Quality Programs - Provider News

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    Home Test Kits During COVID-19 Pandemic | 7/2/2020

    Members can complete important health tests at home.

    New Process for Payment Integrity | 6/18/2020

    Premera is working with MedReview and Claris Health for payment accuracy and appropriateness.

    Claims Coding Can Improve HEDIS Scores | 6/18/2020

    Learn how CPT® Category II and Z codes can reduce medical record reviews.

    HEDIS Quality Measure: Diabetes Care | 6/4/2020

    Improve patient health and reduce need for medical record reviews.

    HEDIS Quality Measures: New Exclusions | 4/2/2020

    New exclusions for patients with advanced illness and frailty.

    Information on Well-Child Checkups Sent to Members | 3/5/2020

    Some FEP members will receive information about well-child checkups. Here’s what you need to know.

    HEDIS Quality Measure Changes | 2/20/2020

    The National Committee for Quality Assurance released changes for select HEDIS® Quality measures.

    Knowing Where to Go: ER Alternatives | 1/16/2020

    Helping members be aware of emergency room alternatives.

    Medical Records Review: February 2020 | 1/1/2020

    Premera and COTIVITI will be reaching out for a HEDIS medical record review.

    Respiratory Failure: Acute, Chronic Or Both? | 12/6/2018

    Understand what documentation is needed to code respiratory failure to the highest level of specificity.

    Seizure, Seizure Disorder, Epilepsy – What’s the Difference? | 11/15/2018

    Coding a seizure as epilepsy is a common, but serious coding error.