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. 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

Benign Skin Lesion Removal
Breast MRI
Cardiac Rehabilitation
Continuous Ambulatory Blood Pressure Monitoring
Disc Nucleoplasty
Low Level Laser Therapy
MiniCAT Scans
Nerve Conduction Testing
Occupational Therapy/Physical Therapy
Prolotherapy
Sacroiliac Injections
Surgical Treatment for Chest Wall Deformities
Trigger Point Injections
Wound Healing: Tissue Engineered Substitutes and Growth Factors

Policies with Significant Revisions

Abdominoplasty
Bone Growth Stimulators
Extracorporeal Immunoadsorption
Genetic Counseling/Testing/ Pharmacogenetic Testing
Proton/Neutron Beam Therapy
Pulmonary Rehabilitation
Radiofrequency Tumor Ablation
Serum Tumor Markers
Vertebroplasty/Kyphoplasty
Virtual Colonoscopy

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
December 6	1 p.m. CST	E&B/Claims Management	Learn how to submit Web requests and inquiries, such as eligibility and benefits, claim status and remit inquiries.
December 20	1 p.m. CST	Humana.com overview	Learn how to submit Web requests and 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.
January 3	1 p.m. CST	Referrals	Learn how to submit Web referrals and inquiries, such as eligibility and benefits, inpatient and out patient authorizations.
January 17	11 a.m. CST	Humana.com overview
January 31	11 a.m. CST	E&B/Claims Management
February 14	1 p.m. CST	Referrals
February 28	1 p.m. CST	Humana.com overview
March 13	11 a.m. CST	Humana.com overview
March 27	11 a.m. CST	Referrals
April 10	1 p.m. CST	E&B/Claims Management

For more information, visit www.humana.com.

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: