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

Healthful Aging Starts With Lifestyle Changes and
Preventive Screenings

We’re committed to helping our senior population age healthfully. We encourage you to recommend the following preventive screenings for these members:

Bone Mineral Density Test: Conduct a baseline assessment to determine if a bone mineral density test is appropriate for patients. Certain medical conditions, medications and health indicators put individuals at risk for osteoporosis.

Glaucoma Screening: Speak to patients about having a glaucoma eye exam with an eye care professional to identify any early signs of glaucomatous conditions. With early treatment, glaucoma-related blindness is mostly preventable.

Fall Risk Assessment: Routinely manage fall risk factors to prevent unintentional falls or injuries. For older adults, a fall can have psychological and social effects, result in functional limitations and keep them from being as active as they would like.

Pain Management: Discuss pain management strategies and medications with patients. Undertreating pain can severely affect their health and quality of life.

Medication Safety: Speak with patients about the risks of stopping, skipping or reducing medications prior to your direction, and the benefits of complying with your prescribed medication regimens.

Advance Care Planning: Encourage patients to complete a legal advance directive to make their medical wishes known. Advance directives prevent confusion should patients fall ill.

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