April 2011
Welcome to The Connection Online
This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
Editions are published in February, April, June, August, October and December.
If you haven't already, please subscribe to receive email notifications when new editions are available.
View all of our recent updates in the What's New section of our website.
Provider components of the 2011 Quality Program
Our Quality Program (QP) Committee has developed standards and performance goals to measure the care and service provided to our members.
Participation in QP activities is required as part of your agreement with Asuris.
Administrative and Billing
Products and Programs
Policies
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
Medical
Reimbursement
Medication
Learn how obsolete medication codes are reviewed on a quarterly basis.
Summaries of past changes and detailed policies are available in our Medication Policy Manual at http://blue.regence.com/policy/medication/
View our group and Individual products Preferred Medication List/Formulary.
Search the Asuris TruAdvantage + Rx and Medicare Part D formulary.