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Medical
Coverage Policies for February, March and April
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
- Acne Treatment
- Diagnosis and Treatment of Pervasive Developmental
Disorders (PDD)
- Occipital Nerve Stimulation
- Peripheral Artery Stenting
- Phototherapy and Photochemotherapy for Skin Conditions
- Tinnitus Treatment
Policies with Significant
Revisions
- Airway Clearance Devices
- Blepharoplasty
- Continuous Positive Airway Pressure (CPAP) Devices
- Epidural Steroid Injections
- Facet Injections
- Hyperhidrosis Treatment
- Intensity Modulated Radiation Therapy (IMRT)
- Negative Pressure Wound Therapy
- Outpatient Cardiac Monitoring Devices
- Oxygen Therapy
- Prophylactic Mastectomy
- Speech Therapy
- Spinal Cord Stimulators
- Treatment of Varicose Veins
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Webinars Provide Interactive
Learning
Humana offers interactive Web-based training
sessions for its providers twice a month.
To register, send an e-mail to deployment@humana.com.
| Below is a listing
of upcoming Webinars: Please
note times are Eastern Time. |
| Date |
Time |
Topic |
Description |
| Oct. 9 |
1 p.m. EDT |
Humana.com Overview |
Learn how to submit Web requests and inquiries, such as eligibility and benefits, referral inquiries and submissions, claim
status, remit inquiries and much more. You will also learn how to perform administrative functions, such as adding new users. |
| Oct. 23 |
1 p.m. EDT |
RTCA Overview |
What is Real-Time
Claim Adjudication (RTCA)? Learn how to get your
claims fully adjudicated in less than a minute
and collect the patient's share at the time of
service. |
| Nov. 6 |
1 p.m. EST |
Humana.com Overview |
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| Nov.
11 |
1 p.m. EST |
Humana.com - Referrals
& Authorizations |
Learn how to submit
and view Web referrals, inpatient and outpatient
authorizations/ notifications. |
| Nov. 20 |
1 p.m. EST |
RTCA
Overview |
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| Dec. 4 |
1 p.m. EST |
Humana.com
Overview |
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| Dec. 18 |
1 p.m. EST |
RTCA Overview |
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| For
more information, visit Humana.com. |
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