Ten Questions a Woman Should A… July 28, 2009
Posted by admin in : HNE/Industry News and Information , add a commentTen Questions a Woman Should Ask Her Healthcare Provider http://bit.ly/1aBYd7
Adult Preventive Care (pdf) h… July 21, 2009
Posted by admin in : Policy/Administative Reminders , add a commentAdult Preventive Care (pdf)
http://bit.ly/VpNq3
Supporting Bipartisan Reforms … July 20, 2009
Posted by admin in : HNE/Industry News and Information , add a commentSupporting Bipartisan Reforms http://hosted.verticalresponse.com/306797/cdef8ebcbd/1362002621/2094962f95/
Important Information from the MDPH regarding State Supplied Vaccines July 16, 2009
Posted by admin in : Policy/Administative Reminders , add a commentmemo-to-insurers-re-expanded-vax-avail-mdph-8-093
childhood-vaccine-availability-memo-mdph-7_09
childhood-vaccine-availability-table-mdph-8-09
adult-vaccine-availability-table-mdph-8-09
adult-vaccine-availability-memo-mdph-7_09
Important for Medicare Advantage Providers: July 14, 2009
Posted by admin in : Policy/Administative Reminders , add a commentRequired CMS Fraud, Waste and Abuse Training
The Centers for Medicare & Medicaid Services (CMS) requires all Medicare Advantage -Prescription Drug health plans to ensure that their participating providers complete Fraud, Waste, and Abuse (FWA) training no later than December 31, 2009 and annually thereafter. To assist in streamlining the training process for providers, HealthCare Administrative Solutions (HCAS) and its member health plans have created a website that includes an online FWA training program to be completed by providers.
http://www.hcasma.org/MedicalTraining.aspx
Important Sleep Study Information July 13, 2009
Posted by admin in : Policy/Administative Reminders , add a commentCriteria for Benefit Decisions Related to Polysomnography:
Sleep studies and polysomnography refer to the continuous and simultaneous monitoring and recording of
various physiological and pathophysiological parameters of sleep for 6 or more hours with physician review,
interpretation and report. The studies are performed to diagnose a variety of sleep disorders and to evaluate a patient’s response to therapies such as continuous positive airway pressure (CPAP).
Criteria for Benefit Decisions Related to Positive Airway Pressure Devices:
Scam Alert July 10, 2009
Posted by admin in : HNE/Industry News and Information , add a comment**Updated June 18, 2009- Scam Alert Notice- CMS has become aware of a scam where perpetrators are sending faxes to physician offices posing as the Medicare carrier or Medicare Administrative Contractor (MAC). The fax instructs physician staff to respond to a questionnaire to provide an account information update within 48 hours in order to prevent a gap in Medicare payments. The fax may have the CMS logo and/or the contractor logo to enhance the appearance of authenticity.
Medicare FFS providers, including physicians, non-physician practitioners, should be wary of this type of request. If you receive a request for information in the manner described above, please check with your contractor before submitting any information. Medicare providers should only send information to a Medicare contractor using the address found in the download section of the CMS.gov website found at http://www.cms.hhs.gov/MLNGenInfo/ or http://www.cms.hhs.gov/MedicareProviderSupEnroll .