Article from MiBiz Written by Mark Sanchez GRAND RAPIDS — Since September 2017, Metro Health – University of Michigan has signed up 20 employers that contract directly with the health system to provide medical care for some 4,000 employees and … Continued
A team-based approach designed to transform the primary care experience Current health care trends reveal an increasing number of primary care physicians and teams experiencing burnout, making it harder for patients to access quality health care. Rising health care costs, … Continued
Do you take prescription medications and have Priority Health Insurance? You may qualify to meet with a pharmacist for a Medication Therapy Management appointment! What is Medication Therapy Management (MTM)? MTM is a term describing medical care provided by a … Continued
Molina Healthcare of Michigan (Molina) has contracted with eviCore healthcare (eviCore), an independent specialty medical benefits management company, to provide outpatient utilization management services. The new program is designed to streamline the authorization process through on-line and/or phone requests. eviCore … Continued
Effective August 1, 2019, Meridian is implementing updates to Meridian Medical Policy B. 05 Readmission Review. This policy outlines Meridian’s processes of reviewing, adjudicating, and adjusting claims payments for inpatient admissions that are deemed to be potentially preventable readmissions.
Documentation for risk adjustment Quick reference guide Download PDF
The Diagnostic and Statistical Manual of Mental Disorders (fifth edition) defines major depression as an individual experiencing five or more symptoms during the same two-week period, with at least one of the symptoms being either depressed mood or loss of … Continued