Updates on Coverage Policies, Webinars and Presentations

Medical Coverage Policies for August, September and October

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. After entering the provider area, click on "Tools & Resources," "Provider Tools" and then "Clinical and Healthcare Resources." Choose "Medical Coverage Policies." The medical coverage policies can be reviewed by name as well as revision date. You may also 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 Process."

Below are new and revised polices:

New Policies

  • Carotid Intima Media Thickness Testing
  • Chiropractic Care
  • Colorectal Cancer Screening
  • Continuous Glucose Monitoring Systems
  • Dynesys Dynamic Spine Stabilization System
  • Manipulation under Anesthesia
  • Sleep Studies

Policies with Significant Revisions

  • Acupuncture
  • Amniotic Membrane Transplantation for the Eye
  • Capsule Endoscopy
  • Facet Rhizotomy
  • Functional Electrical Stimulators
  • Gastric Electrical Stimulation
  • Gene Expression Assay to Predict Breast Cancer Recurrence
  • Hip Resurfacing
  • Insulin Pumps
  • Malignant Melanoma Surveillance Technologies
  • Reduction Mammoplasty
  • Stereotactic Radiosurgery
  • Urinary Incontinence Treatment
Webinars Provide Interactive Learning

Humana offers interactive Web-based training sessions for its providers twice a month.

How to Register for a Webinar:
By E-mail:
To register, send an e-mail to deployment@humana.com. When registering, insert the following information on the subject line of the e-mail:

Registration - DATE OF TRAINING (ex: 09/06/07)

Please also include the following information in the e-mail:

  • Name of main participant
  • Practice name
  • Phone number
  • Fax number
  • E-mail address(es) of participant(s)
  • Tax Identification number
  • Number of participants for the training session

Confirmation and instruction on how to access the online seminar will be sent via e-mail within hours.

By Fax:
If you are unable to e-mail your registration, please fax the same information to (210) 991-9167.

Below is a listing of upcoming Webinars:
Date Time Topic Description
February 28 1 p.m. CST Humana.com overview Learn how to submit Web requests and overview inquiries, such as eligibility and benefits, referral inquiries and submission, claim status, remit inquiries and much more. You will also learn how to perform administrative functions, such as adding new users.
March 13 11 a.m. CST Humana.com overview  
March 27 11 a.m. CST Referrals Learn how to submit Web referrals and inquiries, such as eligibility and benefits, inpatient and outpatient authorizations.
April 10 1 p.m. CST E&B/Claims Management Learn how to submit Web requests and Management inquiries, such as eligibility and benefits, claim status and remit inquiries.
For more information, visit www.humana.com.

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Presentations Seek to Make Your Job Easier

Humana's "Education on Demand" tool provides you and your office staff with quick, easy-to-understand presentations on topics that should make it easier for you to do business with us.

To access any of these presentations, visit the provider area of www.humana.com by clicking on "Provider" on the main page. Then click on "Tools & Resources," "Provider Tools," "Education" and finally "Education on Demand." 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, click on the question mark in the bottom right corner, select "Player Settings" from the pop-up box and check "Use telephone playback with standard player." Next, click the "Submit" button and a window will open displaying the telephone number and access code that you need to dial to receive the audio.

Available presentations are as follows:

  • Online Prior Authorization Tool
  • HumanaAccessSM Visa® Debit Card
  • RadConsult Online
  • SmartSummarySM Rx
  • Commonwealth of Kentucky
  • Kentucky Teachers' Retirement System

The presentations are available on our Internet site so they can be accessed around the clock at your convenience.

 

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