April 2010 Hot Topics
- Outpatient hospital claims requiring HCPCS/CPT codes with revenue codes
- CMS documentation signature requirements for medical records
- Notification of changes to billing patterns
- Provider resources
January/February 2010 Hot Topics
- POA requirements for inpatient hospital claims
- Reporting BMI for children
- Continuous stay/visit policy for hospital services that span more than one date of service
- Provider resources
- Complaint resolution by providers (Policy 11.218)
- Access to specialty care and outreach referrals - HMO products (Policy 11.200)
November/December 2009 Hot Topics
- BadgerCare Plus CORE enrollment
- Enrollment verification system enhancement
- GLHP criteria for DME
- Policy update
September/October 2009 Hot Topics
- 2010-2011 contract addendums
- BadgerCare Plus CORE Plan
- Claim submission for H1N1 vaccine and administration
- Directories
- Communication among network providers
- Medicaid 2009 provider recertification on the ForwardHealth portal
July/August 2009 Hot Topics
- Member rights and responsibilities
- Surgical treatment of hyperhidrosis
- Gundersen Lutheran Health Plan policies & criteria for DME items/services
- 2009 Criteria-Most requested DME reference sheet
May/June 2009 Hot Topics
- Gundersen Lutheran Health Plan unveils new Web site
- Referral authorization and prior authorization forms
- Vision services
April 2009 Hot Topics
- BadgerCare Plus member eligibility/enrollment
- Discrimination against members prohibited
March 2009 Hot Topics
- CMS documentation signature requirements for medical records
- Annual facility operations forms
- Claim submission
- Contact person
- Over-the-counter drugs
- BadgerCare Plus Benchmark Plan
- HealthCheck "other services"
- Covered over-the-counter drugs
- Insulin
February 2009 Hot Topics
- Complaint resolution by providers
- Access to specialty care and outreach referrals
February 17, 2009 News Flash
- Vagus nerve stimulation (VNS) device
January 2009 Hot Topics
- Marketing
- Provider manual
- Eligibility verification
December 2008 Hot Topics
- Durable medical equipment (DME) prior authorization
- Childhood obesity incentive
- Referrals
November 2008 Hot Topics
- ForwardHealth
- Enrollment specialist
- Notification of complaints or concerns
- Reporting to State and Federal authorities
October 2008 Hot Topics
- BadgerCare updates
- Member ID
- InterChange
- Blood lead screening during HealthChecks
October 23, 2008 News Flash
- Gundersen Lutheran Health Plan partners with North Central Ophthalmics
September 2008 Hot Topics
- BadgerCare Plus Hot Topics debut
- Billing reminder
- BadgerCare Plus on the internet