Harvard Pilgrim Health Care Home
  HPHConnect
 
  Learn more.
  Sign up for HPHConnect.
Medical Management
E-Transactions
HPHConnect
Pharmacy
For Your Patient
News Center
Network Matters
Newsletter Archives
Newsletter Registration
Newsroom
Office Support
Products
Provider Manual
Medicare Advantage
Research & Teaching
Resources & Links
 
Print    Text Size

Network Matters
News and Information for the
Harvard Pilgrim Health Care Network

August 2013

Continuous Glucose Monitoring Systems 


Harvard Pilgrim currently requires prior authorization for continuous glucose monitoring systems (CGMS), and will continue to do so. However, we are updating the coding associated with prior authorization requests for CGMS to better align it with current billing practices. Effective November 1, 2013, prior authorization will be required for the CGMS external transmitter (A9277) and external receiver (A9278). Please do not use code S1030 when submitting a request for CGMS authorization, as this code is no longer valid for DME services and using it will result in a rejection. For more detailed information, please review Harvard Pilgrim's CGMS Prior Authorization Medical Review Criteria, Diabetic Care Payment Policy, and Durable Medical Equipment Payment Policy.

Email this article to a colleague   

Receive Network Matters by e-mail

Network Matters Archives

Download printer-friendly version

HPHCURRENT EVENTS

Cardiac Medication Adherence Report Now Available

Reminder: Maintain Up-To-Date Panel Status Information

CLINICIAN CORNER

Intralesional Injection Procedures: No Prior Authorization Required

Medical Criteria for Electric and Myoelectric Prosthetics

TMS Now Covered with Prior Authorization

Continuous Glucose Monitoring Systems

New Prior Authorization Requirement for Six Medications

Gastric Emptying Payment Policy Update

P&T Committee Updates

Specialty Pharmacy Updates

Recognizing Postpartum Depression in the Primary Care Setting

OFFICE ASSISTANT

Changes to HPHConnect New User Accounts

Qualitative Drug Screen Testing

PUBLICATION INFORMATION

Eric H. Schultz,
President and Chief Executive Officer

Richard Weisblatt PhD,
Senior Vice President, Provider Network

Annmarie Dadoly,
Editor

Kristin Edmonston,
Production Coordinator