The Connection OnlineSM

Online articles and news for physicians,
other health care professionals and facilities.The Connection Online

November 2008

Welcome to our first issue

We value your time and are dedicated to streamlining our printed and online communications. The printed editon of The ConnectionSM (PDF) continues to include important information for you and your office staff. The Connection Online offers additional news and articles not found in the printed issue. We hope you find The Connection Online to be a helpful, supplemental resource. Our newsletters are published quarterly in February, May, August and November. Have feedback? Contact Provider Communications.

 

Administrative and Billing Updates

Our online Coding Toolkit can help you

Our online Coding Toolkit helps you locate the coding edits we use when processing claims. Learn more information about the Coding Toolkit »

 

Health and behavior assessment codes

Health and behavior assessment codes (CPT 96150-96155) are used to identify the behavioral, cognitive, emotional, psychological and social factors related to a patient's primary medical condition. Learn more about these codes »

 

Helpful tips to avoid claims delays

Asuris continually looks for ways to ensure your claims are processed quickly and efficiently. These tips generally apply to claims submitted using a CMS-1500 claim form. However, some of the tips are valuable reminders for all paper and electronic claims. Read the helpful tips to avoid claims delays »

 

Third quarter 2008 claims processing results

We strive to meet the highest standards of claims payment timeliness. Our timeliness statistics are one way for us to ensure that we continue to meet our goal of excellent customer service. See the results >

 

Medical Policies

Please join our medical policy discussions

We would like your input and feedback as we draft our medical policies. If you are interested in joining our email reviewer list, please contact your provider consultant.

While we prefer to receive input as policies are developed, we also have a formal appeals process that allows physicians, other health care professionals and facilities to submit additional information, such as clinical trial results, that may warrant a policy review. Our Administrative Manual outlines our current appeals process and new appeals process effective January 15, 2009.

 

News

Improving hospital patient safety

Asuris shares your desire to have your patients receive the best care and the most positive outcomes possible. The following hospital comparison tools are available to help you select hospitals for your patients: Read more about hospital comparison tools »

Asuris holiday closure schedule

The following holidays will be observed by the closure of all Asuris offices: View our office closure schedules »

 

Products and Networks

Member card enhancements coming

As part of our ongoing efforts to include important and helpful information on our member cards, we are adding additional information to our EmbarkSM, VantageSM and MotivateSM member cards. Learn more about member card changes »

 

Pharmacy

Updates to medication policies and list

Medication policies

Summaries of recent changes to medication policy are available at http://blue.regence.com/trgmedpol/drugs/PolicyUpdates.pdf. Detailed policies are located in the Medication Policy Manual at http://blue.regence.com/policy/medication.

Preferred Medication List/Formulary (PML)

View our Preferred Medication List/Formulary (PML) in alphabetical order or by therapeutic class.

Important information about Synagis®                

Synagis®, available through McKesson Specialty Pharmacy, treats infants at risk for respiratory syncytial virus (RSV). Read more about the benefits of ordering Synagis with McKesson Specialty Pharmacy »

Consider generics when possible

With the price of pharmaceuticals continuing to rise, here are some tips to help contain these costs: Learn more about methods to control pharmacy costs »

 

TriWest

Behavioral health resources available for U.S. military patients

To support your care to U.S. military members and their families, TriWest has added a behavioral health portal to the TriWest Web site. Read more about TriWest's behavioral health resources »

 

Online Resources

Remittance Advice transactions

If you receive ANSI 835 Remittance Advice transactions via our electronic claims clearinghouse partner, Availity®, LLC, and experience problems, please contact Availity Client Services for assistance. Read more about electronic transaction support »