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Changes to Home Medical Equipment Provider Network
Humana has established a long-term relationship with Apria Healthcare, making Apria our provider of choice for Humana members’ home medical equipment needs.
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Medicare Advantage Member and Primary Physician Relationship Promoted
The 2013 plan year has Humana continuing its efforts to connect Medicare Advantage PPO and PFFS members to primary physicians.
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Prepare Now for Transition to ICD-10
Learn more about Humana's readiness plan and find answers to your frequently asked questions for ICD-10.
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Humana Electronic Tools Designed to Heal the Claims Process
November is the American Medical Association’s (AMA) Heal the Claims Process™ month. Humana can help physicians and participants in the health care claims process to streamline their administrative processes in order to help eliminate administrative waste.
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Flu Vaccine Guidance
For the 2012-2013 flu season, the Centers for Disease Control and Prevention urges everyone 6 months and older to get an annual flu vaccine.
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Valid NPI Required on All Submitted Claims/Encounters
To satisfy a requirement by the Centers for Medicare & Medicaid Services (CMS), Humana must begin receiving provider claims/encounters data with a valid National Provider Identifier (NPI) as soon as possible and no later than the end of November 2011.
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Compliance Requirements for Health Care Providers
The Centers for Medicare & Medicaid Services (CMS) mandates that all Humana-contracted entities, including those contracted with Humana subsidiaries, complete compliance requirements.
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Potential Drug-to-Drug Interactions
Health care providers may soon notice an increase in communications from Humana regarding potentially problematic combinations of medications.
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Communications on Wellness Visits and Colorectal Cancer Screenings
Humana is reaching out to Medicare members to remind them to contact their primary care physician (PCP) to make an appointment for a wellness visit.
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Claims Submission Time Frames
Health care providers are encouraged to take note of these claims submission time frames for Medicare Advantage and commercial claims
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Humana Medicare Rewards
Access information for physicians regarding the 2012 Humana Medicare Rewards Program
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Humana Claims Information Only a Click or Call Away
Find information about how to accurately code and document diagnoses and services provided to Humana members.
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Important Information About Sequestration Reductions
Find out how sequestration reductions are affecting health care providers’ payments.
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Humana Introduces Member Summary Tool
A new tool that gives physicians a high-level overview of a patient’s key quality-related metrics and medically relevant information in a consolidated format.
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2013 Medicare formulary changes
See a list of commonly used medications that will be impacted by Humana Medicare formulary changes in 2013.
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High-risk Medication Formulary Changes
Effective Jan. 1, 2013, certain drugs under the Humana Medicare formularies will have new limitations or will require utilization management for the 2013 plan year.
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2013 commercial formulary changes
See a list of some commonly used medications that will be impacted by Humana commercial formulary changes in 2013.
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Inpatient-only Procedure Information for Medicare Members
Learn more about procedures that should be performed on an inpatient basis for the Medicare population
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Humana Clarifies Noncovered Services Enforcement for Facilities
Humana Clarifies Noncovered Services Enforcement for Facilities
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Providers to be notified of Well Dine meal requests
Providers to be notified of Well Dine meal requests
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Best Doctors® Comes to Wisconsin-based Members
Best Doctors® Comes to Wisconsin-based Business Health Care Group (BHCG) Members
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New Professional and Facility Claim Code Edits Coming
Find out more about updates to Humana’s professional and facility claims payment systems
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New Professional and Facility Claim Code Edits Effective April 13, 2013
Find out more about updates to Humana’s professional and facility claims payment systems effective April 13, 2013
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Humana.com
Benefit Estimator Tool Now Available
Benefit Estimator Tool Now Available
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Humana.com
Non-network DMEPOS Providers Subject to Medicare Bidding Program
Non-network Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Providers Subject to Original Medicare DMEPOS Competitive Bidding Program
