01/08/2019

Newsletters of Interest

A Few Articles You Won’t Want to Miss:

• Let your patients know they can use LabCorp and Quest Diagnostics
• Together for you, Aetna and CVS Health

And Much More….DECEMBER OfficeLink Updates Qtly Issue Available HERE

A Few Articles You Won’t Want to Miss:

• Providers: Don’t issue referrals for BCN Advantage members staying in‑network
• Understanding the difference between ‘home health’ and ‘home infusion’
• Medicare Part B medical specialty drug prior authorization lists
  changing in 2019
• AllianceRx Walgreens Prime specialty pharmacy program starts Jan. 1

And Much More…JANUARY/FEBRUARY Bi-Monthly Issue Available HERE

Current Issue Available HERE

Current Issue Available HERE 
(Once on the site, scroll to the bottom and choose NEWS on the left side)

A Few Articles You Won’t Want to Miss:

• Humana Updates Preauthorization and Notification Lists for 2019
• Changes Announced for 2019 Humana Formularies
• New and Revised Pharmacy and Medical Coverage Policies Available

And Much More…Latest Issue Available HERE

 A Few Articles You Won’t Want to Miss:

• Front & Center
  • UnitedHealthcare Care Provider Administrative Guide for UnitedHealthcare Commercial and Medicare Advantage
  • Radiology Program Procedure Code Changes — Effective Jan. 1, 2019
  • New and Updated Procedure Codes for CAR-T Cell Therapy — Effective Jan. 1, 2019
  • Changes in Advance Notification and Prior Authorization Requirements
  • Updates to Requirements for Specialty Medical Injectable Drugs for UnitedHealthcare
    Commercial, Community Plan and Medicare Advantage Members
  • UnitedHealthcare Commercial and UnitedHealthcare Community Plan Outpatient
    Injectable Cancer Therapy Authorization Program Update
  • Pharmacy Update: Notice of Changes to Prior Authorization Requirements and Coverage Criteria for UnitedHealthcare Commercial and Oxford
  • UnitedHealthcare Genetic and Molecular Testing Prior Authorization/Notification Updates

• UnitedHealthcare Commercial 
  • Site of Care Reviews for Certain Advanced Outpatient Imaging Procedures — REVISED EFFECTIVE DATE: Feb. 1, 2019

And Much More…JANUARY Monthly Issue Available HERE

Oncology Related Articles You Won’t Want to Miss:

Take Note

• Chemosensitivity and Chemoresistance Assays in Cancer – Effective Jan. 1, 2019
• Clotting Factors, Coagulant Blood Products & Other Hemostatics – Effective Jan. 1, 2019
• Genetic Testing for Hereditary Cancer – Effective Jan. 1, 2019
• Molecular Oncology Testing for Cancer Diagnosis, Prognosis, and Treatment Decisions – Effective Jan. 1, 2019

Medical Policy Updates

Updated:

• Intensity-Modulated Radiation Therapy – Effective Jan. 1, 2019
• Intraoperative Hyperthermic Intraperitoneal Chemotherapy (HIPEC) – Effective Jan. 1, 2019

Medical Benefit Drug Policy Updates

Revised:

• Clotting Factors, Coagulant Blood Products & Other Hemostatics – Effective Jan. 1, 2019
• Maximum Dosage – Effective Jan. 1, 2019

Utilization Review Guideline (URG) Updates

Revised:

• Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) Scan – Site of Care – Effective Feb. 1, 2019

JANUARY Monthly Issue Available HERE