviNet)
  Posted: 4/10/2017 , Audience: P, F, A
- •
  Our policy on credentialing providers in training (Administrative)
  Posted: 4/6/2017 , Audience: P, F
- •
  New policy for Therapeutic Drug Monitoring for Antidepressants, Antipsychotics, or Antiepileptics (Medical)
  Posted: 3/28/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 3/28/2017 , Audience: P, F, A
- •
  Transition to a new medical management system (Administrative)
  Posted: 3/23/2017 , Audience: P, F, A
- •
  Billing for professional services during an inpatient stay (Billing & Reimbursement)
  Posted: 3/21/2017 , Audience: P, A
- •
  Reminder: Address change for paper claims submissions (Administrative)
  Posted: 3/14/2017 , Audience: P, F, A
- •
  Ensure proper routing of CFID audit questions (Administrative)
  Posted: 3/14/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 3/13/2017 , Audience: P, F, A
- •
  Ensuring the accuracy of information published in the AmeriHealth provider directory (Administrative)
  Posted: 3/9/2017 , Audience: P, F, A
- •
  Corrected claim resubmission requirements (Billing & Reimbursement)
  Posted: 3/9/2017 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 3/7/2017 , Audience: P
- •
  AmeriHealth drug program formulary updates (Pharmacy)
  Posted: 3/2/2017 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2017 (Billing & Reimbursement)
  Posted: 3/2/2017 , Audience: P, F, A
- •
  Important information about the Medicare Outpatient Observation Notice (Administrative)
  Posted: 2/23/2017 , Audience: F
- •
  Providing notice to Medicare Advantage members for covered and non-covered services (Administrative)
  Posted: 2/23/2017 , Audience: P, F, A
- •
  New online tools to help members achieve well-being (Health and Wellness)
  Posted: 2/22/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 2/20/2017 , Audience: P, F, A
- •
  New Find a Doctor tool is now available (Administrative)
  Posted: 2/17/2017 , Audience: P, F, A
- •
  NaviNet^® tips – Part 1: General Claim Inquiry (NaviNet)
  Posted: 2/15/2017 , Audience: P, F, A
- •
  Referral procedures for hospital admissions (Administrative)
  Posted: 2/13/2017 , Audience: P, F, A
- •
  Reminder of billing requirements for anesthesia services (Billing & Reimbursement)
  Posted: 2/8/2017 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 2/6/2017 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 2/2/2017 , Audience: P
- •
  2016 SOAP Progress Note submission deadline for the ePASS^® incentive program (Medical)
  Posted: 2/1/2017 , Audience: P
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 1/30/2017 , Audience: P, F, A
- •
  Utilization management process changes for inpatient admissions (Quality Management)
  Posted: 1/24/2017 , Audience: F
- •
  Update: Our policy on direct and/or indirect third-party payments of member premiums and cost-sharing (Billing & Reimbursement)
  Posted: 1/23/2017 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 1/19/2017 , Audience: P, F, A
- •
  Important information regarding the 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 1/18/2017 , Audience: P, F, A
- •
  Prohibition on billing Medicare-Medicaid enrollees for Medicare cost-sharing (Billing & Reimbursement)
  Posted: 1/17/2017 , Audience: P, F, A
- •
  Neulasta^®: Updates to precertification and setting requirements and coverage options now in effect (Medical)
  Posted: 1/11/2017 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 1/10/2017 , Audience: P, F, A
- •
  NaviNet^® Claim Status Inquiry transaction and updated user guides available (NaviNet)
  Posted: 1/9/2017 , Audience: P, F, A
- •
  Billing guidelines for leuprolide acetate (Lupron Depot^® and Eligard^®) (Medical)
  Posted: 1/6/2017 , Audience: P, F
- •
  Reminder: Changes to precertification requirements for 2017 (Medical)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Reminder: 2017 non-renewal for AmeriHealth New Jersey Medicare Advantage (Administrative)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Reminder: Community Advantage and AmeriHealth Advantage plans combine in 2017 (Products)
  Posted: 1/6/2017 , Audience: P, F, A
- •
  Updated message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 1/5/2017 , Audience: P
- •
  2016 Cumulative Index now available (Administrative)
  Posted: 1/5/2017 , Audience: P, F, A
- •
  Codeine use in children (Pharmacy)
  Posted: 1/4/2017 , Audience: P, F
Blue
2016 Updates
- •
  2016-2017 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  New Perinatal Guideline Summary now available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  Member Wellness Guidelines available (Quality Management)
  Posted: 12/1/2016 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2017 (Billing & Reimbursement)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Discussing end-of-life care with your patients (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  Exciting changes coming to Partners in Health Update^SM and the Provider News Center (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Upcoming HEDIS^® medical record review (Administrative)
  Posted: 12/1/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  2017 out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: 2017 non-renewal for AmeriHealth New Jersey Medicare Advantage (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Procedures for referring members for covered and non-covered services (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  New NaviNet^® Claim Status Inquiry transaction delay (NaviNet)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Community Advantage and AmeriHealth Advantage plans combine in 2017 (Products)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Easy to use online peer-to-peer request form (Administrative)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  Clarification: Billing requirements and cost-sharing for Preventive colorectal cancer screening (Medical)
  Posted: 12/1/2016 , Audience: P, F
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Neulasta^®: Updates to precertification requirements, sites of service, and coverage options (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Our prescription drug program and safe prescribingprocedures (Pharmacy)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Upcoming changes to precertification requirements for 2017 (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Reminder: Upcoming changes to AmeriHealth Pennsylvania's medical benefit specialty drug cost-sharing for 2017 (Medical)
  Posted: 12/1/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication andcollaboration (Health and Wellness)
  Posted: 12/1/2016 , Audience: P
- •
  Update: SEPTA strike resolution (Administrative)
  Posted: 11/7/2016 , Audience: P, F, A
- •
  Important information about SEPTA (Administrative)
  Posted: 11/1/2016 , Audience: P, F, A
- •
  Member benefit changes and clarifications for Pennsylvaniacommercial members (Products)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/31/2016 , Audience: P, F
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 10/31/2016 , Audience: P
- •
  Reminder: 2017 non-renewal for AmeriHealth New Jersey Medicare Advantage (Administrative)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Reminder: Referral procedures for capitated services (Administrative)
  Posted: 10/31/2016 , Audience: P, F
- •
  Reminder: Community Advantage and AmeriHealth Advantage plans combine in 2017 (Products)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (NaviNet)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  The AmeriHealth Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Cost-sharing and billing requirements for Preventivecolorectal cancer screening (Medical)
  Posted: 10/31/2016 , Audience: P, F
- •
  Neulasta^®: Updates to precertification requirements, sites of service, and coverage options (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  Coverage for transgender services (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/31/2016 , Audience: P, F, A
- •
  NaviNet^® Referral Submission transaction updates (NaviNet)
  Posted: 10/3/2016 , Audience: P
- •
  Claims recovery period to align with CMS (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  AmeriHealth members rate their physician experience (Quality Management)
  Posted: 10/3/2016 , Audience: P
- •
  2017 non-renewal for AmeriHealth New Jersey Medicare Advantage (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Claim submission changes for oral surgery (Billing & Reimbursement)
  Posted: 10/3/2016 , Audience: P
- •
  Reminder: Document Exchange now available on NaviNet^® (NaviNet)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Coming soon: New iEXCHANGE^® user guides on the AmeriHealthAdministrators website (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 10/3/2016 , Audience: P, F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Reminder: Community Advantage and AmeriHealth Advantage plans combine in 2017 (Products)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  AmeriHealth offers services to help patients communicate (Quality Management)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Updates to Most Cost-Effective Setting Program for injectable and infusion therapy drugs (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Updated policy for anesthesia services (Medical)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming changes to drug precertification requirements for 2017 (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Coverage position changes for select medical services (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 10/3/2016 , Audience: P
- •
  Stelara^®: Now eligible for coverage under the medical andpharmacy benefits (Pharmacy)
  Posted: 10/3/2016 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming changes to AmeriHealth Pennsylvania's medical benefit specialty drug cost-sharing for 2017 (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/3/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 10/3/2016 , Audience: P
- •
  Upcoming precertification changes for outpatient, non-emergent radiation therapy services (Medical)
  Posted: 10/3/2016 , Audience: P, F
- •
  Upcoming changes to precertification requirements for Cologuard^™ and NIPT/NIPS (Medical)
  Posted: 10/3/2016 , Audience: P, F
- •
  Software update for e-prescriptions (Pharmacy)
  Posted: 9/28/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Referring members for laboratory services (Administrative)
  Posted: 8/31/2016 , Audience: P
- •
  Upcoming address change for paper claims submissions (Administrative)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 8/31/2016 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updateseffective October 1, 2016 (Billing & Reimbursement)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  New claims medical review submission address for AmeriHealth New Jersey (Administrative)
  Posted: 8/31/2016 , Audience: P, F
- •
  Requirements for PCPs rendering services to members in long-term care facilities (Administrative)
  Posted: 8/31/2016 , Audience: P, F
- •
  Electronic claim resubmission requirements (Billing & Reimbursement)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  New transactions on NaviNet^® and user guides available (NaviNet)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Community Advantage and AmeriHealth Advantage plans combine in 2017 (Products)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Vaccine recommendation for human papillomavirus (Health and Wellness)
  Posted: 8/31/2016 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Why health plans partner with vendors for Personal Health Visits (New Jersey only) (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Upcoming changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Changes to the seasonal influenza vaccine recommendations for 2016-2017 (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaching (Medical)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Injectable hyaluronate acid products removed from the Direct Ship Drug Program (Medical)
  Posted: 8/31/2016 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 8/31/2016 , Audience: P, F, A
- •
  Updated Radiation Therapy Clinical Guidelines (Medical)
  Posted: 8/31/2016 , Audience: P, F
- •
  Updated policies for Always Bundled Procedure Codes (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  New policies for Modifier 53: Discontinued Procedure (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Coverage requirements for applied behavioral analysis for the treatment of autism spectrum disorders (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Upcoming changes to 2016 ePASS^® incentive opportunity (Medical)
  Posted: 7/29/2016 , Audience: P
- •
  Notification for inpatient facility maternity claims (Administrative)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  New transactions on NaviNet^® and user guides available (NaviNet)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Carenet outreach program continues (Administrative)
  Posted: 7/29/2016 , Audience: P
- •
  Help your patients get healthy this summer (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  New functionality for CAQH ProView^™* (Administrative)
  Posted: 7/29/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Upcoming coverage position changes for certain laboratory tests (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Vitamin D testing policies now in effect (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 7/29/2016 , Audience: P
- •
  Reminder: Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests now in effect (Medical)
  Posted: 7/29/2016 , Audience: P, F, A
- •
  New Claims Dashboard Guide now available (NaviNet)
  Posted: 7/22/2016 , Audience: P, F, A
- •
  Updates to policies pertaining to nerve conduction studies and needle electromyography (Medical)
  Posted: 6/30/2016 , Audience: P
- •
  Reminder: Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 6/30/2016 , Audience: P
- •
  Yervoy^® being added to Dosing and Frequency Program (Medical)
  Posted: 6/30/2016 , Audience: P
- •
  Understanding prescription drug vouchers (Pharmacy)
  Posted: 6/30/2016 , Audience: P, F
- •
  Updated InterQual^® guidelines for 2016 (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Coming soon: New Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Mapping change for vaginal delivery claims (Billing & Reimbursement)
  Posted: 6/30/2016 , Audience: F
- •
  Transitioning outstanding Accounts Receivable to new platform (New Jersey only) (Billing & Reimbursement)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Upcoming Risk Adjustment Data Validation audit (New Jersey only) (Administrative)
  Posted: 6/30/2016 , Audience: P
- •
  Claim notifications and common ICD coding errors on paper and electronic claims (Billing & Reimbursement)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests now in effect (Medical)
  Posted: 6/30/2016 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Recent updates to Direct Ship Drug Program (Medical)
  Posted: 6/1/2016 , Audience: P, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Upcoming training for precertification of certain genetic/genomic tests through eviCore (Medical)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Document Exchange coming soon to NaviNet^® (NaviNet)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Coming soon: Healthy Families and Kids (Health and Wellness)
  Posted: 6/1/2016 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 6/1/2016 , Audience: P
- •
  Important billing reminders for hospitals (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: F
- •
  Positive results in the AmeriHealth 2015 Provider Satisfaction Survey (Quality Management)
  Posted: 6/1/2016 , Audience: P
- •
  Reminder: Concierge medical practices prohibited as a participating provider (Administrative)
  Posted: 6/1/2016 , Audience: P
- •
  Changes in reimbursement display (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2016 (Billing & Reimbursement)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 6/1/2016 , Audience: P, F, A
- •
  NaviNet^® authorization requests with a Pended status (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Update on appropriate use of vitamin D testing (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Reimbursement of emergency room services for AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Behavioral health: Promoting provider communication and collaboration (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Utilization management program for genetic/genomic tests, certain molecular analyses, and cytogenetic tests (Medical)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Precertification for diagnostic imaging services (Medical)
  Posted: 4/29/2016 , Audience: P
- •
  CDC guidelines for prescribing opioids for chronic pain (Pharmacy)
  Posted: 4/29/2016 , Audience: P
- •
  New Claims Dashboard and Document Exchange NaviNet^® functionality (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Reminder: Common ICD coding errors identified on paper and electronic claims (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Important reimbursement information for AmeriHealth Pennsylvania professional providers (Billing & Reimbursement)
  Posted: 4/29/2016 , Audience: P
- •
  Roles and responsibilities of a NaviNet^® Security Officer (NaviNet)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  Help your patients reduce their risk for osteoporosis (Health and Wellness)
  Posted: 4/29/2016 , Audience: P
- •
  Compliance training for Medicare programs (Administrative)
  Posted: 4/29/2016 , Audience: P, F, A
- •
  AmeriHealth New Jersey utilization remains within national/regional standards of care (Quality Management)
  Posted: 4/29/2016 , Audience: P, F
- •
  Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 3/31/2016 , Audience: P
- •
  Medication Therapy Management program available for AmeriHealth members (Pharmacy)
  Posted: 3/31/2016 , Audience: P, F
- •
  Reminder: Clinical Relationship Logic and Code-to-Code Edits (Medical)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Thorough completion of prior authorization forms linked to improved member satisfaction (Pharmacy)
  Posted: 3/31/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Precertification approval email notifications to be offered by eviCore (Medical)
  Posted: 3/31/2016 , Audience: P, F
- •
  New utilization management program for genetic/genomic testing and certain molecular analyses (Medical)
  Posted: 3/31/2016 , Audience: P, F
- •
  Capitation rate adjustments (Administrative)
  Posted: 3/31/2016 , Audience: P
- •
  Enhancements coming to NaviNet^® in April (NaviNet)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Billing preventive gynecological visits for Medicare Advantage members (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P
- •
  Reminder: Transitioning outstanding A/R balances (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P, F
- •
  Coming soon: Important reimbursement information for AmeriHealth Pennsylvania professional providers (Billing & Reimbursement)
  Posted: 3/31/2016 , Audience: P
- •
  Changes to notification process for newly credentialed practitioners (Administrative)
  Posted: 3/31/2016 , Audience: P
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Easy to use online peer-to-peer request form (Administrative)
  Posted: 3/31/2016 , Audience: P, F, A
- •
  Criteria for endometrial ablation (Medical)
  Posted: 2/29/2016 , Audience: P, F
- •
  Prescription drug updates (Pharmacy)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Coverage for Autism Spectrum Disorders for AmeriHealth Pennsylvania members (Medical)
  Posted: 2/29/2016 , Audience: P
- •
  2016 ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 2/29/2016 , Audience: P
- •
  The benefits of statin therapy in diabetic patients (Pharmacy)
  Posted: 2/29/2016 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Reminder: New preferred providers for Direct Ship Drug Program and IVIG/SCIG home infusion (Medical)
  Posted: 2/29/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Billing for observation services when combined with other outpatient services (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: F
- •
  New NaviNet^® look, same great resource (NaviNet)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 2/29/2016 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2016 (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  New claims reporting requirements now in effect for home infusion vendors (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: A
- •
  Help fight against fraud, waste, and abuse (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Accessing the Provider Automated System (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  New 1500 Claim Submission and Claim Log transactions now available (NaviNet)
  Posted: 2/29/2016 , Audience: P, A
- •
  Update on APC reimbursements (Billing & Reimbursement)
  Posted: 2/29/2016 , Audience: F
- •
  Required lead time when updating your provider information (Administrative)
  Posted: 2/29/2016 , Audience: P, F, A
- •
  Important information about the Zika virus (Health and Wellness)
  Posted: 2/29/2016 , Audience: P
- •
  Provider Automated System change (Administrative)
  Posted: 2/12/2016 , Audience: P, F, A
- •
  New NaviNet^® Open Plan Central is here (NaviNet)
  Posted: 2/11/2016 , Audience: P, F, A
- •
  Telemedicine solutions for AmeriHealth commercial members (Medical)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: AmeriHealth New Jersey medical record requests and ePASS^® submissions now using EFT for payments (Medical)
  Posted: 1/29/2016 , Audience: P, F
- •
  New guide available regarding high-risk medications (Pharmacy)
  Posted: 1/29/2016 , Audience: P, F
- •
  Resources available to promote antimicrobial stewardship in our community (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  New preferred providers for Direct Ship Drug Program and IVIG/SCIG home infusion (Medical)
  Posted: 1/29/2016 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Update to AmeriHealth Administrators’ Health Utilization Management Program (Administrative)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Opioid abuse epidemic (Pharmacy)
  Posted: 1/29/2016 , Audience: P
- •
  Heart disease vs. exercise — fight fire with fire (Health and Wellness)
  Posted: 1/29/2016 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Member liability for missed appointments (Administrative)
  Posted: 1/29/2016 , Audience: P
- •
  Reminder: Common ICD coding errors identified on paper and electronic claims (Billing & Reimbursement)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to enroll in Baby FootSteps^® (Health and Wellness)
  Posted: 1/29/2016 , Audience: P
- •
  Upcoming changes to claims reporting requirements for home infusion providers (Billing & Reimbursement)
  Posted: 1/29/2016 , Audience: A
- •
  Provider appeals form available online (Administrative)
  Posted: 1/29/2016 , Audience: P, F
- •
  AmeriHealth New Jersey welcomes Virtua Health System into its Local Value Network (Administrative)
  Posted: 1/29/2016 , Audience: P, F, A
- •
  1500 Claim Submission and Claim Log transactions coming soon to NaviNet^® (NaviNet)
  Posted: 1/29/2016 , Audience: P, A
Blue
2015 Updates
- •
  Ensure patients know how to access care after office hours (Quality Management)
  Posted: 12/30/2015 , Audience: P
- •
  New Primary Health Coach model for AmeriHealth New Jersey commercial members now in effect (Health and Wellness)
  Posted: 12/30/2015 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Reminder: NaviNet^® resources available (NaviNet)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Confirmation of precertified procedures (Administrative)
  Posted: 12/30/2015 , Audience: F
- •
  Importance of providing timely clinical information on emergency admissions (Administrative)
  Posted: 12/30/2015 , Audience: F
- •
  Concierge medical practices prohibited as a participating provider (Administrative)
  Posted: 12/30/2015 , Audience: P
- •
  Upcoming changes to claims reporting requirements for home infusion providers (Billing & Reimbursement)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Tips to promote antimicrobial stewardship in our community (Pharmacy)
  Posted: 12/30/2015 , Audience: P
- •
  Reminder: Changes to precertification requirements for 2016 (Medical)
  Posted: 12/30/2015 , Audience: P, F
- •
  Prescribing high-risk medications for your older adult patients (Pharmacy)
  Posted: 12/30/2015 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  Precertification changes for AmeriHealth Pennsylvania non-emergent outpatient radiation therapy services (Medical)
  Posted: 12/30/2015 , Audience: P, F
- •
  AmeriHealth New Jersey non-emergent outpatient radiation therapy precertification requirements now in effect (Medical)
  Posted: 12/30/2015 , Audience: P, F
- •
  2015 Cumulative Index now available (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  New Provider Automated System is now live (Administrative)
  Posted: 12/30/2015 , Audience: P, F, A
- •
  New Provider Automated System now available (Administrative)
  Posted: 12/29/2015 , Audience: P, F, A
- •
  2015-2016 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/1/2015 , Audience: P
- •
  2015-2016 Member Wellness Guidelines now available (Quality Management)
  Posted: 12/1/2015 , Audience: P
- •
  Common ICD coding errors identified on paper and electronic claims (ICD-10)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Clarification: New routine chiropractic and podiatry benefits for Medicare Advantage plans in 2016 (Products)
  Posted: 12/1/2015 , Audience: P
- •
  AmeriHealth New Jersey introduces AmeriHealth Advantage (Products)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  NaviNet^® resources available on the Provider News Center (NaviNet)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Updated payer ID grids available soon (Billing & Reimbursement)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2016 (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  New Provider Automated System launch postponed (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2016 (Billing & Reimbursement)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Reminder: New Primary Health Coach model for AmeriHealth New Jersey commercial members (Health and Wellness)
  Posted: 12/1/2015 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  New AmeriHealth Administrators office location (Administrative)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Contraceptive coverage changes for 2016 (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Coverage of non-FDA-approved drugs (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  AmeriHealth New Jersey medical record requests and ePASS^® submissions now using EFT for payments (Medical)
  Posted: 12/1/2015 , Audience: P, F
- •
  Important message for providers who prescribe drugs for Medicare patients (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Upcoming changes to precertification requirements for 2016 (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Prescribing medications for your older adult patients (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Our prescription drug program and safe prescribing procedures (Pharmacy)
  Posted: 12/1/2015 , Audience: P
- •
  Upcoming changes in coverage for intrauterine devices (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Update on coverage for digital breast tomosynthesis (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Reminder: Upcoming changes to medical benefit specialty drug cost-sharing for 2016 (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Introducing telemedicine primary care for our Pennsylvania commercial members (Medical)
  Posted: 12/1/2015 , Audience: P
- •
  Training available for upcoming AmeriHealth New Jersey non-emergent outpatient radiation therapy precertification requirements (Medical)
  Posted: 12/1/2015 , Audience: P, F
- •
  Standards for medical record documentation: Medical record review (Quality Management)
  Posted: 12/1/2015 , Audience: P, F, A
- •
  Migration of AmeriHealth members has been completed (Administrative)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Member benefit changes and clarifications for Pennsylvania commercial members (Products)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Updated UB-04 guide and CMS-1500 toolkit now available (Billing & Reimbursement)
  Posted: 10/30/2015 , Audience: P, F
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/30/2015 , Audience: P, F
- •
  Providers required to use self-service options on NaviNet^® (NaviNet)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  The AmeriHealth Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Reminder: Important billing information for modifiers 25 and –X{EPSU} and 59 (Billing & Reimbursement)
  Posted: 10/30/2015 , Audience: P
- •
  Standards for medical record documentation: When there is a consultation (Quality Management)
  Posted: 10/30/2015 , Audience: P
- •
  Help your patients stay healthy in mind, body, and spirit throughout the holiday season with SilverSneakers^® (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Reminder: Upcoming changes to drug precertification requirements for 2016 (Medical)
  Posted: 10/30/2015 , Audience: P
- •
  Appropriate use of vitamin D testing (Medical)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 10/30/2015 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 10/30/2015 , Audience: P, F, A
- •
  Coming soon: New Provider Automated System (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Upcoming Medicare Advantage HMO benefit changes (Products)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Reminder of recent changes to NaviNet^® (NaviNet)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  Reminder: Migration of AmeriHealth New Jersey commercial members (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  ICD-10: FAQ highlights (ICD-10)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  New Primary Health Coach model for AmeriHealth New Jersey commercial members (Health and Wellness)
  Posted: 10/1/2015 , Audience: P
- •
  Chronic care management for Medicare beneficiaries (Administrative)
  Posted: 10/1/2015 , Audience: P
- •
  Highlighting HEDIS^®: Breast cancer screening (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Carenet pilot program underway (Administrative)
  Posted: 10/1/2015 , Audience: P
- •
  Peer-to-peer reconsideration requests for Medicare Advantage members (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  AmeriHealth offers services to help patients communicate (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Reminder: Requirements for billing multiple services (Billing & Reimbursement)
  Posted: 10/1/2015 , Audience: P
- •
  AmeriHealth members rate their physician experience (Quality Management)
  Posted: 10/1/2015 , Audience: P
- •
  Upcoming changes to drug precertification requirements for 2016 (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  Direct Ship Drug Program updates (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  Upcoming changes to medical benefit specialty drug cost-sharing for 2016 (Medical)
  Posted: 10/1/2015 , Audience: P
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  AmeriHealth New Jersey introduces non-emergent outpatient radiation therapy precertification requirements (Medical)
  Posted: 10/1/2015 , Audience: P, F
- •
  Update your provider information with us (Administrative)
  Posted: 10/1/2015 , Audience: P, F, A
- •
  World Meeting of Families and Papal Visit – Public Health Preparedness Recommendations (Administrative)
  Posted: 9/22/2015 , Audience: P, F, A
- •
  ICD-10 Quick Tips: Updated guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 9/22/2015 , Audience: P, F, A
- •
  Preparing for the upcoming October 1, 2015, ICD-10 compliance date (ICD-10)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Migration of AmeriHealth New Jersey commercial members begins September 1, 2015 (Administrative)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Interpreting your PCP payments via EFT (Administrative)
  Posted: 9/1/2015 , Audience: P
- •
  Reminder: Medicare Advantage members must use designated site for capitated services (Administrative)
  Posted: 9/1/2015 , Audience: P
- •
  Changes coming in mid-September to NaviNet^® (NaviNet)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  An updated provider appeals form now available (Administrative)
  Posted: 9/1/2015 , Audience: P, F
- •
  Let's Go See initiative raises awareness of vision problems in children (Health and Wellness)
  Posted: 9/1/2015 , Audience: P
- •
  Medical Nutrition Therapy coverage for Medicare Advantage members (Billing & Reimbursement)
  Posted: 9/1/2015 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2015 (Billing & Reimbursement)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program approaches (Medical)
  Posted: 9/1/2015 , Audience: P, A
- •
  Chiropractic services policy update (Medical)
  Posted: 9/1/2015 , Audience: P
- •
  Reminder: Coverage for injectable drugs that reduce the risk of preterm birth (Medical)
  Posted: 9/1/2015 , Audience: P, F
- •
  View up-to-date policy activity on our Medical Policy Portal (Medical)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 9/1/2015 , Audience: P, F, A
- •
  Upcoming changes to claims processing requirements and enforcing these changes for AmeriHealth New Jersey members (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Updated CMS-1500 claim form resources now available (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, A
- •
  Reminder: Important billing information for modifier 25 and modifiers –X{EPSU} and 59 (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P
- •
  Highlighting HEDIS^®: Weight assessment and counseling for nutrition and physical activity for children/adolescents (Quality Management)
  Posted: 7/31/2015 , Audience: P
- •
  Use the full member ID number when billing for service (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Select standard fee schedules available on NaviNet^® (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  Discontinuation of postcard notification for Partners in Health Update^SM (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Guidelines for billing with taxonomy codes and use of NPI on claims (Billing & Reimbursement)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Reminder from AmeriHealth Administrators: Register on NaviNet^® (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Help your patients get healthy this summer with SilverSneakers^® (Health and Wellness)
  Posted: 7/31/2015 , Audience: P
- •
  ICD-10 is fast approaching – Are you ready? (ICD-10)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Re-issue of member ID cards for AmeriHealth New Jersey commercial members upon migration (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Reminder: Provider Automated System not available for migrated AmeriHealth New Jersey members (Administrative)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  Referring members for laboratory services (Administrative)
  Posted: 7/31/2015 , Audience: P
- •
  View up-to-date medical and claim payment policy activity on the Medical Policy Portal (Medical)
  Posted: 7/31/2015 , Audience: P, F, A
- •
  New behavioral health resources for collaboration and care (Health and Wellness)
  Posted: 7/31/2015 , Audience: P, F
- •
  AmeriHealth to roll out new and improved member portal (Administrative)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Osteoporosis management in women who had a fracture (Quality Management)
  Posted: 7/2/2015 , Audience: P
- •
  New mail-order facility for your patients with FutureScripts^® Secure coverage (Pharmacy)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Reminder: Upcoming changes to the medical and claim payment policy for AmeriHealth New Jersey members (Medical)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 7/2/2015 , Audience: P
- •
  Reminder of upcoming July NaviNet^® release (NaviNet)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Procedures for terminating a patient from a practice (Administrative)
  Posted: 7/2/2015 , Audience: P
- •
  New name – same great service (NJ only) (Administrative)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Medicare Advantage members must use designated site for capitated services (Administrative)
  Posted: 7/2/2015 , Audience: P
- •
  Get ready for the upcoming ICD-10 compliance date (ICD-10)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Claims processing requirements for PCPs rendering services to members in long-term care facilities (Billing & Reimbursement)
  Posted: 7/2/2015 , Audience: P, A
- •
  2015 AmeriHealth New Jersey Perinatal Guidelines now available (Health and Wellness)
  Posted: 7/2/2015 , Audience: P
- •
  Billing requirement for anesthesia claims (Billing & Reimbursement)
  Posted: 7/2/2015 , Audience: P
- •
  Reminder: Use –X{EPSU} modifiers to report separate, distinct, or independent non-E&M services on the same day (Medical)
  Posted: 7/2/2015 , Audience: P, F
- •
  View up-to-date medical and claim payment policy activity on the Medical Policy Portal (Medical)
  Posted: 7/2/2015 , Audience: P, F, A
- •
  Obtaining precertification for non-emergent radiation therapy services through NaviNet^® (Medical)
  Posted: 7/2/2015 , Audience: P, F
- •
  Appropriate use of Suboxone^® (Pharmacy)
  Posted: 6/1/2015 , Audience: P
- •
  Clarification: The AmeriHealth guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Upcoming changes to the enforcement of medical and claim payment policy for AmeriHealth New Jersey members (Medical)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Ensuring better drug coverage determination outcomes for you and your patients (Pharmacy)
  Posted: 6/1/2015 , Audience: P
- •
  Medical and claim payment policy activity posted from April 25 – May 22, 2015 (Medical)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Gender reassignment surgery claims for Medicare Advantage members (Medical)
  Posted: 6/1/2015 , Audience: P, F
- •
  New medical policy criteria for commercial members in treatment for osteoarthritis of the knee (Medical)
  Posted: 6/1/2015 , Audience: P
- •
  Updated InterQual^® guidelines for 2015 (Medical)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2015 (Billing & Reimbursement)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Reminder: Provider Automated System no longer available for migrated members (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Help prevent identity theft and insurance fraud (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  NaviNet functionality will apply to New Jersey commercial members upon migration to the new platform (NaviNet)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  New changes to NaviNet scheduled for July release (NaviNet)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Reminder: Transitioning outstanding Accounts Receivable balances to new platform (Billing & Reimbursement)
  Posted: 6/1/2015 , Audience: P, F
- •
  AmeriHealth New Jersey case managers offer extra support to members (Health and Wellness)
  Posted: 6/1/2015 , Audience: P
- •
  Coming soon: Easy to use online peer-to-peer request form (Administrative)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  SOR changes for migrated AmeriHealth New Jersey members (Billing & Reimbursement)
  Posted: 6/1/2015 , Audience: P, F, A
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (Health and Wellness)
  Posted: 6/1/2015 , Audience: P
- •
  CareCore's radiation therapy criteria now in effect (Medical)
  Posted: 5/1/2015 , Audience: P, F
- •
  The AmeriHealth guidelines for submitting authorizations and referrals (ICD-10)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from March 24 – April 24, 2015 (Medical)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Changes to the Direct Ship Injectables Program (Medical)
  Posted: 5/1/2015 , Audience: P
- •
  Suicide: A concern for all health care providers (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  AmeriHealth encourages medical and behavioral health providers to work together (Quality Management)
  Posted: 5/1/2015 , Audience: P, F
- •
  Report prescription drug or health care fraud (Administrative)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Well-child visits in the third, fourth, fifth, and sixth years of life (Quality Management)
  Posted: 5/1/2015 , Audience: P
- •
  Help your patients stay fit this spring with SilverSneakers^® (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Overpayments for certain Medicare Advantage members identified and corrected (Administrative)
  Posted: 5/1/2015 , Audience: P, A
- •
  Reminder: Important billing information for modifiers 25 and 59 (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Help your heart failure patients avoid hospital readmission (Health and Wellness)
  Posted: 5/1/2015 , Audience: P
- •
  Reminder: Billing requirements for billing multiple services (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P
- •
  Changes to NaviNet^® Referrals transaction coming in May (NaviNet)
  Posted: 5/1/2015 , Audience: P, F
- •
  Enforcing claims processing requirements (Billing & Reimbursement)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Provider Automated System no longer available for migrated members (Administrative)
  Posted: 5/1/2015 , Audience: P, F, A
- •
  Correction: Claim submission requirements when billing with place of service code 22 (Billing & Reimbursement)
  Posted: 4/1/2015 , Audience: P, A
- •
  NaviNet^® to provide direct access link to CareCore's provider portal (Medical)
  Posted: 4/1/2015 , Audience: P, F
- •
  Medical and claim payment policy activity posted from February 21 – March 23, 2015 (Medical)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Updated AmeriHealth Pennsylvania Provider Manual now available (Administrative)
  Posted: 4/1/2015 , Audience: P
- •
  Changing the way we do business for AmeriHealth New Jersey members (Administrative)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  User guides and webinar now available for recent NaviNet^® transaction changes (NaviNet)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  AmeriHealth Pennsylvania platform transition has been completed (Administrative)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  External testing update and tips for a successful conversion (ICD-10)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Updated process for submitting an overpayment/refund request (Billing & Reimbursement)
  Posted: 4/1/2015 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Well-child visits in the first 15 months of life (Quality Management)
  Posted: 4/1/2015 , Audience: P
- •
  Know your terms (Health and Wellness)
  Posted: 4/1/2015 , Audience: P
- •
  Billing procedures for credentialed Certified Registered Nurse Practitioners (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  New CAQH recredentialing process now in effect* (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from January 24 – February 20, 2015 (Medical)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Clarification: Injectable hyaluronate acid products being removed from the Direct Ship Injectables Program (Medical)
  Posted: 3/2/2015 , Audience: P
- •
  Non-emergent outpatient radiation therapy to be reviewed for medical necessity (Medical)
  Posted: 3/2/2015 , Audience: P, F
- •
  Changes coming to NaviNet^® in March (NaviNet)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Claim submission requirements when billing with place of service code 22 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F
- •
  Updated AmeriHealth New Jersey Provider Manual now available (Administrative)
  Posted: 3/2/2015 , Audience: P
- •
  Highlighting HEDIS^®: Appropriate testing for children with pharyngitis (Quality Management)
  Posted: 3/2/2015 , Audience: P
- •
  Important billing information for modifiers 25 and 59 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2015 (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  Stay informed during our transition to the new platform (Administrative)
  Posted: 3/2/2015 , Audience: P, F, A
- •
  POA indicator and properly filling out claims (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: F
- •
  Proper screening colonoscopy billing for Medicare Advantage members (Billing & Reimbursement)
  Posted: 3/2/2015 , Audience: P, F
- •
  Reminder: Changes to the CAQH recredentialing process* (Administrative)
  Posted: 1/30/2015 , Audience: P
- •
  Highlighting HEDIS^®: Pharmacotherapy management of COPD exacerbation (Quality Management)
  Posted: 1/30/2015 , Audience: P
- •
  New changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 1/30/2015 , Audience: P
- •
  Medical and claim payment policy activity posted from December 20, 2014 – January 23, 2015 (Medical)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Precertification and compliance monitoring for PAP machines and supplies (Medical)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 1/30/2015 , Audience: P
- •
  NaviNet^® changes delayed until March (NaviNet)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Help your Medicare Advantage patients get fit in 2015 (Health and Wellness)
  Posted: 1/30/2015 , Audience: P
- •
  Stay informed during our transition to the new platform (Administrative)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Updated time frame for processing PCP changes (Administrative)
  Posted: 1/30/2015 , Audience: P
- •
  Additional HIPPS code requirements for certain SNF claims/encounters (Billing & Reimbursement)
  Posted: 1/30/2015 , Audience: F, A
- •
  ICD-10: External testing with providers to resume in early 2015 (ICD-10)
  Posted: 1/30/2015 , Audience: P, F, A
- •
  Encourage pregnant patients to receive a seasonal flu vaccine (Health and Wellness)
  Posted: 1/21/2015 , Audience: P, F, A
Blue
2014 Updates
- •
  Reminder: AmeriHealth New Jersey introduces Community Advantage, adding two South Jersey hospitals (Administrative)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Modifier 25 required for reporting removal of impacted cerumen (Billing & Reimbursement)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  2014 Cumulative Index now available (Administrative)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Cervical cancer screening (Quality Management)
  Posted: 12/30/2014 , Audience: P
- •
  Updated payer ID grids available soon (Billing & Reimbursement)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  All AmeriHealth New Jersey Medicare Advantage HMO members migrated to the new platform (Administrative)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Changes coming in February 2015 to NaviNet^® (NaviNet)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Ensure patients know how to access care after office hours (Quality Management)
  Posted: 12/30/2014 , Audience: P
- •
  Upcoming changes to the CAQH recredentialing process (Administrative)
  Posted: 12/30/2014 , Audience: P
- •
  Medicare Advantage HMO policies now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  New codes for digital breast tomosynthesis (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Changes to the experimental/investigational services policies effective January 1, 2015 (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Download the latest precertification requirement list (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from November 21 – December 19, 2014 (Medical)
  Posted: 12/30/2014 , Audience: P, F, A
- •
  Injectable hyaluronate acid products being removed from the AmeriHealth Direct Ship Injectables Program (Medical)
  Posted: 12/30/2014 , Audience: P
- •
  Things to remember when prescribing narcotic therapy (Pharmacy)
  Posted: 12/30/2014 , Audience: P
- •
  Reminder: Precertification requirements for DME providers now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, A
- •
  Precertification requirement for non-emergent outpatient radiation therapy now in effect (Medical)
  Posted: 12/30/2014 , Audience: P, F
- •
  Highlighting HEDIS^®: Follow-up care for children prescribed ADHD medication (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  2014-2015 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  The AmeriHealth Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  2014-2015 Member Wellness Guidelines now available (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  Standards for medical record documentation (Quality Management)
  Posted: 12/1/2014 , Audience: P
- •
  AmeriHealth Medigap, our new Medicare supplement product (Products)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2015 (Billing & Reimbursement)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  How to initiate an AmeriHealth New Jersey provider appeal for commercial members (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Reminder: Check member eligibility at every visit (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Changes to Medicare Advantage Addendum effective January 1, 2015 (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  ICD-10: External testing with providers will resume in 2015 (ICD-10)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Transitioning outstanding Accounts Receivable balances to new platform (Billing & Reimbursement)
  Posted: 12/1/2014 , Audience: P, F
- •
  NaviNet^® changes scheduled for December 2014 and early 2015 (NaviNet)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Stay informed during our transition to a new platform (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Options available for your capitated outpatient laboratory provider (Administrative)
  Posted: 12/1/2014 , Audience: P
- •
  AmeriHealth New Jersey introduces Community Advantage, adding two South Jersey hospitals (Administrative)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Compound medication policy update (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Referring members for laboratory services (Administrative)
  Posted: 12/1/2014 , Audience: P
- •
  Upcoming policy on transcutaneous electrical nerve stimulators and associated supplies (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Presumptive and definitive drug testing (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Nasonex^® to be removed from Select Drug Program^® Formulary (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted October 25 – November 20, 2014 (Medical)
  Posted: 12/1/2014 , Audience: P, F, A
- •
  Reminder: Upcoming changes to precertification requirements for medical benefit drugs (Medical)
  Posted: 12/1/2014 , Audience: P
- •
  Important information on prescribed narcotic therapy (Pharmacy)
  Posted: 12/1/2014 , Audience: P
- •
  Reminder: Precertification requirements for DME providers go into effect January 1, 2015 (Medical)
  Posted: 12/1/2014 , Audience: A
- •
  Reminder: Precertification requirement for non-emergent outpatient radiation therapy starts January 1, 2015 (Medical)
  Posted: 12/1/2014 , Audience: P, F
- •
  AmeriHealth New Jersey introduces Community Advantage, adding two South Jersey hospitals (Administrative)
  Posted: 11/17/2014 , Audience: P, F, A
- •
  Our policy on direct and/or indirect third-party payments (Billing & Reimbursement)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  AmeriHealth offers services to help patients communicate (Administrative)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Network physicians could see an increased number of Medicare Advantage HMO members requesting services (Administrative)
  Posted: 10/31/2014 , Audience: P, F
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 10/31/2014 , Audience: P
- •
  Member benefit changes and clarifications for commercial members (Products)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Disease-modifying anti-rheumatic drug therapy for rheumatoid arthritis (Quality Management)
  Posted: 10/31/2014 , Audience: P
- •
  Select standard physician fee schedules available on NaviNet^® (PA and DE only) (Administrative)
  Posted: 10/31/2014 , Audience: P
- •
  What to expect if we request a credit balance report (Administrative)
  Posted: 10/31/2014 , Audience: F
- •
  Stay informed during our transition to a new platform (Administrative)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 10/31/2014 , Audience: P
- •
  AmeriHealth Administrators claims appeal form now available (Administrative)
  Posted: 10/31/2014 , Audience: P, F
- •
  Medical and claim payment policy activity posted from September 26 – October 24, 2014 (Medical)
  Posted: 10/31/2014 , Audience: P, F, A
- •
  Requesting prior authorization for direct ship oral medications (Pharmacy)
  Posted: 10/31/2014 , Audience: P
- •
  New smoking cessation resource available for PCPs (Health and Wellness)
  Posted: 10/31/2014 , Audience: P
- •
  An updated provider appeals form now available (Administrative)
  Posted: 10/1/2014 , Audience: P, F
- •
  Changes coming to out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  AmeriHealth New Jersey members will be migrated to the new platform (Administrative)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Changes to the QPM score program for measurement year 2014 (Quality Management)
  Posted: 10/1/2014 , Audience: P
- •
  Highlighting HEDIS^®: Use of imaging studies for low back pain (Quality Management)
  Posted: 10/1/2014 , Audience: P
- •
  Encourage members to exercise to help reduce their risk of falling (Health and Wellness)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming Medicare Advantage HMO benefits changes (Products)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  More changes coming in October to NaviNet^® (NaviNet)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Upcoming change to Multiple Procedure Payment Reduction guidelines for certain diagnostic services (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  New Medicare Advantage HMO policy notifications now available (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Recent changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Reminder: Receiving infliximab (Remicade^®) in cost-effective settings (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Upcoming changes to medical policies on spinal injections (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  Upcoming changes to precertification requirements (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from August 23 – September 25, 2014 (Medical)
  Posted: 10/1/2014 , Audience: P, F, A
- •
  New coverage criteria for repository corticotropin (H.P. Acthar^® Gel Injection) (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  Important news about the annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/1/2014 , Audience: P
- •
  New precertification requirements for DME providers (Medical)
  Posted: 10/1/2014 , Audience: A
- •
  Upcoming changes to precertification requirements for outpatient radiation therapy (Medical)
  Posted: 10/1/2014 , Audience: P, F
- •
  Medicare Advantage HMO policies and clinical relationship logic to undergo changes (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Persistence of beta-blocker treatment after a heart attack (Quality Management)
  Posted: 8/28/2014 , Audience: P
- •
  Highlighting HEDIS^®: Colorectal cancer screening (Quality Management)
  Posted: 8/28/2014 , Audience: P
- •
  Use of new CMS-1500 (02/12) claim form required (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P, A
- •
  Billing requirements for anesthesia claims (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  New QIO program contractor (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Reminder: Check member eligibility at every visit (Administrative)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  ICD-10 final rule released: October 1, 2015, is the new compliance deadline (ICD-10)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2014 (Billing & Reimbursement)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from July 26 – August 22, 2014 (Medical)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/28/2014 , Audience: P, F, A
- •
  Nexium^® to be removed from Select Drug Program^® Formulary (Pharmacy)
  Posted: 8/28/2014 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program approaches (Medical)
  Posted: 8/28/2014 , Audience: P
- •
  Our policy on locum tenens (Administrative)
  Posted: 7/31/2014 , Audience: P
- •
  Highlighting HEDIS^®: Controlling high blood pressure (Quality Management)
  Posted: 7/31/2014 , Audience: P
- •
  Highlighting HEDIS^®: Use of spirometry testing in the assessment and diagnosis of COPD (Quality Management)
  Posted: 7/31/2014 , Audience: P
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Ensure successful submission of CMS-1500 claim forms and an updated toolkit now available (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P, A
- •
  Upcoming changes to AmeriHealth post-service appeals and grievance processes (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 7/31/2014 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 7/31/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from June 25 – July 25, 2014 (Medical)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Additional changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 7/31/2014 , Audience: P
- •
  An updated Provider Manual now available for providers in Pennsylvania and Delaware (Administrative)
  Posted: 7/31/2014 , Audience: P
- •
  Reminder: 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Get up-to-date news and information at ourProvider News Center (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Coding guidelines for spinal fusion procedures (Billing & Reimbursement)
  Posted: 7/31/2014 , Audience: F
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  New information available on NaviNet^® this fall (NaviNet)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  Reminder: Upcoming changes to Medicare Advantage HMO policies and clinical relationship logic (Medical)
  Posted: 7/31/2014 , Audience: P, F, A
- •
  AmeriHealth New Jersey offers free mobile app (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Highlighting HEDIS^®: Avoidance of antibiotic treatment in adultswith AAB and appropriate treatment forchildren with URI (Quality Management)
  Posted: 7/1/2014 , Audience: P
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 7/1/2014 , Audience: P
- •
  Check member ID cards at every visit (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Help your patients to be active so they stay healthy (Health and Wellness)
  Posted: 7/1/2014 , Audience: P
- •
  HIPPS codes requirement for certain SNF and HHA claims/encounters (Billing & Reimbursement)
  Posted: 7/1/2014 , Audience: F, A
- •
  Referrals are required for specialty care for HMO/POS members (Administrative)
  Posted: 7/1/2014 , Audience: P
- •
  An updated Provider Manual now available for providers in New Jersey (Administrative)
  Posted: 7/1/2014 , Audience: P
- •
  Highlighting HEDIS^®: Adult BMI Assessment (Quality Management)
  Posted: 7/1/2014 , Audience: P
- •
  Cost-effective treatment options for infliximab (Remicade^®) (Medical)
  Posted: 7/1/2014 , Audience: P
- •
  Referring members for genetic testing (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Upcoming changes to Medicare Advantage policies and clinical relationship logic (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Revision to draft Medical Policy #02.01.01c: Home Health Care Services (Medical)
  Posted: 7/1/2014 , Audience: P, A
- •
  Medical and claim payment policy activity posted from May 26 – June 24, 2014 (Medical)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Request your office supplies online (Administrative)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  Changes to NaviNet^® coming in July and October (NaviNet)
  Posted: 7/1/2014 , Audience: P, F, A
- •
  New alcohol screening resource available for PCPs (Health and Wellness)
  Posted: 7/1/2014 , Audience: P
- •
  Electronic claim resubmission requirements (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from April 26 – May 25, 2014 (Medical)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Interpreting your PCP payments via EFT (NaviNet)
  Posted: 5/30/2014 , Audience: P
- •
  Upcoming changes to billing requirements (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2014 (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  New Primary Health Coach model for AmeriHealth New Jersey Medicare Advantage HMO members (Health and Wellness)
  Posted: 5/30/2014 , Audience: P
- •
  Introducing Highlighting HEDIS^® (Quality Management)
  Posted: 5/30/2014 , Audience: P
- •
  Reminder: 90-day grace period for APTC members (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members (Administrative)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (Administrative)
  Posted: 5/30/2014 , Audience: P, F
- •
  Guidelines for billing with taxonomy codes (Billing & Reimbursement)
  Posted: 5/30/2014 , Audience: P, F, A
- •
  Policy updates regarding face-to-face encounter requirements (Medical)
  Posted: 5/1/2014 , Audience: P, A
- •
  Changes to our ePASS^® incentive opportunity for professional providers (Medical)
  Posted: 5/1/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from March 26 – April 25, 2014 (Medical)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Changes to our precertification process for outpatient echocardiography services now in effect (Medical)
  Posted: 5/1/2014 , Audience: P, F
- •
  May is Mental Health Awareness Month (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Encourage patients to personalize their fitness plan (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Tips for submitting claims using the new CMS-1500 (02/12) claim form (Billing & Reimbursement)
  Posted: 5/1/2014 , Audience: P, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 5/1/2014 , Audience: P
- •
  CFID fights fraud, waste, and abuse (Administrative)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Coming soon: 2014 PCP satisfaction survey (NJ only) (Quality Management)
  Posted: 5/1/2014 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  PCP satisfaction with information received from organizational providers and specialists (NJ only) (Quality Management)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Conversion to ICD-10 delayed at least one year (ICD-10)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 5/1/2014 , Audience: P
- •
  Reminder: Use payer ID grids for claims submission (Billing & Reimbursement)
  Posted: 5/1/2014 , Audience: P, F, A
- •
  Medical policy changes for rheumatoid arthritis drugs for commercial members (Medical)
  Posted: 3/31/2014 , Audience: P
- •
  Medical and claim payment policy activity posted from February 26 – March 25, 2014 (Medical)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Certified Registered Nurse Practitioners may apply for credentialing for our PCP network (NJ only) (Credentialing)
  Posted: 3/31/2014 , Audience: P
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 3/31/2014 , Audience: P
- •
  Visit the Provider News Center (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Clinical Alerts, Clinical Care Reports, and the APTC indicator available this month on NaviNet (NaviNet)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Use of new CMS-1500 (02/12) claim form now required (Billing & Reimbursement)
  Posted: 3/31/2014 , Audience: P, A
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members began January 1, 2014 (Administrative)
  Posted: 3/31/2014 , Audience: P, F, A
- •
  Positive changes to the AmeriHealth standard fee schedule for certain professional providers (PA and DE only) (Billing & Reimbursement)
  Posted: 3/31/2014 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Generic drugs available for the treatment of osteoporosis (Pharmacy)
  Posted: 2/28/2014 , Audience: P
- •
  Documentation requirements for DME services (Medical)
  Posted: 2/28/2014 , Audience: P, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Medical and claim payment policy activity posted from January 26 – February 25, 2014 (Medical)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Key changes to CMS-1500 claim form and updated toolkit now available (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, A
- •
  Reminder: 90-day grace period now in effect (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Request your office supplies online (Administrative)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 2/28/2014 , Audience: P
- •
  Encourage your patients to be active to stay healthy (Health and Wellness)
  Posted: 2/28/2014 , Audience: P
- •
  Reminder: Use a valid NPI for all claims (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2014 (Billing & Reimbursement)
  Posted: 2/28/2014 , Audience: P, F, A
- •
  Change of mailing address for appeals (Administrative)
  Posted: 2/28/2014 , Audience: P, F
- •
  Additional information now available for medical and claim payment policies (Medical)
  Posted: 2/26/2014 , Audience: P, F, A
- •
  Risk adjustment: Why improving coding accuracy matters more now (Administrative)
  Posted: 1/31/2014 , Audience: P, F
- •
  Specialists needed to assist in developing medical policies (Medical)
  Posted: 1/31/2014 , Audience: P
- •
  Medical and claim payment policy activity posted as of January 25, 2014 (Medical)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Upcoming changes to our precertification process for outpatient echocardiography services (Medical)
  Posted: 1/31/2014 , Audience: P, F
- •
  Reminder: Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2014 (Administrative)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Stay informed as we migrate AmeriHealth Pennsylvania members to the new platform (Administrative)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  90-day Grace Period now in effect (Billing & Reimbursement)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Case management: Helping you care for your patients (Health and Wellness)
  Posted: 1/31/2014 , Audience: P
- •
  Recent NaviNet changes and new user guides/webinars available (NaviNet)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 1/31/2014 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps ^® (Health and Wellness)
  Posted: 1/31/2014 , Audience: P
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 1/31/2014 , Audience: P, F, A
- •
  New guides available for Provider EOB and Provider Remittance (Administrative)
  Posted: 1/30/2014 , Audience: P, F, A
- •
  Certified Registered Nurse Practitioners may apply for credentialing for our PCP network (PA and DE only) (Administrative)
  Posted: 1/9/2014 , Audience: P
- •
  Prescription drug benefits overview for AmeriHealth 65^® Preferred Rx HMO and AmeriHealth Rx PDP members (Pharmacy)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Policy notifications posted as of December 30, 2013 (Medical)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Download the latest precertification requirement list (Medical)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Updated policy for interstitial continuous glucose monitoring systems (Medical)
  Posted: 1/9/2014 , Audience: P, A
- •
  AmeriHealth Direct POS: Offering members more direct access to participating specialists (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  2013 Cumulative Index now available (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Important information about Medicare-eligible members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Correction to October 2013 coding exercises (ICD-10)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  New article series to help providers prepare for October 2014 ICD-10 deadline (ICD-10)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Changes to 835 transactions for migrated AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  SOR changes for migrated AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Use a valid NPI for all claims (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Provider Automated System not available formigrated AmeriHealth Pennsylvania members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  AmeriHealth New Jersey and Health Care Reform (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Update on our system and process changes (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Re-issue of member ID cards for migrated members (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (Health and Wellness)
  Posted: 1/9/2014 , Audience: P
- •
  Cervical cancer screening guidelines (Quality Management)
  Posted: 1/9/2014 , Audience: P
- •
  Reminder: Contraceptive coverage update for religious organizations (Administrative)
  Posted: 1/9/2014 , Audience: P
- •
  Medicare Advantage HMO benefit changes now in effect (Products)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Discuss routine preventive immunizations with your patients at their wellness visits (Health and Wellness)
  Posted: 1/9/2014 , Audience: P
- •
  Out-of-pocket maximums for commercial HMO, POS, and PPO members beginning January 1, 2014 (Administrative)
  Posted: 1/9/2014 , Audience: P, F, A
- •
  Reminder: Enforcement of industry standards related to platform transition (Billing & Reimbursement)
  Posted: 1/3/2014 , Audience: P, F, A
- •
  Reminder: Verify member cost-sharing at the time of service (Administrative)
  Posted: 1/3/2014 , Audience: P, F, A
- •
  Reminder: Provider Automated System not available for migrated AmeriHealth Pennsylvania members (Administrative)
  Posted: 1/3/2014 , Audience: P, F, A
Blue
2013 Updates
- •
  New NaviNet functionality for ePayment, Cap Rosters, and other transactions (NaviNet)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  AmeriHealth New Jersey products available both on and off the Health Insurance Marketplace (Products)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Standards for medical record documentation (Quality Management)
  Posted: 12/2/2013 , Audience: P
- •
  New payment option for migrated AmeriHealth Pennsylvania members with spending accounts (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  AmeriHealth services help patients communicate (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Medically Unlikely Edits now applied to professional and facility claims for AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2014 (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Upcoming changes to the measures for the QPM score program — measurement year 2014 (NJ and DE only) (Quality Management)
  Posted: 12/2/2013 , Audience: P
- •
  Help your older adult patients understand the connections among depression, sleep, and exercise (Health and Wellness)
  Posted: 12/2/2013 , Audience: P
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Verify member cost-sharing at the time of service (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Contraceptive coverage update for religious organizations (Administrative)
  Posted: 12/2/2013 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Coverage for certain surgical procedures (Medical)
  Posted: 12/2/2013 , Audience: P, F
- •
  Policy notifications posted as of November 25, 2013 (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Reminder: Updates to precertification requirements effective January 1, 2014 (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Coverage for injectable drugs that reduce the risk of preterm birth (Medical)
  Posted: 12/2/2013 , Audience: P
- •
  Changes to sleep study precertification requirements for Medicare Advantage HMO members (Medical)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Enforcement of industry standards related to platform transition (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Revised time line for new CMS-1500 (02/12) claim form (Billing & Reimbursement)
  Posted: 12/2/2013 , Audience: P
- •
  Provider Automated System not available for migrated AmeriHealth Pennsylvania members (Administrative)
  Posted: 12/2/2013 , Audience: P, F, A
- •
  Updated: Referral submission and inquiry capability (Business Transformation)
  Posted: 11/20/2013 , Audience: P, F, A
- •
  Updated: Important information regarding Authorization Submission and Inquiry (NaviNet)
  Posted: 11/6/2013 , Audience: P, F, A
- •
  Updated: Important information regarding the Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 11/5/2013 , Audience: P, F, A
- •
  Important information regarding Medical/Surgical and Chemotherapy/Infusion Authorization requests (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Important information regarding the Eligibility and Benefits Inquiry transaction (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Updated: Important information regarding updates to referral submission and inquiry capability (Please read entire message) (NaviNet)
  Posted: 11/4/2013 , Audience: P, F, A
- •
  Updated: Important information regarding updates to referral submission and inquiry capability (NaviNet)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Member benefits changes and clarifications for commercial members (PA only) (Products)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  New NaviNet^® transaction for EOB and Remittance Inquiry and other changes coming soon (NaviNet)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Updates to our AmeriHealth Healthy Lifestyles^SM programs for AmeriHealth Pennsylvania members (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  Reminder: Changes to the Provider Automated System (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  2013-2014 Clinical Practice Guideline Summary now available (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  Recent updates to our Provider and Hospital Manuals (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  AmeriHealth members can save up to $650 on cord blood collection and storage (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (NJ only) (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 11/1/2013 , Audience: P
- •
  2013-2014 Member Wellness Guidelines now available (Quality Management)
  Posted: 11/1/2013 , Audience: P
- •
  Visit the Provider News Center (Administrative)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Policy notifications posted as of October 30, 2013 (Medical)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  BriovaRx^TM selected as exclusive specialty pharmacy provider for prescription drug benefit (Medical)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  AmeriHealth New Jersey products available both on and off the Health Insurance Marketplace (Products)
  Posted: 11/1/2013 , Audience: P, F, A
- •
  Updated: Important information regarding the referral transaction on NaviNet^® (NaviNet)
  Posted: 10/30/2013 , Audience: P, F, A
- •
  Important information regarding the referral transaction on NaviNet^® (NaviNet)
  Posted: 10/29/2013 , Audience: P, F, A
- •
  New user guide and webinar available for referral transactions (Business Transformation)
  Posted: 10/23/2013 , Audience: P, F, A
- •
  NaviNet^® transactions changes now implemented (NaviNet)
  Posted: 10/14/2013 , Audience: P, A
- •
  Delayed: NaviNet^® transactions changes (NaviNet)
  Posted: 10/7/2013 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (PA only) (Health and Wellness)
  Posted: 10/2/2013 , Audience: P
- •
  Changes to NaviNet authorization and referral transactions coming this month (NaviNet)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  New member ID cards and submitting claims for migrated AmeriHealth Pennsylvania members (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Upcoming changes to claims submissions (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: P, F
- •
  Help your Medicare Advantage HMO patients prepare for a hospital discharge (Health and Wellness)
  Posted: 10/2/2013 , Audience: P, F
- •
  Upcoming Medicare Advantage HMO benefits changes (NJ only) (Products)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Important reminder: ER follow-up care (NJ only) (Administrative)
  Posted: 10/2/2013 , Audience: F
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Electronic submission of clinical information for procedures that require precertification (Administrative)
  Posted: 10/2/2013 , Audience: P
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Specialty focus: Immune Deficiencies and Disorders) (ICD-10)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Policy notifications posted as of September 27, 2013 (Medical)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  New policy on reimbursement for radiology services (NJ only) (Medical)
  Posted: 10/2/2013 , Audience: P, F
- •
  Updates to precertification requirements effective January 1, 2014 (Medical)
  Posted: 10/2/2013 , Audience: P, F, A
- •
  Changes to medical policy for self-injectable drugs (Medical)
  Posted: 10/2/2013 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 10/2/2013 , Audience: P
- •
  Updated CMS-1500 claim form effective January 6, 2014 (Billing & Reimbursement)
  Posted: 10/2/2013 , Audience: P
- •
  The AmeriHealth New Jersey Perinatal Guideline is available online (Quality Management)
  Posted: 10/2/2013 , Audience: P
- •
  A series of new webinars and user guides are available to help your office prepare for ongoing NaviNet changes (NaviNet)
  Posted: 9/26/2013 , Audience: P, F, A
- •
  Review new user guides for September 27, 2013 transaction changes (NaviNet)
  Posted: 9/20/2013 , Audience: P, F, A
- •
  Reminder: Changes to the Provider Automated System (Administrative)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  New NaviNet^® user guides available soon (NaviNet)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (ICD-10)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Customer Service phone number change for AmeriHealth New Jersey (Administrative)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Fractures are high-risk indicators for future fractures (Health and Wellness)
  Posted: 8/29/2013 , Audience: P
- •
  Improve your patients' well-being with SilverSneakers^® (Health and Wellness)
  Posted: 8/29/2013 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2013 (Billing & Reimbursement)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Bill Type 33X to be discontinued (Billing & Reimbursement)
  Posted: 8/29/2013 , Audience: A
- •
  Provide Medicare Advantage HMO members notice of noncovered/excluded services and member payment responsibility (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Policy notifications posted as of August 29, 2013 (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Reminder: ProAir^® HFA to become the only preferred brand of rescue inhaler for commercial members (Pharmacy)
  Posted: 8/29/2013 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 8/29/2013 , Audience: P
- •
  Changes to sleep study precertification requirements now in effect (Medical)
  Posted: 8/29/2013 , Audience: P, F, A
- •
  Coverage of Influenza Vaccine for 2013-2014 (Medical)
  Posted: 8/13/2013 , Audience: P, F, A
- •
  Changing the way we do business for AmeriHealth Pennsylvania members (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  ProAir HFA to become the only preferred brand of rescue inhaler for commercial members (Pharmacy)
  Posted: 8/1/2013 , Audience: P
- •
  Policy notifications posted as of July 31, 2013 (Medical)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Upcoming changes to the enforcement of medical and claim payment policy for AmeriHealth Pennsylvania members (Medical)
  Posted: 8/1/2013 , Audience: P, A
- •
  Changes to the Provider Automated System (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #8) (ICD-10)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Identifying services that require preapproval/precertification (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Upcoming NaviNet^® transaction changes (NaviNet)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Discuss overactive bladder with your older adult patients (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (NJ only) (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Visit the Provider News Center (Administrative)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  Discounts on cord blood collection and storage (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Encourage pregnant AmeriHealth members to register for Baby FootSteps^® (Health and Wellness)
  Posted: 8/1/2013 , Audience: P
- •
  Important information regarding the AmeriHealth New Jersey Value Network (Products)
  Posted: 8/1/2013 , Audience: P, F, A
- •
  New dedicated site for upcoming system and process changes (Administrative)
  Posted: 7/19/2013 , Audience: P, F, A
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Policy notifications posted as of June 28, 2013 (Medical)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Reminder: An incentive opportunity for professional providers (NJ only) (Medical)
  Posted: 7/1/2013 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Medical)
  Posted: 7/1/2013 , Audience: P
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #7) (ICD-10)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Updated policy for intraoperative neurophysiological monitoring (Medical)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  No referrals required for AmeriHealth New Jersey HMO Plus and POS Plus members (Administrative)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Stay tuned: Upcoming NaviNet^® changes (NaviNet)
  Posted: 7/1/2013 , Audience: P, F, A
- •
  Health Coaches: Supporting your patients, our members (PA only) (Health and Wellness)
  Posted: 7/1/2013 , Audience: P
- •
  A revised Hospital Manual is now available (Administrative)
  Posted: 6/14/2013 , Audience: F, A
- •
  Transitional care management services (Medical)
  Posted: 6/7/2013 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  ACEI/ARB therapy benefits for hypertensive patients who have diabetes (Medical)
  Posted: 5/31/2013 , Audience: P
- •
  An incentive opportunity for professional providers (NJ Only) (Medical)
  Posted: 5/31/2013 , Audience: P
- •
  CMS requires an individual NPI on all prescriptions for members covered under Medicare Part D (Pharmacy)
  Posted: 5/31/2013 , Audience: P
- •
  Policy notifications as of May 29, 2013 (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Change to anesthesia claims policy (Medical)
  Posted: 5/31/2013 , Audience: P, F
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #6) (ICD-10)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2013 (Medical)
  Posted: 5/31/2013 , Audience: P, F
- •
  Upcoming changes to our medical policy on sleep disorder testing (Medical)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Encourage preventive care with the SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 5/31/2013 , Audience: P
- •
  Urgent care centers and retail health clinics are alternatives to the ER when physicians are unavailable (PA only) (Administrative)
  Posted: 5/31/2013 , Audience: P, F
- •
  ZIP code requirement for all ambulance service claims (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: A
- •
  Retirement of three NaviNet^® transactions (NaviNet)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Verify member cost-sharing at the time of service (Administrative)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2013 (Billing & Reimbursement)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (NaviNet)
  Posted: 5/31/2013 , Audience: P, F, A
- •
  New X12 Gateway Transition and NaviNet^® Transaction Changes sections added to the Provider News Center (Billing & Reimbursement)
  Posted: 5/13/2013 , Audience: P, F, A
- •
  Updated policy for artificial intervertebral disc insertion (Medical)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  No member cost-sharing for breast pumps (Medical)
  Posted: 5/1/2013 , Audience: P, A
- •
  In-home assessments of high-risk members (Medical)
  Posted: 5/1/2013 , Audience: P, F
- •
  Policy notifications posted as of April 26, 2013 (Medical)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Changes to preferred products to treat osteoarthritis of the knee (Medical)
  Posted: 5/1/2013 , Audience: P
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #5) (ICD-10)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  An overview of the AmeriHealth Provider News Center (Administrative)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Enrollment changes for Baby FootSteps^® to begin this month (Administrative)
  Posted: 5/1/2013 , Audience: P, F
- •
  May is Mental Health Awareness month (Health and Wellness)
  Posted: 5/1/2013 , Audience: P
- •
  PCP satisfaction with information received from organizational providers and specialists (NJ only) (Quality Management)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  AmeriHealth New Jersey launches new 51+ EPO product (Products)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  AmeriHealth New Jersey and Cooper University Health Care partner to transform health care (Administrative)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  NaviNet^® Claim INFO Adjustment requirement now in effect (NaviNet)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  Upcoming changes to NaviNet (NaviNet)
  Posted: 5/1/2013 , Audience: P, F, A
- •
  New Primary Health Coach model for Pennsylvania members (Health and Wellness)
  Posted: 5/1/2013 , Audience: P
- •
  An updated Hospital Manual coming soon (NJ only) (Administrative)
  Posted: 5/1/2013 , Audience: F, A
- •
  Last day to submit IMPQs is Friday, May 3 (Administrative)
  Posted: 4/29/2013 , Audience: P
- •
  An updated Provider Manual now available (Administrative)
  Posted: 4/19/2013 , Audience: P
- •
  Orthovisc^® replaces Euflexxa^® as one of three preferred products to treat osteoarthritis of the knee (Pharmacy)
  Posted: 4/18/2013 , Audience: P
- •
  New fax form for procedure code update requests (NaviNet)
  Posted: 4/18/2013 , Audience: P, F, A
- •
  Policy notifications posted as of March 28, 2013 (Medical)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  ICD-10 codes now available in medical and claim payment policies (ICD-10)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #4) (ICD-10)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Enrollment changes for Baby FootSteps^® (Administrative)
  Posted: 3/28/2013 , Audience: P, F
- •
  Upcoming transition to a Primary Health Coach model for Pennsylvania members (Health and Wellness)
  Posted: 3/28/2013 , Audience: P
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Clinical Practice Guidelines study results for diabetic and cardiac services (NJ only) (Quality Management)
  Posted: 3/28/2013 , Audience: P
- •
  NaviNet^® registration requirement now in effect (NaviNet)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Reminder: NaviNet^® Claim INFO Adjustment requirement (NaviNet)
  Posted: 3/28/2013 , Audience: P, F, A
- •
  Help Medicare-eligible patients prevent diabetes with SilverSneakers^® (Health and Wellness)
  Posted: 3/28/2013 , Audience: P
- •
  Voluntary recall of all lots of OMONTYS^® (peginesatide) Injection (Pharmacy)
  Posted: 3/7/2013 , Audience: P, F, A
- •
  Important information regarding NaviNet^® requirements (NaviNet)
  Posted: 3/6/2013 , Audience: P, F, A
- •
  Policy notifications posted as of February 28, 2013 (Medical)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Upcoming changes to our home oxygen therapy policy (Medical)
  Posted: 3/1/2013 , Audience: P, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #3) (ICD-10)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Reminder: Upcoming NaviNet^® requirements (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Updated payer ID grids now available (Billing & Reimbursement)
  Posted: 3/1/2013 , Audience: P, F
- •
  Upcoming process change for the review of emergency admissions (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  AmeriHealth New Jersey to introduce a new EPO product for individuals (Products)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  NaviNet^® Claim INFO Adjustment requirement (NaviNet)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Encourage members to receive colorectal cancer screenings (Health and Wellness)
  Posted: 3/1/2013 , Audience: P
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  2013 medical chart reviews (Administrative)
  Posted: 3/1/2013 , Audience: P, F
- •
  Changes to billing procedures for nutrition counseling are now in effect (Billing & Reimbursement)
  Posted: 3/1/2013 , Audience: P
- •
  New AmeriHealth Administrators mailing address (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  An updated Provider Manual coming soon (Administrative)
  Posted: 3/1/2013 , Audience: P
- •
  Complete your compliance training for Medicare programs (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Investigations and audits help reduce health care fraud, waste, and abuse (NJ only) (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  New network of vision care providers available for AmeriHealth members (Administrative)
  Posted: 3/1/2013 , Audience: P, F, A
- •
  Policy notifications posted as of January 29, 2013 (Medical)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #2) (ICD-10)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Behavioral health resources available on our website (Health and Wellness)
  Posted: 2/1/2013 , Audience: P
- •
  Visit the Provider News Center (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Upcoming NaviNet^® requirements (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  AmeriHealth Administrators Gateway transition (Billing & Reimbursement)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  AmeriHealth Gateway transition (Billing & Reimbursement)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 2/1/2013 , Audience: P, F, A
- •
  Your patients can be heart smart with the SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 2/1/2013 , Audience: P
- •
  Reminder: Nutrition counseling in a group setting not eligible for payment (Billing & Reimbursement)
  Posted: 2/1/2013 , Audience: P
- •
  Discuss routine preventive immunizations with your patients at their wellness visits (Health and Wellness)
  Posted: 1/28/2013 , Audience: P
Blue
2012 Updates
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  Updated QPM Program Manual for providers in Delaware now available (Administrative)
  Posted: 12/28/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 12/28/2012 , Audience: P
- •
  New policy for athletic pubalgia effective March 5, 2013 (Medical)
  Posted: 12/28/2012 , Audience: P, F
- •
  Mandated coverage for orally administered anticancer medications prescribed to AmeriHealth New Jersey members (Medical)
  Posted: 12/28/2012 , Audience: P
- •
  New prior authorization requirements for AmeriHealth 65^® NJ HMO and AmeriHealth 65^® Preferred HMO members now in effect (Medical)
  Posted: 12/28/2012 , Audience: P, F
- •
  Policy notifications posted as of December 21, 2012 (Medical)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  Putting ICD-10 into Practice: Coding exercises and scenarios (Exercise/Scenario #1) (ICD-10)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  2012 Cumulative Index now available (Administrative)
  Posted: 12/28/2012 , Audience: P, F, A
- •
  Now available: The December 2012 edition of Partners in Health Update (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Changes to Continuity of Care request form submissions (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  2012-2013 Clinical Practice Guideline Summary now available (Health and Wellness)
  Posted: 11/30/2012 , Audience: P
- •
  Our Quality Management Program promotes quality of care and service (Quality Management)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet (NaviNet)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2013 (Billing & Reimbursement)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Resolution solution: The SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 11/30/2012 , Audience: P, F
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 11/30/2012 , Audience: P
- •
  Significant changes in 2013 to CPT^® codes for behavioral health services (Administrative)
  Posted: 11/30/2012 , Audience: P
- •
  Reminder: Coverage change for Plan B One-Step^® (Levonorgestrel, Next Choice^®) (Medical)
  Posted: 11/30/2012 , Audience: P, A
- •
  Health care reform: Expansion of 100 percent coverage for women’s preventive health services (Medical)
  Posted: 11/30/2012 , Audience: P
- •
  Prescription drug updates (Pharmacy)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Policy notifications posted as of November 30, 2012 (Medical)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Changes to growth hormone prescribing procedures (Pharmacy)
  Posted: 11/30/2012 , Audience: P
- •
  Updated policy for Never Events and Preventable Adverse Events (Medical)
  Posted: 11/30/2012 , Audience: P, F
- •
  Reminder: New prior authorization requirements for AmeriHealth 65^® NJ HMO and AmeriHealth 65^® Preferred HMO members effective January 1, 2013 (Medical)
  Posted: 11/30/2012 , Audience: P, F
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Mental and Behavioral Disorders) (ICD-10)
  Posted: 11/30/2012 , Audience: P, F, A
- •
  Nutrition counseling not eligible for payment in group setting (Billing & Reimbursement)
  Posted: 11/30/2012 , Audience: P
- •
  Benefits changes and clarifications for commercial members (Products)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Cost-sharing for sleep disorder testing (sleep studies) (Administrative)
  Posted: 11/1/2012 , Audience: F
- •
  Reminder: Introducing AmeriHealth 65^® Preferred HMO (Products)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 11/1/2012 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Medical)
  Posted: 11/1/2012 , Audience: P
- •
  Policy notifications posted as of October 26, 2012 (Medical)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  Vaccination coverage for Medicare Advantage HMO members (Medical)
  Posted: 11/1/2012 , Audience: P
- •
  Mandated coverage for autism spectrum disorders (Medical)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Coding Convention/Guideline: Excludes1 and Excludes2, and Borderline Diagnosis Codes) (ICD-10)
  Posted: 11/1/2012 , Audience: P, F, A
- •
  October is Breast Cancer Awareness Month (Health and Wellness)
  Posted: 10/10/2012 , Audience: P, F, A
- •
  Members encouraged to get whooping cough vaccine to combat rising rates (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Medicare Part D prescriber prescription verification requests (NJ only) (Administrative)
  Posted: 9/28/2012 , Audience: P
- •
  Seasonal flu vaccine recommendations (Health and Wellness)
  Posted: 9/28/2012 , Audience: P
- •
  Important change for the coverage of Adderall XR^® (Pharmacy)
  Posted: 9/28/2012 , Audience: P
- •
  Policy notifications posted as of September 21, 2012 (Medical)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Coverage change for Plan B One Step^® (Levonorgestrel, Next Choice^®) (Medical)
  Posted: 9/28/2012 , Audience: P, A
- •
  New prior authorization requirements for AmeriHealth 65^® NJ HMO and AmeriHealth 65^® Preferred HMO members effective January 1, 2013 (Medical)
  Posted: 9/28/2012 , Audience: P
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  HHS announces new ICD-10 compliance date of October 1, 2014 (ICD-10)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions) (ICD-10)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  Introducing AmeriHealth 65^® Preferred HMO (Products)
  Posted: 9/28/2012 , Audience: P, F, A
- •
  HHS announces new ICD-10 compliance date of October 1, 2014 (ICD-10)
  Posted: 9/5/2012 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Connections^SM Program Provider Satisfaction Survey now available (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2012 (Billing & Reimbursement)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  The Connections^SM Health Management Program 2012 Annual Update is now available (Health and Wellness)
  Posted: 8/31/2012 , Audience: P
- •
  Policy notifications posted as of August 31, 2012 (Medical)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 8/31/2012 , Audience: P
- •
  Updated AIM clinical guidelines (Medical)
  Posted: 8/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (ICD-10 distinction between burns and corrosions) (ICD-10)
  Posted: 8/31/2012 , Audience: P, F, A
- •
  An updated Provider Manual now available (Administrative)
  Posted: 8/30/2012 , Audience: P
- •
  Coverage of Influenza Vaccine for 2012-2013 (Medical)
  Posted: 8/13/2012 , Audience: P, F, A
- •
  Upcoming changes to the AIM Clinical Guidelines (Medical)
  Posted: 8/3/2012 , Audience: P
- •
  Temporary issue affecting batch eligibility and benefits information (NaviNet)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Retrospective chart review program (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  Performing EGD and colonoscopy procedures on the same day (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  Policy notifications posted as of July 25, 2012 (Medical)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Introducing the Connections^SM Provider Portal (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Upcoming CFID provider audits (Administrative)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Encourage your older adult patients to get moving (Health and Wellness)
  Posted: 7/31/2012 , Audience: P
- •
  Update your provider information with us (Administrative)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  New initiative promotes the use of generic drugs (Medical)
  Posted: 7/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (Clinical terminology in ICD-10) (ICD-10)
  Posted: 7/31/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Drug underdosing) (ICD-10 & HIPAA 5010)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Choosing a safe, cost-effective setting for injectable and infusion therapy drugs (Medical)
  Posted: 6/29/2012 , Audience: P
- •
  Policy notifications posted as of June 22, 2012 (Medical)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Update your provider information with us (Administrative)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  The process of requesting retrospective reviews for inpatient stays (Administrative)
  Posted: 6/29/2012 , Audience: F
- •
  Member cost-sharing for urgent care benefit (PA only) (Administrative)
  Posted: 6/29/2012 , Audience: P, F, A
- •
  Health care reform: Expansion of 100 percent coverage for women’s preventive health services (Medical & Pharmacy)
  Posted: 6/29/2012 , Audience: P
- •
  Exercise: A key to fall prevention (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  Enhanced outreach program for Medicare Advantage HMO members (Administrative)
  Posted: 6/29/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Administrative)
  Posted: 6/29/2012 , Audience: P, A
- •
  Choosing Wisely^®: A new initiative that promotes smart and effective care choices (Health and Wellness)
  Posted: 6/29/2012 , Audience: P
- •
  Welcome to the Provider News Center (Administrative)
  Posted: 6/14/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Policy notifications posted as of May 21, 2012 (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Changes to approved drug dose, frequency, or regimen must be resubmitted for precertification (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Upcoming precertification requirement changes for most commercial AmeriHealth New Jersey members (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Updated InterQual^® guidelines for 2012 (Medical)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet^® (NaviNet)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective July 1, 2012 (Billing & Reimbursement)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Highlights of the June 2012 release of the SMART^® Registry from the Connections^SM Program (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Emergency room follow-up care reminder (PA and DE only) (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Reminder: New radiology transparency program for AmeriHealth New Jersey members effective June 1, 2012 (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Counseling older adult patients about fall prevention (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Request your office supplies through the Provider Supply Line (Administrative)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Prescribing medications for your older adult patients (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  Introducing Commit2Wellness^SM Rewards (NJ only) (Health and Wellness)
  Posted: 5/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care for fractures) (ICD-10)
  Posted: 5/31/2012 , Audience: P, F, A
- •
  Precertification no longer needed for certain mental health and substance abuse services for AmeriHealth New Jersey members (Medical)
  Posted: 5/1/2012 , Audience: P, F
- •
  Policy notifications posted as of April 23, 2012 (Medical)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Program for brand Lipitor^® ends as of June 1, 2012 (Pharmacy)
  Posted: 5/1/2012 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 5/1/2012 , Audience: P
- •
  AmeriHealth Administrators offers freeelectronic claims payments and remittanceswith Integrated ERA/EFT™ (Administrative)
  Posted: 5/1/2012 , Audience: P, F
- •
  Update your provider information with us (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Information and resources for your Medicare-eligible patients (Products)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  AIM changes its company name (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Encourage your older adult patients to take a walk (Health and Wellness)
  Posted: 5/1/2012 , Audience: P
- •
  Emergency hospital admission notification submission changes for AmeriHealth Administrators (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Register pregnant AmeriHealth members for Baby FootSteps^® to ensure early outreach (Administrative)
  Posted: 5/1/2012 , Audience: P
- •
  AmeriHealth New Jersey’s stance on the treatment of family members (Administrative)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Professional fee schedule changes effective July 1, 2012 (PA and DE only) (Billing & Reimbursement)
  Posted: 5/1/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (7^th character extension for episode of care) (ICD-10)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  ICD-10 implementation update: AmeriHealth continues to move forward (ICD-10)
  Posted: 5/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of March 26, 2012 (Medical)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Assessing the needs of high-risk Medicare Advantage HMO members (Medical)
  Posted: 3/29/2012 , Audience: P, F
- •
  CMS patient safety measures and how you can help (Pharmacy)
  Posted: 3/29/2012 , Audience: P
- •
  Low-dose chest CT screening for individuals at high risk for lung cancer (Medical)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  New radiology transparency program for New Jersey members (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Reminder: Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Use the Clinical Care Report to improve coordination of care (NaviNet)
  Posted: 3/29/2012 , Audience: P, F
- •
  Case Management: Help for your patients when they need it (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  Updated meningococcal vaccine/booster dose guidelines from the AAP (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  NaviNet^® enhancement features new urgent care copayment (PA only) (NaviNet)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Cost-sharing for preventive and nonpreventive services (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Ambulance transport for Medicare Advantage HMO members receiving custodial and skilled nursing care (Administrative)
  Posted: 3/29/2012 , Audience: A
- •
  AmeriHealth New Jersey seeks committee members (Administrative)
  Posted: 3/29/2012 , Audience: P, F
- •
  Safe use of acetaminophen in infants and children (Health and Wellness)
  Posted: 3/29/2012 , Audience: P
- •
  Reminder: No referrals required for AmeriHealth New Jersey HMO Plus and POS Plus plans (NJ only) (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Long-term care billing and referral requirements (Administrative)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Updated Clinical Alerts Overview is available (NaviNet)
  Posted: 3/29/2012 , Audience: P
- •
  HIPAA 5010 troubleshooting information (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Laterality) (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  AmeriHealth follows CMS lead with second HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 3/29/2012 , Audience: P, F, A
- •
  Clarification on the use of Modifier 52 (Medical)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of February 21, 2012 (Medical)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Upcoming precertification requirement changes for most commercial New Jersey members (Medical)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Strong bones, improved quality of life for women: Controlling osteoporosis after a fracture (Medical)
  Posted: 3/1/2012 , Audience: P
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Reminder: Authorization submission requirements through NaviNet® (NaviNet)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective April 1, 2012 (Billing & Reimbursement)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 3/1/2012 , Audience: P
- •
  CFID continues to keep down health care costs (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  No referrals required for AmeriHealth New Jersey HMO Plus and POS Plus plans (NJ only) (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  AmeriHealth to introduce new urgent care benefit (PA only) (Administrative)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  ICD-10 Spotlight: Know the codes (Combination codes) (ICD-10)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  HIPAA 5010 troubleshooting tips (ICD-10)
  Posted: 3/1/2012 , Audience: P, F, A
- •
  Policy notifications posted as of January 20, 2012 (Medical)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Closed formulary option for Medicare Part D members (Pharmacy)
  Posted: 1/31/2012 , Audience: P
- •
  New screening and vaccination recommendations for children (Health and Wellness)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Members can help prevent heart disease with SilverSneakers^® (Health and Wellness)
  Posted: 1/31/2012 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 1/31/2012 , Audience: P
- •
  New Provider Automated System is now live (Administrative)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 1/31/2012 , Audience: P, F, A
- •
  Upcoming professional fee schedule changes for 2012 (PA and DE only) (Billing & Reimbursement)
  Posted: 1/31/2012 , Audience: P
- •
  ICD-10 Spotlight: Know the codes (Code first) (ICD-10)
  Posted: 1/31/2012 , Audience: P, F, A
Blue
2011 Updates
- •
  Change to our specialty pharmacy network for commercial members (Pharmacy)
  Posted: 12/29/2011 , Audience: P
- •
  Policy notifications posted as of December 21, 2011 (Medical)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: Use of modifier -25 when reporting E&M services with spinal/extraspinal manipulation codes (Medical)
  Posted: 12/29/2011 , Audience: P
- •
  Reminder: New precertification requirements now in effect for Medicare Advantage HMO members (Medical)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  2011 Cumulative Index now available (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: Medicare Advantage HMO benefits changes (Products)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: AmeriHealth New Jersey Value Network (Products)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Correction: Expanded list of services eligible for separate reimbursement above capitation (NJ only) (Billing & Reimbursement)
  Posted: 12/29/2011 , Audience: P
- •
  New reimbursement method for obstetric providers (NJ Only) (Billing & Reimbursement)
  Posted: 12/29/2011 , Audience: P
- •
  AmeriHealth Administrators offers free electronic claims payments and remittances with Integrated ERA/EFT^TM (Administrative)
  Posted: 12/29/2011 , Audience: P, F
- •
  Attention: Changes to the Provider Automated System postponed (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Updated QPM Program Manual for providers in New Jersey and Delaware now available (Administrative)
  Posted: 12/29/2011 , Audience: P
- •
  AmeriHealth New Jersey seeks committee members (Administrative)
  Posted: 12/29/2011 , Audience: P, F
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 12/29/2011 , Audience: P
- •
  Celiac disease: Information and resources for you and your patients (Health and Wellness)
  Posted: 12/29/2011 , Audience: P
- •
  Sign up to receive AmeriHealth news and announcements via email (Administrative)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: AmeriHealth follows CMS lead with HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 12/29/2011 , Audience: P, F, A
- •
  Reminder: Change to anesthesia claims payment methodology calculation (Medical)
  Posted: 12/1/2011 , Audience: P
- •
  Policy notifications posted as of November 23, 2011 (Medical)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Brand Lipitor^® available to members through May 2012 (Pharmacy)
  Posted: 12/1/2011 , Audience: P
- •
  Reminder: Change to anesthesia claims payment methodology calculation (Medical)
  Posted: 12/1/2011 , Audience: P
- •
  Precertification process change for certain infusion therapy drugs (Medical)
  Posted: 12/1/2011 , Audience: P
- •
  Upcoming benefits change for progesterone in oil (Pharmacy)
  Posted: 12/1/2011 , Audience: P
- •
  Resolution solution: The SilverSneakers^® Fitness Program (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  ClaimCheck^® upgrade and edit clarification (Administrative)
  Posted: 12/1/2011 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Managing bladder control problems (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Reminder: Authorization submission requirements through NaviNet (NaviNet)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements now in effect (Administrative)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Expanded list of services eligible for separate reimbursement above capitation (NJ only) (Billing & Reimbursement)
  Posted: 12/1/2011 , Audience: P
- •
  Upcoming change to reimbursement methods for obstetric providers (NJ only) (Billing & Reimbursement)
  Posted: 12/1/2011 , Audience: P
- •
  Professional Injectable and Vaccine Fee Schedule updates effective January 1, 2012 (Billing & Reimbursement)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Attention: Changes to the Provider Automated System postponed until mid-December (Administrative)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  New ACIP guidelines for pertussis vaccine (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  Expanded infant sleep guidelines from the AAP (Health and Wellness)
  Posted: 12/1/2011 , Audience: P
- •
  ICD-10 readiness for AmeriHealth-participating facilities (ICD-10)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  AmeriHealth follows CMS lead with HIPAA 5010 90-day enforcement grace period (ICD-10)
  Posted: 12/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of October 27, 2011 (Medical)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  2011–2012 Clinical Insights now available (Medical)
  Posted: 11/1/2011 , Audience: P
- •
  Specialists needed to assist in developing medical policies (Medical)
  Posted: 11/1/2011 , Audience: P
- •
  2011–2012 Clinical Practice Guideline Summary now available (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  The transition to ICD-10 and the impact on providers (ICD-10)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Connections^SM Program Provider Satisfaction Survey available November 4 (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  Connections^SM Health Management Program: Supporting your patients, our members (Health and Wellness)
  Posted: 11/1/2011 , Audience: P
- •
  NaviNet Plan Transactions menu options to change (NaviNet)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Upcoming Medicare Advantage HMO benefits changes (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  AmeriHealth New Jersey launches new 51+ HMO Plus Coinsurance product (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Benefits changes and clarifications for commercial Pennsylvania members (Products)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Claims Preprocessing Edits Claims Resolution Document updated for HIPAA 5010 (Billing & Reimbursement)
  Posted: 11/1/2011 , Audience: P, A
- •
  Reminder: Provider self-service requirements now in effect (Administrative)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Reminder: Upcoming changes to the Provider Automated System (Administrative)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Changes to referral requirements for certain nutrition counseling services (Administrative)
  Posted: 11/1/2011 , Audience: P
- •
  2011 PCP satisfaction survey results (NJ only) (Quality Management)
  Posted: 11/1/2011 , Audience: P, F, A
- •
  Policy reminder regarding utilization review decisions (Medical)
  Posted: 10/3/2011 , Audience: P
- •
  Policy notifications posted as of September 23, 2011 (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Policy on Modifier 52 (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Precertification requirement changes for Medicare Advantage HMO members (Medical)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  New tip sheets available for attention deficit/hyperactivity and adult bipolar disorders (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  Connections^SM Program Provider Satisfaction Survey coming in November (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  October is breast cancer awareness month (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  Seasonal flu vaccine recommendations and labeling changes for Tamiflu® (Health and Wellness)
  Posted: 10/3/2011 , Audience: P
- •
  How the Clinical Care Report can help with pre-visit planning (NaviNet)
  Posted: 10/3/2011 , Audience: P
- •
  Updates made to the NaviNet Chemotherapy/Infusion and Home Infusion Authorizations Guide (NaviNet)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Upcoming changes to the Provider Automated System (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Provider self-service requirements now in effect (Administrative)
  Posted: 10/3/2011 , Audience: P, F, A
- •
  Reminder: New email address replaces the network credentialing support services hotline (PA and DE only) (Administrative)
  Posted: 9/1/2011 , Audience: P
- •
  Transitioning select infusion therapy drugs from the outpatient setting to the office or home setting (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  New policy on inpatient hospital readmissions (Medical)
  Posted: 9/1/2011 , Audience: F
- •
  Change in reimbursement for assistant-at-surgery services (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of August 19, 2011 (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Prescription drug updates (Pharmacy)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Select Drug Program^® Formulary updates (Pharmacy)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Reminder: Use updated precertification requirements lists* (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Overview guides available for substance-use disorders, depression, and suicide (Health and Wellness)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  The Connections^SM Health Management Programs 2011 Annual Update is now available (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  Serving up healthy eating and exercise habits (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  Using spirometry in COPD diagnosis (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 9/1/2011 , Audience: P
- •
  The Clinical Care Report is now available (NaviNet)
  Posted: 9/1/2011 , Audience: P, F
- •
  AmeriHealth New Jersey to introduce a new EPO product (Products)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Professional Injectable and Vaccine Fee Schedule updates effective October 1, 2011 (Billing & Reimbursement)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Reminder: AmeriHealth New Jersey has moved (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Reminder: Provider self-service requirements effective September 15, 2011 (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Cost-sharing for preventive and nonpreventive services (Administrative)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Changes to AIM request submission options (Administrative)
  Posted: 9/1/2011 , Audience: P
- •
  Now available: ICD-10 Frequently Asked Questions (ICD-10)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  HIPAA 5010 go-live date change (ICD-10)
  Posted: 9/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of July 20, 2011 (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Updated procedures for requesting precertification for pain management, DME, and home health providers (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Annual Synagis^® (palivizumab) distribution program (Medical)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Reminder: The Clinical Care Report will be available this month (NaviNet)
  Posted: 7/28/2011 , Audience: P, F
- •
  AmeriHealth New Jersey is moving (Administrative)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  On the road with SilverSneakers^® (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  Major changes included in the August 2011 release of the SMART^® Registry from the Connections Program (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  The Provider Satisfaction Survey is in the mail (Administrative)
  Posted: 7/28/2011 , Audience: P
- •
  Responsibilities of a NaviNet Security Officer (NaviNet)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  New user guides now available on NaviNet (NaviNet)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Connections^SM Health Management Program: Supporting your Patients, our Members (Health and Wellness)
  Posted: 7/28/2011 , Audience: P
- •
  Procedures for billing multiple services (Billing & Reimbursement)
  Posted: 7/28/2011 , Audience: P, A
- •
  Provider self-service requirements effective September 15, 2011 (Administrative)
  Posted: 7/28/2011 , Audience: P, F, A
- •
  Precertification requirement changes and updated lists available in July* (Medical)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Policy notifications posted as of June 21, 2011 (Medical)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Important information about the upcoming Clinical Care Report (Medical)
  Posted: 7/1/2011 , Audience: P, F
- •
  Prescription mail order service transition (Pharmacy)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Get important information delivered through email (Administrative)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  SilverSneakers^®: Helping Baby Boomers stay active (Health and Wellness)
  Posted: 7/1/2011 , Audience: P
- •
  Reminder: Upcoming provider self-service requirements (Administrative)
  Posted: 7/1/2011 , Audience: P, F, A
- •
  Case management: Help for your patients when they need it (Health and Wellness)
  Posted: 7/1/2011 , Audience: P
- •
  Are you ready?: HIPAA 5010 transition (ICD-10)
  Posted: 7/1/2011 , Audience: P, F, A

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