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 policies:

New Policies

• Chronic Vertigo Treatment
  
• Deep Brain Stimulation
  
• Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder (ADHD)
  
• Genetic Testing and Genetic Counseling for Carrier Screening
  
• Genetic Testing and Genetic Counseling for Diagnosis and Monitoring of Non-Cancer Indications
  
• Genetic Testing and Genetic Counseling for Disease Risk
  
• Genetic Testing and Genetic Counseling for Prenatal Diagnostic Testing
  
• Intraepidermal Nerve Fiber Density Testing
  
• Orthognathic Surgery

Policies with Significant Revisions

• Benign Skin Lesion Removal
  
• Brachytherapy
  
• Breast Magnetic Resonance Imaging (MRI)
  
• Cardiac Rehabilitation
  
• Gene Expression Profiling
  
• Home Terbutaline Infusion for Preterm Labor
  
• Home Uterine Activity Monitoring
  
• Intraoperative Neurological Monitoring
  
• Nerve Conduction Testing
  
• Percutaneous Vertebroplasty/Kyphoplasty
  
• Proton/Neutron Beam Radiation Therapy
  
• Pulmonary Rehabilitation
  
• Radiofrequency Tumor Ablation
  
• Sacroiliac Injections
  
• Surgical Treatment of Chest Wall Deformities

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 that times are Eastern Time.

For more information, visit 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 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
  
• HumanaAccess^SMVisa^® 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.

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