Stay informed with the latest health plan updates, coding and claims guidance, quality initiatives, & policy changes.
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Provider News
For providers who deliver care in partnership with Martin’s Point—across our Health Care Centers & network.
Coding and Records
AWV documentation tips.
Capture current chronic conditions more completely during AWVs...
Coding and Records
RADV audit records.
Respond promptly to medical record requests for CMS audits...
Plan Operations
Biosimilar authorization.
Review new prior authorization requirements effective November 1...
Quality Ratings
Depression screening measure.
Prepare workflows for screening and timely follow-up...
Quality Ratings
SPC statin measure.
Review SPC requirements, exclusions, and documentation details...
FMC follow-up documentation.
Document qualifying follow-up encounters within the required window...
Quality Ratings
Cervical screening documentation.
Document completed screenings and applicable exclusions accurately...
Benefits and Coverage
Retail generic medications.
Send eligible generic prescriptions to in-network retail pharmacies...
Pharmacy
Prescribing biosimilars.
Consider formulary-preferred biosimilars when clinically appropriate...
Partnerships
Emergency preparedness.
Consider NDMS participation to strengthen emergency response capacity...
Plan Operations
Provider data webinar.
Learn how to keep provider information accurate and current...
Plan Operations
Interoperability APIs.
Prepare for new provider and payer data-sharing capabilities...
Plan Operations
Authorization required for genetic testing.
Reminder to verify and obtain prior authorization before ordering genetic testing...
Coding and Records
Provider directory accuracy matters.
US Family Health Plan & Generations Advantage: CMS and TRICARE require...
Coding and Records
Diagnosis & coding accuracy.
Best practices for diagnosis documentation & coding accuracy...