Read Article
December 28, 2020
Medication-Assisted Treatment for Opioid Addiction
Medication-assisted treatment (MAT) is primarily used for the treatment of addiction to opioids such as heroin and prescription pain relievers that contain opiates. MAT medications are evidence-based treatment options that relieve the withdrawal symptoms and psychological cravings that cause chemical imbalances in the body. They do not just substitute one drug for another. Opioid Dependency…
#Network in the Know
Read Article
December 28, 2020
Code Auditing Changes Effective January 6, 2020
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)…
#Network in the Know
Read Article
October 16, 2020
Strategies for Addressing Nonadherence in Patients with Diabetes
Despite the fact that patients with diabetes and their physicians often have the same treatment goals ― positive health outcomes and good quality of life ― patients’ nonadherence to a prescribed treatment plan is often a challenge and a source of frustration for providers. Many patients do not end up following the recommended exercise or…
#Network in the Know
Read Article
October 16, 2020
Care Support for Your Patients with Chronic Kidney Disease and Tips for Accurate Diagnostic Coding
A three-year continuous improvement project initiated by the Centers for Medicare & Medicaid Services (CMS) aims to optimize kidney function and improve outcomes for Medicare members with chronic kidney disease (CKD). Early identification and treatment of such patients may slow progression of the disease to end-stage renal disease and delay or avoid the need for…
#Network in the Know
Read Article
October 16, 2020
Guidelines for Accurate Claims Coding
Appropriate coding of medical claims serves several purposes. It provides clues to the complexity of a patient’s condition, the level of care required, as well as the projected costs and care management resources involved in delivering optimal care to that patient. Accurate ICD-10 diagnosis coding to the correct level of specificity is challenging, however, and…
#Network in the Know
Read Article
August 20, 2020
Chlaymydia Screening: Tips and Resources
Untreated chlamydia infections can have devastating effects on a women’s reproductive system and ability to bear children. That is why it is critical that all sexually active women 16 to 24 years of age be educated about the risks and tested yearly via a urinary test. Screening for chlamydia starts with taking a patient’s sexual…
#Network in the Know
The Daily Dose