Updates on Coverage Policies,
Webinars and Presentations
Medical Coverage Policies for May,
June and July
Humana's medical coverage policies are
based on evidence published in peer-reviewed medical literature,
technology assessments obtained from independent medical research
organizations, evidence-based consensus statements and evidence-based
guidelines from nationally recognized professional health care
organizations.
Information about medical coverage policies
can be found on Humana.com.
Click http://www.humana.com/providers/tools/
provider_tools/clinical_healthcare.asp and then
choose "Medical
Coverage Policies." The medical coverage policies can be reviewed
by name as well as revision date. You also may search for a particular
policy using the search box. More detailed information may be found
by reviewing "How
to Read a Medical Coverage Policy" and "Understanding
the Medical Coverage Policy Development Process".
Below are the new and revised polices:
Nuevas políticas
- Electromagnetic Navigational Bronchoscopy
- Injections for Pain Conditions
- Intraocular Lens (IOL) Implants
- Tissue Doppler Imaging
Políticas con revisiones importantes
- Allergy Testing
- Abdominoplasty
- Breast Magnetic Resonance Imaging (MRI)
- Deep Brain Stimulation
- Extracorporeal Immunoadsorption
- Gene Expression Profiling
- Genetic Testing and Genetic Counseling for Diagnosis and Monitoring of Cancer
- Hysteroscopic Tubal Occlusion for Permanent Sterilization
- Intraoperative Neurological Monitoring
- Intrauterine Fetal Surgery
- Nerve Conduction Testing
- Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty
- Pharmacogenomics
- Physical Therapy and Occupational Therapy
- Radiofrequency Tumor Ablation
- Skin Substitutes and Growth Factors for Wound Healing
- Terapia del habla
- Surgical Procedures for Gastroesophageal Reflux Disease (GERD)
- Tumor Markers for Diagnosis and Monitoring of Cancer
Presentaciones que intentan facilitarle el trabajo
La herramienta "Herramientas educativas disponibles" de Humana le brinda a usted y a su personal de oficina presentaciones rápidas y fáciles de entender sobre temas que lo ayudarán a facilitar las transacciones con nosotros.
To access any of these presentations, click http://www.humana.com/providers/tools/provider_tools/
education_on_demand.asp.
If your computer does not have a sound card or is not configured
for streaming audio, you can listen to these presentations over
the telephone while viewing the slides on your screen. To begin
the telephone playback process, follow these steps:
- Click
on the question mark in the bottom right corner
- Select "Player Settings" from the
pop-up box
- Check "Use telephone playback with standard
player"
- Click the "Submit" button
- A window will open displaying the telephone number and access
code that you need to dial to receive the audio
Las presentaciones disponibles son:
- Herramienta de autorización previa en línea
- Tarjeta de débito Visa® HumanaAccessSM
- RadConsult en línea
- SmartSummarySMRx
The presentations are available on our Web site so they can be
accessed around the clock at your convenience.
Los Webinars proporcionan un aprendizaje interactivo
Humana ofrece sesiones de capacitación interactivas en Internet para sus proveedores dos veces al mes.
Para registrarse, envíe un correo electrónico a deployment@humana.com.
Below is a listing of the upcoming Webinars. Please note that
times are Eastern Time.
Para obtener más información, visite Humana.com.
Fecha |
Hora |
Tema |
Descripción |
Sept. 17, 2009 |
2 p.m. EDT |
Información general de Humana.com |
|
Oct. 8, 2009 |
2 p.m. EDT |
Información general de Humana.com |
|
Oct. 22, 2009 |
2 p.m. EDT |
Humana.com
-
Claims Inquiry & Reconciliation/ Remittance Inquiry |
Learn how to
submit Web requests and inquiries, such as eligibility
and benefits, claim status and remit inquires. Also, view
and work claims from a 30-day date range. |
5 de noviembre de 2009 |
2 p.m. EDT |
Información general de RTA |
What is Real-Time
Adjudication (RTA)? Conozca cómo tener sus reclamaciones completamente adjudicadas en menos de un minuto y cobrar la parte que debe pagar el paciente en el momento de prestar el servicio. |
19 de noviembre de 2009 |
2 p.m. EDT |
Información general de Humana.com |
|
3 de diciembre de 2009 |
2 p.m. EDT |
Información general de RTA |
|
17 de diciembre de 2009 |
2 p.m. EDT |
Información general de Humana.com |
|
Para obtener más información, visite Humana.com.
Volver arriba |
