Humana's Your Practice

Updates on Coverage Policies,
Webinars and Presentations

Medical Coverage Policies for May, June and July

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. Click http://www.humana.com/providers/tools/
provider_tools/clinical_healthcare.asp and then choose "Medical Coverage Policies." The medical coverage policies can be reviewed by name as well as revision date. You also may 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 Medical Coverage Policy Development Process".

Below are the new and revised polices:

New Policies

Electromagnetic Navigational Bronchoscopy
Injections for Pain Conditions
Intraocular Lens (IOL) Implants
Tissue Doppler Imaging

Policies with Significant Revisions

Allergy Testing
Abdominoplasty
Breast Magnetic Resonance Imaging (MRI)
Deep Brain Stimulation
Extracorporeal Immunoadsorption
Gene Expression Profiling
Genetic Testing and Genetic Counseling for Diagnosis and Monitoring of Cancer
Hysteroscopic Tubal Occlusion for Permanent Sterilization
Intraoperative Neurological Monitoring
Intrauterine Fetal Surgery
Nerve Conduction Testing
Percutaneous Vertebroplasty, Kyphoplasty, Sacroplasty
Pharmacogenomics
Physical Therapy and Occupational Therapy
Radiofrequency Tumor Ablation
Skin Substitutes and Growth Factors for Wound Healing
Speech Therapy
Surgical Procedures for Gastroesophageal Reflux Disease (GERD)
Tumor Markers for Diagnosis and Monitoring of Cancer

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, click http://www.humana.com/providers/tools/provider_tools/
education_on_demand.asp. 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, follow these steps:

Click on the question mark in the bottom right corner
Select "Player Settings" from the pop-up box
Check "Use telephone playback with standard player"
Click the "Submit" button
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
HumanaAccess^SM Visa^® Debit Card
RadConsult Online
SmartSummary^SMRx

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

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 the upcoming Webinars. Please note that times are Eastern Time.

For more information, visit Humana.com.

Date	Time	Topic	Description
Sept. 17, 2009	2 p.m. EDT	Humana.com Overview
Oct. 8, 2009	2 p.m. EDT	Humana.com Overview
Oct. 22, 2009	2 p.m. EDT	Humana.com - Claims Inquiry & Reconciliation/ Remittance Inquiry	Learn how to submit Web requests and inquiries, such as eligibility and benefits, claim status and remit inquires. Also, view and work claims from a 30-day date range.
Nov. 5, 2009	2 p.m. EDT	RTA Overview	What is Real-Time Adjudication (RTA)? 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. 19, 2009	2 p.m. EDT	Humana.com Overview
Dec. 3, 2009	2 p.m. EDT	RTA Overview
Dec. 17, 2009	2 p.m. EDT	Humana.com Overview