Provider E-News
Monthly newsletter with information about clinical practice and business updates. Newsletters are in print-friendly PDF format.
- Claims address change for select self-funded plans
- MAC prior authorization requirements to be removed
- Better Choice, Better Health program discontinued
- Clinical news
- EFT deposit & check mailing dates
- CME calendar
- Credentialing online applications required
- Clinical Review fax number
- Claims address change for select self-funded plans
- Durable Medical Equipment orders to be placed with Apria
- Provider notices
- CME calendar
- Affiliate Link in-basket view change
- Kaiser Foundation Hospitals and Geisinger Health launch Risant Health
- Provider notices
- Mental health awareness month
- CME calendar
- The top-ranked medical group in Washington state
- Emergency medical services for Kaiser Permanente members
- Changes to medical necessity review criteria for Total Hip Arthroplasty
- Updates to fax numbers
- CME calendar
- Interpretive services for our members
- Authorization code range updates
- Chemo denervation update
- Reminder regarding high-end imaging authorization requests
- Viewing contracts in Eligibility & Inquiry tool on Affiliate Link
- HEDIS® Medical Record Review Season: February – May 2023
- Updated visiting member process
- Kaiser Permanente’s first-fill plan expansion in place
- New fax number for DME
- Clinical updates
- Continuing education opportunities
- How to obtain copies of authorizations through Affiliate Link
- New Referral Management Unit fax number
- New process in place for Kaiser Permanente Exponent Health
- Let us know if you've made recent changes to your practice
- Kaiser Permanente receives a 4.5 Medicare Star quality rating for 2023
- New membership system coming soon
- Member contracts now available on the secure provider portal
- News from Kaiser Permanente Washington Health Research Institute
- Caring for members from other KP regions
- NPPES update reminder
- News from Kaiser Permanente Washington Health Research Institute
- Continuing medical education opportunities
- Affiliate Link tip
- Bremerton mental health facility relocation
- Crosswalk for mapping plan names with network names
- News from Kaiser Permanente Washington Health Research Institute
- Continuing medical education opportunities
- Summary of Care communications restarting
- Help us protect member PHI
- Interventional radiology referral template is live
- Osteoporosis and Weight Management Guidelines updated
- Continuing medical education opportunities
- Let us know if you've made changes to your practice
- Authorization code ranges format update
- HEDIS® medical record review season: February - May 2022
- Clinical chart validation short stay reviews to begin soon
- Your Kaiser Permanente patients have access to free online Better Choices, Better Health® self-management workshops
- Updated clinical guidelines
- Payment policy updates and provider notices
- CME and workshop opportunities
- Authorization no longer required for mental health outpatient therapy or psychiatry
- Fax is the preferred method for ordering imaging to Radiology
- Historical Referral tool being removed in March
- HEDIS® Medical Record Review Season
- After hours care options available to your Kaiser Permanente patients
- HR133 Legislation
- Updated clinical guidelines
- Payment policy updates
- Support for HR-133 provider directory validation
- Transplant services provider manual update
- Monitored Anesthesia Care (MAC)
- New claims pre-pay email inbox for inquiries
- Clinical review criteria change for continuity of care
- COVID vaccine billing for Medicare Advantage enrollees
- Provider payment policy updates
- Legislation brings changes to directory validation
- Tip – searching for authorization codes
- Payment policy update – Robotic Assisted Surgery
- Diagnostic Related Group (DRG) prepay reviews
- Affiliate link update for home infusion referrals
- Pharmacy updates
- Virtual care options
- Provider payment policy updates and notices
- CME and workshop opportunities
- CMS awards Kaiser Permanente 5 stars for its Medicare Advantage plans
- Kaiser Permanente’s employee vaccination efforts
- Ivermectin not approved or covered for treating COVID-19
- New provider resources for self-administered medications
- Changes to home infusion and ambulatory infusion suite
- Payment policy updates
- Personal injury protection vs. medical payments
- Clinical guidelines updates
- Provider payment policy updates and notices
- Medicare Part D benefit coverage updates
- CME and workshop opportunities
- Important changes to medical necessity review criteria for high-end imaging site of care
- Changes to medical necessity review criteria for certain elective surgical procedures
- Philips recalls Respironics PAP equipment and ventilators
- Celebrating the first anniversary of Affiliate Link
- Electronic prior authorization for Kaiser Permanente Medicare patients
- Please note recently expired and soon to expire OIC COVID-19 orders
- Ensuring successful transfer of Kaiser Permanente patients to Kaiser Permanente affiliated hospitals
- What is subrogation?
- Ensure providers are contracted with us when ordering services for patients
- Upcoming changes
- Aducanumab (Aduhelm) treatment for Alzheimer's Disease approved by FDA under accelerated approval pathway
- Third party liability - researching pedestrian and bicycle injuries
- Mental Health and Wellness referrals easier to request on Affiliate Link
- New chronic opioid therapy and combination opioid and Benzodiazepine patient education campaign
- Updated migraine and tension headache guideline includes new options for prophylaxis
- Upcoming changes
- Medicare formulary updates
- Change to how Affiliate Link users access referral notifications
- Service delivery standards added to Provider Manual
- Diagnosis Related Group (DRG) reviews set to begin June 1st
- Reminder: Always verify patient coverage prior to visit
- Resubmitting your third-party liability bill may not be the answer
- Only use category 1 CPT codes for ABA services
- Streamlining mental health & wellness authorization and reauthorization requests
- Depression guidelines update
- Cervical cancer screening guideline updated - primary hrHPV is now default test
- Medicare Part D benefit coverage - product removal
- Upcoming changes
- Other Party Liability Unit
- Provider Reconsideration request form changes
- Contacting Kaiser Permanente when one hospital needs to transfer a patient to another hospital
- Special instructions for submitting prior authorization requests in Affiliate Link
- Post service: Claims payment review & reconsideration process
- Asthma diagnosis and treatment guideline update
- Back pain guideline update
- Diabetes guidelines update
- Drug utilization management exception process
- Updated prior authorization criteria for average chronic opioid dose
- Learning collaborative opportunity
- Notification of Part D Negative formulary change 2021
- Update: First call guide for ambulance partnerships for Kaiser Permanente
- Threshold decrease for claims pre-payment and medical necessity review for inpatient and outpatient claims
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- Timely filing of claims involving a coordination of benefits
- HEDIS® medical record review season: February - May 2021
- Reminder - we can't accept CDs for reconsideration and appeals
- 1099 form requests
- Online referral request tools you can use today
- Retail flu vaccine options extended to March 31, 2021
- Routine hepatitis C screening now recommended for all adults - not just baby boomers
- Non-invasive prenatal fetal testing - temporary change extended to March 15, 2021
- Medical necessity review guidelines for substance use disorder treatment
- Elimination of CPT code 99201
- Threshold decrease for claims pre-payment and medical necessity review for inpatient and outpatient claims
- HEDIS® medical record review season: February - May 2021
- Terminology for our online resources
- Affiliate Link reminders and updates
- Retail flu vaccine options extended to March 31, 2021
- Mandatory telemedicine training for all licensed, registered, or certified health care professionals.
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- New guideline provides treatment options for patients with opioid use disorder
- CDC drops azithromycin from gonorrhea treatment recommendations
- COVID-19 household prevention program resources available
- Important changes effective 1/1/2021 to our Women's Health payment policy
- Kaiser Permanente offering $0 copay for primary care visits for Medicare Advantage members through December 2020
- We need your help to transfer your patients' refills to Kaiser Permanente mail order
- Acupuncture Medicare benefit for chronic low back pain
- Generic albuterol HFA (Proventil) is Kaiser Permanente's preferred short-acting beta agonist
- 30-day supply limit added for opioids, benzodiazepines, and non-benzodiazepine receptor agaonists (Z-drugs) for KP Commercial Plans
- Upcoming changes
- Kaiser Permanente offers $0 copay for primary care office visits for Medicare Advantage members through December 2020
- Women's health care performed by non-network providers requires prior authorization
- Flu campaign toolkit
- New ways to deliver flu shots to our members
- Updated guidelines
- More authorizations upgrades going live on August 17
- Kaiser Permanente walk-in pharmacy opening in Bellingham on August 20, 2020
- Expedited appeals
- New ambulance partnerships for Kaiser Permanente
- Kaiser Permanente will not reopen CareClinic by Kaiser Permanente at Bartell Drugs locations
- Upcoming changes