We are redesigning www.emblemhealth.com to enhance its look and feel, improve navigation and make it easier to find the information you need. The site is scheduled to launch at the end of June 2013. More
New Accreditation and Certification for
Outpatient Diagnostic Imaging
Begins July 1
Effective July 1, 2013, the EmblemHealth Outpatient Diagnostic Imaging Self-Referral Payment Policy (SRPP) will replace HIPs Radiology and Cardiology Imaging Privileging programs. The policy defines the minimum accreditation and certification requirements by specialty for diagnostic imaging conducted in an office setting (POS11). Prior approval rules will continue to apply where applicable. Certain groups are excluded from this policy. More
New PT/OT/ST Prior Approval Rules for
Medicare PPO Members Begin August 1
Effective August 1, 2013, EmblemHealth will implement new prior approval rules for physical, occupational and speech therapy for our Medicare PPO members. Under the new policy, we will require prior approval for these services after the sixth visit. More
The dedicated staff of EmblemHealth Neighborhood Care are available to you and your patients Monday through Saturday, from 10 am to 7 pm. Stop by one of our two locations and experience what we have to offer. Our on-site clinical support team, including a registered nurse and a pharmacist, are available to provide your patients with health education and medication support. They can also connect your patients with programs designed to help them comply with your treatment goals.
Group Health Incorporated (GHI), GHI HMO Select, Inc. (GHI HMO), 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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