Provider News
For providers who deliver care in partnership with Martin’s Point—across our Health Care Centers & network.
Stay informed with the latest health plan updates, coding and claims guidance, quality initiatives, & policy changes.
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Coding and Records
Diagnosis & coding accuracy.
Best practices for diagnosis documentation & coding accuracy...
Benefits and Coverage
New telehealth option.
Telehealth urgent care and behavioral health services available through...
Pharmacy
Electronic prior authorizations.
Submit ePA requests through CoverMyMeds® or SureScripts®...
Quality Ratings
HEDIS guideline updates.
Updated HEDIS guidelines now available in the Provider Manual...
Quality Ratings
Closing the uACR screening gap.
Guidance on improving uACR completion to meet the HEDIS® KED measure...
Clinical Guidelines
Low back pain imaging guidelines.
Evidence-based guidance on imaging use for acute low back pain in US Family Health Plan...
Quality Ratings
Ask questions, improve outcomes.
HOS focus areas driving patient outcomes and Star ratings performance...
Quality Ratings
SPD exclusions documentation.
Documentation guidance for SPD measure exclusions and HEDIS® reporting accuracy...
Prescriptions
Deprescribing in Rx management.
US Family Health Plan & Generations Advantage providers are encouraged to...
Pharmacy
100-day supply benefit.
100-day prescription supply available for select Tier 1 & Tier 6 medications...
Quality Ratings
Home bone density scans.
Home-based bone density scans improving OMW screening access...