Provider E-News

Monthly newsletter with information about clinical practice and business updates. Newsletters are in print-friendly PDF format.

January 2020 (PDF)

  • Provider site: Referral tools and status upgrades coming this Spring!
  • KP Medicare plans are now separated into Individual and Group plans
  • Medicare beneficiary identifier numbers now required
  • Important change in authorization requirements for FEHB members not enrolled in a KP Medicare Advantage plan
  • New provider reconsideration process page
  • Clarification regarding authorization process for outpatient mental health therapy
  • Hedis® medical record review season: February-May 2020
  • Pre-payment review process updated
  • Greg Adams named Chairman, Chief Executive Officer

November 2019 (PDF)

  • Mourning the passing of Bernard J. Tyson
  • Kaiser Permanente staff support for care navigation
  • About Emergency Patient Resources and Options (EPRO)
  • Nutritional counseling services starting in Q1 2020
  • Kaiser Permanente Washington health plans and School Employees Benefit Board (SEBB): A great partnership
  • Pre-service and post-service reviews and supporting documentation
  • Updated ABA initial evaluation and progress forms
  • Upcoming changes

September 2019 (PDF)

  • Introducing Dr. Paul Minardi, President and CEO, Washington Permanente Medical Group
  • Referrals upgrade update
  • Updated online demographic and practice change forms
  • CME opportunities

August 2019 (PDF)

  • How to follow up on a claim denied for no prior authorization
  • Annual high dose opioid prior authorization renewals coming due for many patients
  • Qualified Medicare Beneficiary (QMB) program enrollees cannot be billed for Medicare cost shares
  • Intraoperative Neurophysiological Monitoring
  • CME opportunities

July 2019 (PDF)

  • Referrals refresh underway to support key moment in patient experience
  • Access to Psychiatry Consultation
  • New name for Tacoma South Medical Center and pharmacy
  • Kaiser Permanente Specialty Pharmacy
  • Updated provider reconsideration request form
  • Re-submitting new information for a denied prior authorization drug request for non-Medicare plans
  • Reminder regarding faxed radiology requests

May 2019 (PDF)

  • Are you contracted to provide services for both KP Washington and KP Northwest?
  • CME opportunities - upcoming live CME courses
  • Advise your Provider Services consultant of any changes

April 2019 (PDF)

  • Our HMO plan is rated #1 in Washington!
  • Provider reconsideration request regarding referrals or medical necessity online form
  • Changes to medical necessity review criteria for total knee replacement
  • Alpha-1 proteinase inhibitors in the home infusion setting will be restricted to Kaiser Washington home infusion
  • CME opportunities

February 2019 (PDF)

  • New provider website introduced this week
  • Did you know we offer a Fax Back program to submit evidence of cancer screenings?
  • HEDIS® medical record review season: February-May 2019
  • Upcoming changes