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At-home screenings help close potential care gaps in 2024
This summer and fall, we’ll send thousands of home test kits to members who are managing diabetes or at risk for chronic kidney disease or colorectal cancer. Engaging members in preventive care at home is the first step toward knowing what further testing or treatment may be needed.
Preparing for HEDIS 2023 medical record collection February 2024
This article is for all providers, except behavioral health providers and dentists.
Haitian migrants of southwestern PA in need of basic preventive services
We’re asking healthcare practitioners in the Geisinger Health Plan network to consider how you can connect the Haitian-Creole-speaking community with needed services.
Inpatient behavioral health prior authorization through Cohere begins June 24
Since the beginning of 2023, Cohere Health has helped manage outpatient service prior authorization requests for Geisinger Health Plan members. In March, we expanded our partnership with Cohere to include submission of most inpatient prior authorization requests. Now, inpatient behavioral health prior authorization requests will be available through Cohere as of Monday, June 24.
We’re simplifying our related hospital admissions payment policy
As of Sunday, Dec. 1, Geisinger Health Plan will pay only the higher DRG claim for related hospital admissions within 30 days.
Simple tests help members manage kidney health and detect colorectal cancer early
In 2023, we sent over 75,000 home test kits to members who are managing diabetes or at risk for chronic kidney disease or colorectal cancer. It’s all part of our at-home screening initiative — helping members get needed tests and closing potential gaps in care.
Ambulance providers should resubmit GHP Family claims
Resubmitting allows recent Medical Assistance fee schedule increases to be processed.
Update to Shift Care Services/Private Duty Nursing request for review process for GHP Family members
Process changes take effect Monday, April 8.