Your link to the vital information you and your staff need to give your patients the best possible care.
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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.
| H1N1 Vaccine Availability |
05/01/10 |
| Reminder: Treating Family Members |
05/01/10 |
| My Wellness Plan Helps Members Take Charge of Their Health |
05/01/10 |
| Advance Directives |
05/01/10 |
| Pharmacotherapy Management of COPD Exacerbation |
05/01/10 |
| Impact Conditions Managed by Tufts Health Plan |
05/01/10 |
| 2010 Tufts Health Plan Blue Ribbon Designation |
05/01/10 |
| Update: CVS Caremark and Walgreens Resolve Contract Dispute |
05/01/10 |
| Tufts Health Plan Medicare Preferred Updates |
05/01/10 |
| Reminder: Medications Covered Under Prescription Drug Benefit |
05/01/10 |
| Coding for Opiate Dependence |
05/01/10 |
| Commercial Coverage Change for Subutex®, Buprenorphine and Suboxone® |
05/01/10 |
| Coverage Updates for Commercial Products |
05/01/10 |
| Services Related to a Non-Covered Service |
05/01/10 |
| New Commercial Coding Edits for Facilities |
05/01/10 |
| Tufts Medicare Complement Member ID Conversion |
03/15/10 |
| Tips for Submitting Paper Claims |
03/01/10 |
| Navigator™ Hospital Tiering Information |
02/04/10 |
| Tufts Medicare Complement Member ID Conversion |
02/01/10 |
| Coverage Updates for Commercial Products |
02/01/10 |
| Commercial Pharmacy Coverage Changes |
02/01/10 |
| New Commercial Coding Edits |
02/01/10 |
| Late Charges Submitted Electronically |
02/01/10 |
| Filing Limit Payment Disputes |
02/01/10 |
| Preventive Health and Practice Guidelines Adopted |
02/01/10 |
| 2009 Medical Record Review Audit Results |
02/01/10 |
| Update Your Practice Information |
02/01/10 |
| Chlamydia Screenings |
02/01/10 |
| Corporate Member-Generated Grievance Policy |
02/01/10 |
| Utilization Management Guidelines Support Quality Care |
02/01/10 |
| Tufts Medicare Preferred Toolbox |
02/01/10 |
| Effective Communication |
02/01/10 |
| Physician, Outpatient Hospital Fee Schedules to be Updated April 1 |
02/01/10 |
| Correct Coding Reminder |
02/01/10 |
| Claims Reported With No Message Code |
01/26/10 |
| Tufts Medicare Preferred: Consultation Codes |
01/11/10 |
| GIC Navigator Plan Changes |
01/07/10 |
| Navigator Specialist Tiering Information |
12/30/09 |
| Reminder: New Vendor for Paper Forms |
12/22/09 |
| Information Regarding New Breast Cancer Screening Recommendations |
11/20/09 |
| Tufts Medicare Preferred to Offer Prescription Drug, Supplement Plans |
11/01/09 |
| Adult BMI Assessment |
11/01/09 |
| 2009 Quality Improvement Work Plan |
11/01/09 |
| Tufts Medicare Preferred: Recent Medicare Determinations |
11/01/09 |
| Tufts Medicare Preferred: Corrected Claims |
11/01/09 |
| Plan Benefit Changes Effective January 1, 2010
|
11/01/09 |
| Commercial Coding Edit: Incomplete Lab Panels |
11/01/09 |
| Pharmacy Coverage Changes Effective January 1, 2010 |
11/01/09 |
| Coverage Updates Effective January 1, 2010
|
11/01/09 |
| Reminder: Obstetrical Risk Assessment, Postpartum Visits |
11/01/09 |
| Paper Claim Submission Guidelines |
10/12/09 |
| Clear Claim Connection Upgrade |
10/07/09 |
| National Depression Screening Day - October 8 |
09/16/09 |
| Bilateral/Multiple Surgical, Imaging Payment Policies Revised |
08/01/09 |
| Effective Date for Speech Therapy Coverage Guidelines |
08/01/09 |
| 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 |
| Fraud, Waste and Abuse Training |
07/20/09 |
| 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 |
| Fraud, Waste, Abuse Hotline and Training |
05/01/09 |
| 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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