Winter 2012   

Provider Directory Validation Survey Begins

Upcoming Medical Record Audits for 2012

CAHPS

Claims Corner

Medicare and Medicaid Benefit Changes for 2012

Emblem Behavioral Health Services Program Underway

More Information on ICD-10

Good Notices for our Medical Manual on Religio-Cultural Competence

Behind the Scenes

 

Introducing Patient Health Profiles

Adolescent Immunizations

Vaccines For Children

Flu: It’s Not Too Late to Vaccinate

Medication Safety and Adherence

Health and Wellness Programs

Clinical Corner

News&Notes Archive


In This Issue:

Provider Directory Validation Survey Begins

We are implementing a new process to collect and verify demographic data for our provider directories across all benefit plans. We will be sending surveys to our network providers to verify information that helps other practitioners and our members who are seeking care find you. Your prompt response will help us maintain the accuracy of your information. more

Upcoming Medical Record Audits for 2012

Throughout the year we conduct medical record reviews of member records to comply with state and regulatory directives. These include NYSDO- mandated programs, NCQA and others. We appreciate your cooperation with supplying records, if requested, and maintaining your records in accordance with state and oversight requirements. more

CAHPS

The annual CAHPS surveys begin in February for our Medicare, Medicaid and Commercial members. CAHPS asks members to rate their experiences with you as health care providers and with us as a health insurance plan. Your engagement with our members has a direct impact on the results. more

Good Notices for Our Medical Manual on
Religio-Cultural Competence

How Our Members Rate Us — Your Role Counts! Every year a survey is mailed to randomly selected plan members asking them to rate their experiences with the services provided by our health plan and the care given by their doctors. This survey is the Consumer Assessment of Healthcare Providers and Systems (CAHPS®). more

Medication Safety and Adherence

Conversations with patients and their families about care options at the end of life are often difficult for even the most seasoned professionals. Advance care planning is the process of determining future medical care in the event that a patient is unable to make medical decisions. more

  Additional Articles:
 

Claims Corner

Medicare and Medicaid Benefit Changes for 2012

Emblem Behavioral Health Services Program Underway

More Information on ICD-10

Introducing Patient Health Profiles

Adolescent Immunizations

Vaccines For Children

Flu: It’s Not Too Late to Vaccinate

Health and Wellness Programs

Clinical Corner

 
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