Summer 2016 – Provider Newsletter

Summer 2016 – What the Order of Supervision Means to Your Practice, BRCA Testing, “Surprise Bills,” Provider Manual Updates and more. (Read More)

HealthyCT, Weitzman Institute work together to improve access to specialty care

MIDDLETOWN, Conn.: HealthyCT, Connecticut’s non-profit health insurance CO-OP, has signed a contract with the Weitzman Institute’s Community eConsult Network for electronic consultations (eConsults) with specialists. The partnership is designed to harness technology to improve medical care quality, efficiency and cost by giving primary care physicians (PCPs) direct access to specialists. (Read More)

December 2015 – Provider Update

Radiology Prior Authorization Services On December 1, 2015, HealthyCT partnered with eviCore healthcare to manage prior authorization for radiology services. The list of services requiring a prior authorization has not changed. Authorization is required for: CT/CTA MRI/MRA PET Nuclear Medicine (Click Here to Continue Reading this Important Update)

February 2016 – Provider Update

CHECK OUT THE NEW PARTICIPATING PROVIDER NEWS! You can read the Winter 2016 issue of Participating Provider News here. This issue features these topics: A Big Leap Forward During 2015 New and Revised Payment Guidelines Important Clinical Updates What Our Quality Improvement Program Means to You Formulary Prior Authorization Requirements Expediting Claims with Unlisted and Unspecified Codes Introducing Teladoc Medical Records Collection Process Preventive Services Update Accumulator Lookup Tool Now Available Using Data to Improve the Quality of Care Claim Submission Timeframes Pharmacy Benefits Manager Transition Where to Send Claims Review Your Provider Directory Listing Recredentialing Process Reminder

February 2016 – Provider Update

The Importance of Proper Coding Coding is critical to obtaining proper reimbursement, maintaining patient records and ensuring a valid record of patient care history. An accurate claim is dependent upon factors such as staying up-to-date on annual coding changes, following standard coding guidelines and keeping detailed patient records. (Read More)

March 22, 2016 – Orthopedic Advisory Group Meeting

We invite you to participate in a Orthopedic Advisory Group Meeting As a physician or practice manager, you can let us know how we’re doing, what we can do better and how we can help you and your patients. Don’t miss this opportunity, your input is valued! Tuesday, March 22, 2016 – 5:30 PM Connecticut State Medical Society Offices 127 Washington Ave. East Building 3rd Floor North Haven, CT Dinner will be provided The focus of this meeting will be to discuss the bundling of orthopedic services, including your experiences, discharge issues, management of patient choice, etc. Space is limited – to register, click here to fill out the form.