News

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Patient Safety  our efforts—in partnership with physicians and other agencies—to help improve the quality and safety of care our members receive.

Clear Claim Connection Upgrade	10/07/09
National Depression Screening Day - October 8	09/16/09
Self-Service Tool Enhancements	08/01/09
2008 Medical Record Audit Results	08/01/09
Coverage Updates Effective October 1, 2009	08/01/09
Incomplete Lab Panels	08/01/09
Commercial Drug and Biological Edits	08/01/09
Home Health Care Payment Policy Revised	08/01/09
DME, Orthotics and Prosthetics Edits	08/01/09
Pharmacy Changes	08/01/09
Reminder: Prereg for Elective Admissions	08/01/09
Nurse Practitioners Added to Network	08/01/09
Tufts Medicare Preferred Updates	08/01/09
Reminder: Radiation Safety Awareness Initiative	07/01/09
GIC Navigator Benefit Changes Effective July 1, 2009	07/01/09
Changes to Tufts Medicare Preferred Claim Processing for Certain Medical Supplies	06/24/09
Assessing, Preventing and Treating Child Obesity	06/04/09
Update: Provider and Member Care Alert Program	05/13/09
Coverage Updates for Commercial Products Effective 7/1/09	05/01/09
Pharmacy Updates for Commercial Products	05/01/09
Clarification: Billing Change for Inpatient MH/SA Services	05/01/09
Non-Reimbursable Lab-Diag Code Combinations	05/01/09
Tufts Medicare Preferred Updates	05/01/09
QuitWorks for Child and Family Practitioners	05/01/09
2009 Immunization Schedules	05/01/09
No Referral Required for RI Urgent Care Centers	05/01/09
Massachusetts Mental Health Parity Law Expanded	05/01/09
Important Information Regarding Raptiva® (efalizumab)	04/27/09
Important Information Regarding Digoxin	04/10/09
Coverage Updates for Commercial Products Effective 4/1/09	02/01/09
Update: Preregistration Process Enhancements Implemented	02/01/09
New Provider and Member Care Alert Program	02/01/09
Tufts Health Plan Medicare Preferred Pharmacy Medical Necessity Guidelines	02/01/09
THPMP CMS Multiple Procedure Reduction for Imaging Procedures	02/01/09
Navigator™ CPI Initiative Specialty Tiering Information	02/01/09
Navigator™ Hospital Tiering Information	02/01/09
Nurse Practitioner Contracting	02/01/09
Radiation Safety Awareness Initiative	02/01/09
Tufts Health Plan Web Meetings	02/01/09
HEDIS 2009 Improvement Interventions	02/01/09
Reminder: Guidelines for Submitting Paper Claims	02/01/09
Maintain Your Web Access Account Information	02/01/09
Electronic Claim Submission: US Family Health Plan and THPMP	02/01/09
New Commercial Coding Edit - Diagnostic and Radiology Services	11/01/08
New Commercial Coding Edit - Subcutaneous and Intramuscular Injection Codes	11/01/08
Coverage Updates for Commercial Products Effective 1/1/09	11/01/08
Pharmacy Updates for Commercial Products Effective 1/1/09	11/01/08
Plan Benefit Changes Effective 1/1/09	11/01/08
Tufts Health Plan Medicare Preferred Updates	11/01/08
CodeReview Edits: An Update	11/01/08
New Commercial Coding Edit - Diagnostic and Radiology Services	11/01/08
New Commercial Coding Edit - Subcutaneous and Intramuscular Injection Codes	11/01/08
Non-Emergency Ambulance Transportation - Prior Authorization Change	11/01/08
Tufts Health Plan to Enter Rhode Island Market	11/01/08
HEDIS 2009 Improvement Interventions	11/01/08
Reminder: Echocardiography Privileging Changes Effective July 1, 2008	11/01/08
2009 Tufts Health Plan Blue Ribbon Designation	11/01/08
Utilization Management Guidelines Support Quality Care	11/01/08
Quality Improvement Work Plan Supports Patient Care	11/01/08
Effective 10/1/08 Claim Adjustment Requests	11/01/08
POA reporting to affect DRG assignment effective 10/1/08	11/01/08
Avoiding Over-Utilization of Antibiotics	11/01/08
No Referral Required for Optometry Services	11/01/08
Update: Utilization Review for Our PPO-MultiPlan/PHCS Plans	11/01/08
Annual Updates to Physician and Hospital Reimbursement Effective 1/1/09	11/01/08
Correct Coding Reminder	11/01/08
Payment Policies Updated	11/01/08
Commercial Provider Manual Updated	11/01/08
Medicare Advantage PFFS Guide	08/01/08
Payment Policies Updated	08/01/08
Training for You and Your Staff	08/01/08
Payment Policies Updated	08/01/08
Correct Coding Reminder	08/01/08
Physician, Outpatient Hospital Fee Schedules	08/01/08
Reminder to physicians who prescribe Rituxan	08/01/08
Commercial Provider Manual updated	08/01/08
Important reminder: CareLinkSM claim submissions	08/01/08
Reminder: Preferred infertility medications transition	08/01/08
Utilization review for CareLinkSM pharmacy benefit	08/01/08
Tufts Health Plan contracts with MinuteClinic	08/01/08
Update: Utilization Review for Our PPO-MultiPlan/PHCS Plans	08/01/08
Left Navigation Changes to the Secured Provider Portal	08/01/08
2009 Tufts Health Plan Blue Ribbon Designation	08/01/08
UM guidelines support quality care	08/01/08
Are you a Select Network provider?	08/01/08
Non-reimbursable codes	08/01/08
Reimbursement change: E&M services	08/01/08
Reminder: Echocardiography privileging changes	08/01/08
Tufts Medicare Preferred - recent Medicare determinations	08/01/08
Criteria change for polysomnogram: sleep studies	08/01/08
Recent clinical coverage updates	08/01/08
Coverage changes for commercial products	08/01/08
Update: July preregistration and inpatient reports	08/01/08
POA reporting to affect DRG assignment effective October 1	08/01/08
InterQual® SmartSheets™ available on secure site	08/01/08
Effective 10/1 - Claim Adjustment Requests	08/01/08

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