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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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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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December 18, 2019
October 2019 Code Auditing Changes
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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October 03, 2019
Annual CAHPS and HEDIS Survey Results: An Overview
On an annual basis, CDPHP assesses member satisfaction with their health care providers and our health plan using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) and Health Effectiveness Data and Information Set (HEDIS®) surveys. Members rate their satisfaction with various aspects of health care, including their health plan, overall health care, primary and…
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