LATE SUMMER 2013

Discover the New Features of Our Improved Provider Manual

GHI HMO Plans Now Underwritten By HIP

State Sponsored Programs Rebranded

Changes to Medicare PPO Prior Approval Rules for PT/OT/ST

Medicaid Redesign Team Updates

Claims Corner

Behind the Scenes

Case Management Programs

EmblemHealth Pharmaceutical Management Program

Changes to Provider Attestation Form Submission

High Risk Medications for Elderly Patients

Do You Make Snap Decisions?

Does Your Office Have a Flu Immunization Champion?

Serology Testing Inappropriate for Detection of Active H. pylori Infection

Correct Billing for Mammography Services

CPT Codes for Tobacco Cessation Counseling

Healthy Beginnings PATH

Clinical Corner

News&Notes Archive

  

Review your information now to ensure you are correctly listed in our EmblemHealth directories. If any of your information has changed or is inaccurate, just follow our simple instructions to update your profile online. Can't update your information online? Fax your changes to our Provider Modifications team at 1-877-889-9061.


  Behind the Scenes


EDITORIAL BOARD

Daniel P. Finke
Executive Vice President
Health Care Operations

Shawn M. Fitzgibbon
Senior Vice President
Provider Network Management

William A. Gillespie, MD
Senior Vice President
Chief Medical Officer

Philip J. Gillich
Vice President
Physician Contracting and Management

John David Mahder
Vice President
Marketing and Communications

Karen Smith-Hagman, RN
Vice President
Medical Management

 

 EDITORS

R. Clay Ballard
Lisa Bloch
Theresa Maltz
Suzanne Rabin
Catherine Richter

CONTRIBUTORS:

Elizabeth Abraham
Esmeralda Braganca
Michael Byrne
Barbara Cumbo
Jeanne Davin
Donna Howard
Deborah Kahler

Kathleen Lauro
Natasha Levin
Kathleen Milito
Kristen Orlow
Agnes Pangilinan
Ewa Stankiewicz
Alice Tully


WE INVITE YOUR COMMENTS:
Please share with us any suggestions for stories of interest to our clinical communities and their staffs. Contact providercomm@emblemhealth.com with your ideas.

Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.

 

 

 
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