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2021 Adult Preventive MedUSafelines: Ages 19 through 64 …

Weba. 2021 Adult Preventive MedUSafelines: Ages 19 through 64 Years. The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as …

Actived: 8 days ago

URL: https://content.highmarkprc.com/Files/Region/hdebcbs/EducationManuals/ClinicalGuidelines/guideline-19-64.pdf

2021 Pediatric and Adolescent Preventive MedUSafelines: …

WebThe USPSTF recommends counseling young adults, adolescents, children, and parents of young children about minimizing exposure to ultraviolet (UV) radiation for …

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2021 Adult Preventive MedUSafelines: Ages 19 through 64 …

WebA physical should be performed every one to two years for adults ages 19-49, and every year for adults ages 50 and older. Female PE: -Discuss preconception guidelines as …

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2021 Preventive MedUSafelines for Members 65 Years of …

Web2021 Preventive MedUSafelines for Members 65 Years of Age and Older. The Patient Protection and Affordable Care Act (PPACA, P.L. 111-148, March 23, 2010, as …

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2023 Quality Improvement Program Executive Summary for …

WebBACKGROUND AND HISTORY. Highmark Wholecare, coverage by Gateway Health Plan, which is an independent licensee of the Blue Cross Blue Shield Association serves as a …

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Well360 Virtual Health

WebOverview. Well360 Virtual Health platform powered by American Well (Amwell) gives your eligible, fully insured commercial, individual and small group ACA patients virtual access …

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Transitions in Care: Supporting Patients and Physician Partners

WebHighmark supports our provider partners by promoting the coordination of care for our members and assisting the physician’s office in transformation that seeks to involve the …

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Transitions of Care (TOC) Quality Guide

Web16.2% and 21.6%. Average cost per patient were $3,433 and $4,015. Ni W, et al. Budget Impact Analysis of a Pharmacist-Provided Transition of Care Program. • Total …

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WholeHealth Living Clinical Criteria To Determine Medical …

WebThe purpose of this document is to provide the basic framework for clinical reviewers to use to identify the clinical appropriateness and medical necessity of physical medicine …

Category:  Medical,  Medicine Go Health

2024 Highmark Wholecare Benefits

WebHome and Bathroom Safety: To help our members prevent the slips and falls that can lead to greater medical issues, we cover plan approved safety devices that best suit their needs.

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Highmark's Enhanced Community Care Management

WebHOW TO REFER A MEMBER TO ECCM. If you have a patient who you believe could benefit from ECCM, please refer them through any of these channels: Epic: Ambulatory …

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2021 Complete Provider List

WebPage 4 of 5 Lehigh Valley Home Care-Hazleton . Angel's Touch Home Care . Kindred at Home. McKean County . VNA of Northwest PA, LLC (Home Health) Mercer County

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Medicare Provider Policy and Procedure Manual

WebPlease visit highmark.com/wholecare For inquires, please call Provider Services at 1-800-685-5209 Medicare Provider Policy and Procedure Manual JANUARY 2024 EDITION

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UPDATED: “INCIDENT TO” FREQUENTLY ASKED QUESTIONS

WebUPDATED: “INCIDENT TO” FREQUENTLY ASKED QUESTIONS. As communicated in the UPDATED:99981231160000-08'00' -Level Reimbursement Mid …

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EDI Claims Submissions

WebFPLIC (60147) FPH (96601) Highmark (54771W) Highmark (54771W) Highmark Senior (15460) For dates of service Jan. 1, 2016, and after, professional & ancillary providers …

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HIGHMARK/UPMC AGREEMENT PROVIDER Q&A

WebHIGHMARK/UPMC AGREEMENT PROVIDER Q&A. JULY 2019. Highmark and UPMC have agreed to a 10-year contract offering full in-network access for Highmark members …

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Value-Based Insurance Design Model

WebOverview. Q1: What is the Centers for Medicare and Medicaid Services (CMS) Hospice Value-Based Insurance Design Model (VBID)? A1: The Hospice VBID Model …

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Name of Requestor/Contact Person:

WebA REVIEW CANNOT BE PROCESSED WITHOUT IT– Requests missing. clinical information will be returned to the requesting provider, delaying the review process. …

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Highmark Reimbursement Policy Bulletin

WebPage 4 of 11 *Note: If mandated by your OPPS payment methodology for reporting clinic visits. Note: Revenue code 780 should be used when billing Q3014. …

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HIGHMARK AND HEALTHNOW NEW YORK ANNOUNCE …

WebHighmark Inc. and HealthNow New York Inc. today announced an agreement to affiliate, marking a key milestone in plans to bring together the two not-for-profit Blue Cross Blue …

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