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2008 Issues

Current Issue

December 2008

In this issue:
Incentive programs
  • Tobacco chart reviews are coming soon
  • Supplemental data and claims submission deadlines
  • 2009 PIP program updates
News & Updates
  • Preventive health care guidelines: Great news for 2009
  • East Michigan Expansion
AIM
  • 2008 AIM incentive checks
  • AIM change from notification to prior authorization
Billing & Coding
  • Terminating employee web access
  • Correlating Preventive Health Care Guideline CPT codes
  • Appropriate diagnosis on lab request forms
  • Varicose vein reminder
Service report to providers

Pharmacy
  • Formulary changes effective Jan. 1, 2009
  • Quick reference formulary updated
  • Generic drug substitution requirements
  • Diplomat Specialty Pharmacy provides office-administered drugs
  • Pharmacy PA have a new look

2008 Archive

November 2008

In this issue:
Incentive programs
  • Tips for meeting 2008 PIP measures
  • Gearing up for PIP in 2009
  • PIP data entry for termed members
News & Updates
  • What's happening at Priority Health
  • Provider Services adds new position
  • Priority Health Academy
  • Spine Centers of Excellence
  • Provider demographic changes
  • Medical policy changes
Billing & Coding
  • Patient access for billing service
  • Direct deposit/electronic fund transfer (EFT)
  • Overpayment refunds to Priority Health
  • ICD-10 class
  • Step by Step coding class
Service report to providers

Pharmacy
  • Generic drug news
  • Prior authorization for generic Lamisil removed:
    Caution, risk for hepatotoxicity still exists
  • Prior authorization for Zostavex removed for Medicare formulary
  • FDA posts list of drugs under safety investigation
  • Availability of physician and pharmacist reviewers
  • Pharmacy and Therapeutics Committee formulary update
  • September 2008 P&T changes: At a glance
October 2008

In this issue:
Incentive programs
  • Hypertension Partners in Performance (PIP) measure clarification
  • Provider-reported data subject to audit
  • Diabetes care: Annual retinal eye exam
News & Updates
  • Outpatient behavioral health services update
  • Specialty provider locator line
  • Priority Health Academy
  • Shared funding
AIM
  • AIM changing from notification to prior authorization
  • Reminders of AIM initiatives currently in place
Billing & Coding
  • New ICD-9 codes
Service report to providers

Pharmacy
  • Pharmacy prior authorizations no longer expire
  • Generic drug news
  • Stepped therapy
  • Pharmacy and Therapeutics Committee formulary update
  • P&T changes: At a glance

September 2008

In this issue:
Incentive programs

  • Are your Partners in Performance (PIP) patient services up-to-date?

  • Provider-reported data audits reminder

  • Immunization Waiver Record in Patient Profiles

  • Recorded BMI Level mid-year mailing

News & Updates

  • What’s happening in Priority Health today?

  • Tips for making calls to the Provider Helpline

  • Updates planned for online Find a Doctor tool

  • Priority Health Academy coming this fall

Service report to providers

Pharmacy

    • Pharmacy prior authorizations no longer expire

    • Generic drug news

    • Stepped therapy

    • Pharmacy and Therapeutics Committee formulary update

    • July 2008 P&T changes: At a glance

August 2008

July 2008

June 2008

May 2008

April 2008

March 2008

February 2008

January 2008

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Last modified 12/31/09