Tag: Drug Coverage

Aetna OfficeLink Updates, Published 06/01/2020

 Author: Seymore Bones  Published Date: June 2, 2020  Leave a Comment on Aetna OfficeLink Updates, Published 06/01/2020

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Changes in National Pre-certification List (NPL)

Changes to Commercial Drug list begin October 1, 2020

Accurate Claims Processing with Aetna’s 3rd Party Claim and Code Review Program.

Inportant Information from Aetna OfficeLink Updates 3/1/2020

 Author: Seymore Bones  Published Date: March 6, 2020  Leave a Comment on Inportant Information from Aetna OfficeLink Updates 3/1/2020

Changes and Updates include:

  • Aetna’s National Pre-certification List, effective 7/1/2020
  • Updates to Aetna’s Commercial Drug List, effective 7/1/2020
  • Availity the will be Aetna’s sole Provider Portal, effective 4/30/2020
  • Individual Service Codes and Service Grouping Updates, effective 6/1/2020
  • Updates for In-Office Surgical Pathology Codes, effective 6/1/2020
  • Updates to Drug test Thresholds, Billable Service, Notification for Acute Rehabilitation and Skilled Nursing Facilities and New Claim Edits, etc.

Learn More

Aetna OfficeLink Updates, Published 03/01/2020

 Author: Seymore Bones  Published Date: March 6, 2020  Leave a Comment on Aetna OfficeLink Updates, Published 03/01/2020

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Mandated Use of the Texas Prescription Monitoring Program.

 Author: Seymore Bones  Published Date: February 10, 2020  Leave a Comment on Mandated Use of the Texas Prescription Monitoring Program.

Effective March 1, 2020

Prescribers and pharmacists or their delegates will be required by Texas State Law to use the Texas Prescription  Monitoring Program (PMP) to review a patient’s prescription history BEFORE prescribing or dispensing opioids, benzodiazepines, barbiturates, or carisoprodol. 

You can review the PMP pamphlet here under the Compliance file labeled “Pharmacy” or just click here. 

For additional resources and information about the Texas PMP, please visit txpmp.org.

“Sign On Before You Sign Off”

 Author: Seymore Bones  Published Date: February 10, 2020  Leave a Comment on “Sign On Before You Sign Off”

A Prescriber’s Guide to Using the Texas Prescription Monitoring Program.

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Aetna OfficeLink Updates 12/1/2019

 Author: Seymore Bones  Published Date: December 4, 2019  Leave a Comment on Aetna OfficeLink Updates 12/1/2019

Important Information for your Office. This Aetna OfficeLink Update covers a variety of topics including: Precertification, Claims Editing, Drug Coverage and much more. Click here to view this Update.

Aetna OfficeLink Updates, Published 12/01/2019

 Author: Seymore Bones  Published Date: December 4, 2019  Leave a Comment on Aetna OfficeLink Updates, Published 12/01/2019

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