SPRING 2012 
  In This Issue:

Medicare and Medicaid Updates

Introducing Care360

EmblemHealth Injectable Drug Utilization Management Program Begins

Claims Corner

Utilization Review Criteria Update

Medical Director Availability After an Adverse Determination

Member Rights and Responsibilities

Provider Advisory Webinars a Success

CAHPS Member Satisfaction Surveys Are in the Field!

Behind the Scenes

Colorectal Cancer Screening

Medication Adherence for Chronic Conditions

Medical Management of COPD

Dental Hygiene Is Important

How to Help Your Patient With ADHD

Your Role in Slowing the Obesity Epidemic

Health and Wellness Programs

What Is a Health Outcome Survey?

Clinical Corner

News&Notes Archive

Provider Advisory Webinars a Success

In December 2011 we initiated the first in a series of Provider Advisory Webinars to keep you and your staff current on EmblemHealth policies and procedures that may affect how you conduct business with EmblemHealth, GHI and HIP. The Webinars give an overview of the enhanced functionality of our EmblemHealth Web site, introduce our benefit plans and provide instruction on key functions needed by your practice to obtain prior approvals, make referrals, submit and track claims, etc. The Webinars also update you on new policies that may affect care or your interactions with us.

The feedback we have received from practitioners surveyed after participating in our Webinars has been positive. We invite you to register for one of our upcoming Provider Advisory Webinars. All you need to participate is an Internet connection, a telephone and an hour.

Registration for the June 6, 2012, event will begin on May 21, 2012. To register you may go to our Learn Online Web page to access the online registration form. We will be scheduling more Provider Advisory Webinars, as well as specialized Webinars exploring single topics of importance to our networks of medical professionals. Check our Learn Online Web page often for our updated Webinar schedule.


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