Latest Notices and Updates


Duplicate 1099's
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All Medicare Advantage claims with 2019 dates of service are being held while we validate correct pricing and benefit configuration.  We anticipate these claims will be released by the end of this week.  
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Electronic Prior Authorization/InPatient Notification 2019
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Opioid Overutilization Initiative Program Effective January 1, 2019.
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This notification is to inform you of changes to our medical drug formulary for all PacificSource Medicare, Medicaid, and Commercial Plans.

 

Effective on 01/01/2019 our formulary will change


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CMS is placing a claims payment hold on all Inpatient and Long Term Care claims with discharge dates 10/1/18-10/22/18
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Inpatient Stay Update – only one IP reference number per stay.


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New High Risk Medication Alternative Drug Resource Document
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Breast Cancer Screening:

Breast Cancer Screening is a HEDIS preventative measure and is also included in the overall STAR rating for Medicare. 


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Free 1-hour training module with CMEs – Changing the Conversation About Pain: Pain is Everyone's Job
Lisa Millet, OHA Public Health Injury and Violence Prevention

Contact: Lisa Millet, Injury and Violence Prevention Manager, lisa.m.millet@state.or.us


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