News about our plans, authorizations, coding, billing, formularies and more.
Recent news
August 20: Recall of Sucralfate 1 gram tablets manufactured by Nostrum Laboratories, Inc.
August 20: New Provider Education Module: Updating your Find a Doc information in prism
August 18: August 2025 billing policy updates
August 18: August 2025 medical policy updates
August 13: Wheelchair authorizations: request only the duration needed
August 7: Annova: New vendor supporting medical record retrieval
August 7: Medicare PA criteria updates take effect Oct. 1 for non-preferred hyaluronic acid products
August 7: Get our summer Physician and practice news digest and our Medicare/Medicaid Quality newsletter
July 29: Register now for our August 21 Medicare & Medicaid quality webinar
July 21: IMRT to be added to post-pay audit program effective August 23
July 21: Fee schedule change for non-physician Medicaid behavioral health services