Authorization news for providers
- 03/21/2024: New cardiology authorizations program to launch this summer
- 02/07/2024: Acute inpatient authorization denial calls stop April 8
- 01/11/2024: PSODs are required for services not covered by Medicare
- InterQual is operational again
- 06/08/2023: InterQual outage impacts prior authorizations nationwide
- 05/11/2023: We're transitioning to 2023 InterQual on July 17
- 05/09/2023: Two Midnight Rule: Our UM practices remain unchanged
- 05/02/2023: CPT code 99222 no longer used for authorizations
- 04/21/2023: Simplifying home health authorizations
- 04/17/2023: New pop-ups in GuidingCare
- 03/31/2023: Clinical documentation required for outpatient authorizations on June 1
- 03/28/2023: Making health care easier and more transparent with Public Act 60
- 10/27/2022: Prior authorization no longer required for two CPT codes
- 08/30/2022: New prior authorization requirements for bariatric surgery
- 08/23/2022: Prior authorization is now required for IMRT services
- 8/22/2022: GuidingCare upgrade and new authorization guides are live
- 08/11/2022: GuidingCare will be down the weekend of August 19
- 07/27/2022: GuidingCare tips: InterQual Smartsheets and messages
- 06/30/2022: Ensuring accurate Elective Inpatient Admission authorization reviews
- 06/21/2022: GuidingCare upgrade, 2022 InterQual criteria update coming this August
- 02/04/2022: Provider news tips to successfully complete InterQual review
- 01/07/2022: Notice of admission isn't required for our Medicare members
- 12/30/2021: Our 2022 prior authorization updates are live
- 11/15/2021: New functioning coming to GuidingCare
- 11/10/2021: Starting Nov. 15, pediatric tonsillectomies no longer require authorization
- 11/01/2021: Important 2022 prior authorization updates
- 10/25/2021: SCOE retiring Jan. 1, 2022
- 10/15/2021: We're upgrading to InterQual 2021
- 10/07/2021: Oct. 15 specific services transition to 2021 InterQual
- 09/28/2021: Assist members transferred from THC with updating their medications
- 08/18/2021: 2021 CMS Inpatient Only list is delayed
- 08/12/2021: GuidingCare down the weekend of Aug. 20
- 08/12/2021: 2021 InterQual criteria is delayed
- 08/11/2021: Enhancements to GuidingCare coming Aug. 23
- 07/28/2021: GuidingCare transitioning to 2021 CMS Inpatient Only list
- 07/02/2021: Musculoskeletal authorization updates
- 06/21/2021: 2021 InterQual
- 04/05/2021: ADT enhancement
- 03/19/2021: MSK moving to GuidingCare
- 03/02/2021: 2021 MSK change in April
- 02/11/2021: Update to eviCore retrospective authorizations
- 01/29/2021: eviCore retro genetic labs