Home
Log in
Press room
About us
Contact us
Feedback
text size
Providers
Clinical resources
Provider Manual
News
Forms
Contact us
Share
|
Provider Manual
Get Started Guide
Authorizations
Billing & payment
› How to bill
› Clinical edits
› Code modifiers
› Coord. of benefits
› Employee billing
› Procedures & services
» After-hours services
» Anesthesia
» Anticoagulation management
» Behavioral health
» Certain surgeries
» Cerumen removal
» Chemo., Medicare
» DME
» DRGs & outliers
» Disease mgmt. education
» Emergency dept. visits
» EPSDT
» Flu shots
» Global surgical packages
» Group visits
» Hemodialysis
» Inject./infusions
» Inpt. admits, Medicare
» Lab procedures
» Manipulations
» MIHP
» Nutritional counseling
» Observation
» Office-based procedures
» Operating microscope
» Pharm. management
» Phone and e-visits
» Physical therapy
» Prenatal & delivery
» Preventive services
» Radiology
» Readmissions
» Spine COE
» Telemonitoring
Contracted telemonitoring providers
Services covered
Reporting
» Vaccines
» Vision care
› Making corrections
› Reviews & appeals
› Overpayment /CBF
Provider responsibilities and standards
Performance programs
Plans and benefits
Telemonitoring services covered
Services included in telemonitoring
Telemonitoring services must include:
A mechanism for monitoring, tracking and responding to changes in a member's clinical condition
A mechanism for monitoring weight, blood pressure and pulse daily
A standard of acceptable and unacceptable parameters for member's clinical parameters, which can be adjusted based on the member's condition
A process for physician identification of acceptable and unacceptable parameters for member's weight, blood pressure and pulse
Policies and procedures which address how monitoring staff will respond to member values outside of identified parameters
A process for dealing with defective equipment in a manner that protects the safety of Priority Health members
A process for notifying the physician for significant changes in the member's clinical signs and symptoms
Last modified: 4/14/2011
Feedback
©2012
Priority Health
You need to install a
Flash plugin
to see this video.