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Partners in Health Update

Partners in HealthDownload Partners in Health Update for timely and critical information on administrative processes, medical updates, pharmacy services, preventive health updates, and other important information of interest to providers and their office staff.

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PDF icon Partners in Health Update — November 2009

For your convenience, we have added links to each individual article. Just click any article name below to open the PDF to the specific page of the November issue.

Articles in this Issue

Did you know?

Prevacid® 15 mg capsules will be available OTC

Important H1N1 (swine flu) information

Consumerism

Enhanced consumer website including new hospital comparison and locator tool

Administrative

Routine costs associated with qualifying clinical trials (NJ only)

Complete your CMS compliance training by December 31, 2009

Call 1-800-275-2583: One number for all of your needs

Elimination of authorization approval letters for NaviNet-enabled providers

NaviNet®

Clinical Alerts — Helping providers identify gaps in care

Credentialing

New credentialing procedure effective January 1, 2010 (PA and DE only)

Medical

Convenient access to seasonal flu and H1N1 flu vaccinations for HMO, POS, and PPO members

Place of service for diagnostic coronary procedures

Guidelines for spinal surgical procedure requests

Policy notifications posted as of October 19, 2009

Pharmacy

Upcoming changes to self-injectable drug coverage

NDC submission information for compound drugs

Health and Wellness

Clinical Practice Guidelines now available

Clinical Insights now available

Quit&Fit® selected as new tobacco cessation program for special populations

How the ConnectionsSM program can help your patients with antihypertensive treatment

ConnectionsSM Health Management Programs: Supporting your patients, our members

Quality Management

Our Quality Management Program supports quality of care and service

Policy reminder regarding utilization management decisions