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Payer Policy Links
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Aetna - Clinical Policy Bulletins
Anthem Blue Cross - Medical Policies by Alpha Index
Blue Cross Blue Shield of Florida
Blue Cross Blue Shield of Mississippi- Medical Policies by Alpha Index Blue Cross Blue Shield of North Carolina- Medical Policies by Alpha & Categorical Index Blue Cross Blue Shield of Wisconsin - Medical Policies by Alpha Index California Worker's Comp (DWC) - Regulations & Fee schedules from 2005 through 2009 for various specialties:
CIGNA - Coverage Policies
CMS NCDs for LABS, 2007-2009
Empire Blue - Medical Policies by Alpha Index Empire Blue - Payment Policies Alpha Index Healthcare Alliance Medical & Pharmacy Policies - Alpha Index Highmark Blue Shield Medical Policies - Alpha Index - 2010 Humana - Coverage Issues for Humana MedMutual of Ohio - Corporate Medical Policies Alpha Index Oxford Health Plan - Reimbursement Policies Risk Adjustment Links - Helpful Links Related to find information about Risk Adjustment; many thanks to Stacey Hernandez Texas Medicare - Medicare Physician Fee Schedule Database Taxonomy Code List -This .exe file opens to the Taxonomy Code List from WPC-edi. Special thanks to Manuel Lozano Cárdenas from Puerto Rico. Tufts Health Plan - Medical Necessity Guidelines Tufts Health Plan - Payment Policies United Healthcare - Medical Policies United Healthcare - Reimbursement Policies Wellmark Blue Cross Blue Shield - Medical Policies in Alphabetical Listing
M2PowerInc
Making Sense of Meaningful Use
- Report: Physician Use of Tablets Has Nearly Doubled Since 2011
- App Improves Diabetes Management Among Teenagers, Study Finds
- VA Outlines Privacy, Security Policies for Lifetime EHR System
- EHR Use Not Linked to Improved Diabetes Care Quality, Study Finds
- Article Raises Questions About Future of State Health Data Exchanges
American Medical News - Gov't
ASA News
- Additional Analysis of the CMS Final Rule on Medicare Conditions of Participation: Anesthesia Physician Supervision Patient Safety Standard Remains Unchanged
- CMS Issues Final CoPs and Medicare Regulatory Reform Rules; Notes ASA Objections
- House Energy and Commerce Committee Approves FDA Bill: Enhanced Notification Requirement Includes Manufacturers of Drugs Used by Anesthesiologists
Anesthesia News
- Additional Analysis of the CMS Final Rule on Medicare Conditions of Participation: Anesthesia Physician Supervision Patient Safety Standard Remains Unchanged
- CMS Issues Final CoPs and Medicare Regulatory Reform Rules; Notes ASA Objections
- House Energy and Commerce Committee Approves FDA Bill: Enhanced Notification Requirement Includes Manufacturers of Drugs Used by Anesthesiologists
Healthcare News
HealthLeadersMedia.com - Managed Care Contracting and Reimbursement Advisor
OIG News
OIG Criminal & Civil Enforcement
- Two Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud Scheme
- Boston Scientific Subsidiary Guidant Pays U.S. $9.25 Million to Settle False Claims Act Allegations
- Manhattan U.S. Attorney Announces Settlement With Podiatrist To Pay $800,000 For Submitting False Medicare Claims
- Ten Miami-Area Residents Plead Guilty in $25 Million Health Care Fraud Scheme
- Owner of Miami-Area Mental Health Company Sentenced to 35 Years in Prison for Orchestrating $205 Million Medicare Fraud Scheme
