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April 09, 2020
April 2020 Code Auditing Changes (Effective April 8)
Quarterly, Capital District Physicians’ Health Plan, Inc. (CDPHP®) implements appropriate code auditing changes to remain current with industry standard coding updates. Updates are made to our code auditing software Change Healthcare Technologies, LLC ClaimsXten™ based on recommendations from a variety of sources, including the American Medical Association (AMA), Centers for Medicaid and Medicare Services (CMS)…
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April 08, 2020
Seven Ways to Support Your Upstate New York Community during the Coronavirus Outbreak
The impact of the coronavirus (COVID-19) pandemic is being felt throughout the communities where we live and work. Many of us are feeling powerless and isolated in its wake. One of the best ways to overcome those feelings is to find a way to make a difference in your community. Here are some general suggestions…
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March 10, 2020
Vaping and Electronic Cigarettes: Debunking the Myths and Exploring the Risks
Vaping and using e-cigarettes has become increasingly popular in recent years. The National Institute on Drug Abuse reports that e-cigarettes are now more popular among youth than conventional cigarettes. In 2018, more than half of New York State high school seniors had tried e-cigarettes while only one quarter reported trying traditional cigarettes.
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February 24, 2020
ER Anywhere: Emergency Room Services without the Wait
The health care app ER Anywhere, developed by United Concierge Medicine, aims to reduce health care costs, relieve stress on emergency personnel and agencies, and improve patient care by offering CDPHP Medicaid members a convenient alternative to emergency room (ER) visits. By downloading the ER Anywhere app via Apple Store or Google Play, or by…
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February 24, 2020
Health Disparities in Women: Cancer Screenings
CDPHP® strives to enhance awareness and empowerment related to health care and to address barriers that affect the community, internal staff, and medical providers. To this end, CDPHP created an internal Diversity Matters workgroup, which focuses on cultural competence, health literacy, and health disparities. The goals are to investigate the challenges that impact the social…
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January 07, 2020
Prior Authorization Requirements for Psychotropic Medications in Children and Adolescents
New York state requires CDPHP, as a Medicaid Managed Care plan, to implement a Children’s Behavioral Health Pharmacy Program that includes the monitoring and oversight of key medications for children. Effective February 1, 2020, prior authorization will be required for:
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