The Connection OnlineSM
October 2010
Welcome to The Connection Online
This publication contains important information, including updates to policies and procedures, for physicians, dentists, other health care and dental professionals, facilities and their staff.
Editions are published in February, April, June, August, October and December.
If you haven't already, please subscribe to receive email notifications when new editions are available.
Note: Other important updates can be found in our What's New section.
Register for a provider workshop near you
Provider workshops are occurring in several locations throughout Utah. These sessions give you and your office staff the opportunity to connect with Regence Provider Services to learn about current issues and upcoming initiatives.
Medicare
Please review these important Medicare-related updates:
Administrative and Billing
Products and Programs
Policies
Changes to our medical policies are listed below. Learn how policies are reviewed. Our Coding Toolkit includes codes that require clinical information (updated monthly), a complete list of code groupings and our Correct Code Editor (updated quarterly).
Medical
Reimbursement
- Assistant at surgery reimbursement
- Developmental testing during pediatric examinations
- Myoelectric prosthetic components reviewed for medical necessity
- Photocoagulation of macular drusen
- Pretreatment day prior to surgery included in global service period
- Preventive services HCPCS code update
- Qualitative drug screening codes
Medication
- Prior authorization change for glucose meters and test strips
- Reporting intravitreal use of bevacizumab
Summaries of recent changes (PDF) and detailed policies are available in our Medication Policy Manual.
View our group and Individual products Preferred Medication List/Formulary.
Search the Regence MedAdvantage + Rx and Medicare Part D formulary.