All Provider News Articles
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Make every AWV count: Don’t overlook chronic conditions.
Practical guidance for documenting condition status, assessment, treatment, and follow-up during AWVs.
10/05/26
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Medical records needed for an important CMS RADV audit.
What providers need to know about submitting records for RADV review.
10/05/26
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Biosimilar drug authorization requirement change.
HCPCS codes and products affected by the November authorization change.
10/05/26
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Start early: Schedule Medicare Annual Wellness Visits in the first half of the year.
Key topics to address during AWVs to support HOS outcomes.
10/05/26
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New Medicare Star measure for 2027: Depression Screening and Follow-Up for Adolescents and Adults.
Screening tools, follow-up requirements, exclusions, and MY2027 preparation.
10/05/26
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NCQA quality measure: Statin Therapy for Patients with Cardiovascular Disease.
Eligibility, exclusion criteria, and example ICD-10 codes for the SPC measure.
10/05/26
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HEDIS FMC quality measure: Follow-Up after Emergency Department Visit for for People With Multiple High-Risk Chronic Conditions.
Required elements for documenting telephone follow-up after an ED visit.
10/05/26
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Close the gap: Cervical cancer screening documentation tips for providers.
What to record for screenings, hysterectomy exclusions, and outside results.
10/05/26
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Retail Pharmacy Benefit Option for US Family Health Plan Members.
Guidance on eligible generic prescriptions, retail access, and mail-order requirements.
10/05/26
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Prescribing biosimilars.
Formulary considerations, pharmacy coordination, and patient discussion points for biosimilars.
10/05/26