In This Issue:

HIP Service Area Expansion Affects GHI HMO Providers

New Prior Approval List

New Web Usage Requirements for GHI HMO Network Providers

New EmblemHealth Radiation Therapy Program and EmblemHealth Cardiology Imaging Program and HIP Radiology Programs Apply to More Members

Updated Fax Forms for: EmblemHealth Injectable Drug Utilization Management Program

EmblemHealth Consolidates Post Office Boxes for GHI HMO and EmblemHealth Medicare PPO

Claims Corner

Medicaid and Medicare Updates

Behind the Scenes

Case Management Programs

Stressing the Importance of Prenatal Visits

Well-Child Visits

High-Risk Medications for Elderly Patients

Healthful Aging Starts With Lifestyle Changes and Preventive Screenings

Talking With Patients About Urinary Incontinence

Treating Rheumatoid Arthritis

Assisting Patients Living With HIV

Treating Low Back Pain

Asthma Management

CPT Codes for Tobacco Cessation Counseling

Clinical Corner

News&Notes Archive

Clinical Corner

Clinical Corner is an online resource for updated information on clinical practice guidelines, medical policies and medical technologies. Formulary updates for EmblemHealth commercial, Medicare and Medicaid plans are available on the Pharmacy Benefit Services page of our Web site. Check Clinical Corner regularly to see the latest clinical updates.

The Health Status Improvement Committee meets regularly to review medical best practices and current clinical approaches to the treatment of disease states and conditions. The committee selects and adopts what it considers the most expert and effective clinical practice guidelines (CPGs) for our network practitioners.

The Health Status Improvement Committee recently approved the CPG for stroke prevention.


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