1. february Updates
Medicare Advantage

2. - Quality Reporting Program retired on Jan. 1st
Unitedhealthcare
Hospital Quality Reporting (Pg. 5)
- Quality Reporting Program retired on Jan. 1st
CAHPS Surveys February-June Pg. 22)
New Technical & Professional Reimbursement Policy May 2018
New Lab Services Policy May 2018

3. Unitedhealthcare
Outpatient Injectable Chemotherapy Notification required for Florida, Georgia & Wisconsin March 1st (Pg. 26)
Medical Policy Updates (Pg. 27)
protocols/medicare-advantage-policies/medicare- advantage-coverage- sum.html?sort=dateDesc&%3Acq_csrf_token=undefined
Medical Coverage Summary Updates (Pg. 29)
Coverage Determinations (Pg. 31)

4. humana Claim numbers will be 15 digits
15-digit-humana-claim-numbers
Updates to preauthorization requirements for Therapy
new/therapy-preauthorization-updates
Formulary changes for 2018
formulary-changes
Updates to Code Editing Software
new/code-edit-updates
Screening mammo info.

5. humana Flu Vaccinations Pneumonia Vaccines
Pneumonia Vaccines
new/pneumonia-vaccines
Reimbursement information for Hospitals
new/hospital-reimbursement
Claim processing edits
edits/search/recent-notifications?=recent- notifications&SearchTerm=,&num=10&offset=3
Medical and Pharmacy Coverage Policies
olicyType=medical
Screening mammo info.

6. aetna Find a Form Medical Policy Updates Educational Webinars
professional-forms.html
Medical Policy Updates
bulletins/medical-clinical-policy-bulletins/changes.html
Educational Webinars
manuals/educational-webinars.html
Surgical dressings,

7. cigna Submitting Documentation on Pending Claim (Pg. 3)
Clinical, Reimbursement & Administrative Policy Updates (Pg. 4)
Precertification Updates (Pg. 7)
Updates to CignaforHPC.com (Pg. 9)
Webinar schedule (Pg. 10)
Surgical dressings,

8. cigna Cigna exiting selected markets (Pg. 15)
Georgia provider directory data validation (Pg. 22)
Quick guide to ID cards (Pg. 26)
Surgical dressings,

9. cigna Coverage Policy Update
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Medical Policy Update
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10. Thank you!!!
Phone:
Take all of these documents back to your commercial billers so they can read thru these updates as well. And please remember that there could be exceptions to the timely filing guidelines in your contract. So please also check to see what your contracts have in them about timely filing.