As a reminder, Point32Health has made the difficult decision to withdraw Harvard Pilgrim Health Care fully insured commercial products in Connecticut as of January 1, 2023, and we are working closely with providers to ensure a smooth transition.
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We’ve developed a series of Point32Health HEDIS Tip Sheets to offer insight into specific HEDIS measures, aid your practice in optimizing HEDIS scores, and help identify opportunities to improve patient care.
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In light of the CT contrast dye shortage, we would like to remind providers that prior authorization is not required for inpatient and emergency department studies. For non-urgent studies, NIA is following the guidance of the American College of Radiology.
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Harvard Pilgrim has updated our Commercial Emergency Care Payment Policy for informational purposes only, to offer additional guidance on coding for professional and facility evaluation and management (E/M) codes.
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