News & Information

The preliminary list of the new ICD-10- CM codes that become effective October 1, 2016 have been released. There are approximately 1600 changes to the code set, making up for the years the ICD-10- CM codes have not had updates.

For FY 2017, many changes have occurred in the ‘O’ Chapter, which consists of codes for the antepartum (first, second, and third trimesters), intrapartum and postpartum (puerperium] - 6 weeks after delivery) periods of a pregnancy.

Read More

To help the understanding of what is covered under Dental and what may be covered under Medical, review Regence's coverage criteria:  

Coverage under medical or dental benefits is determined by the condition that is being diagnosed and treated, regardless of whether the service is provided by a dentist or a medical doctor.

MEDICAL POLICY CRITERIA

Note: Member contracts for covered services vary. Member contract language takes precedent over medical policy.

I. Dental Services

Read More

On December 18, 2015, we posted our draft Quality Measure Development Plan, a strategic framework for clinician quality measurement development to support the new Merit-based Incentive Payment System (MIPS) and advanced alternative payment models (APMs). Through March 1, 2016, we asked for stakeholder feedback and received responses from 60 individuals and 150 organizations.

Read More

A recent study in the The BMJ (formerly the British Medical Journal)suggests that medical mistakes could be the third leading cause of deaths in the United States. (http://www.bmj.com/content/353/bmj.i2139)

Major news outlets have picked up this story and interviewed various medical professionals:

Read More

Integrating patient care can be tricky. The National Council for Behavioral Health has created four short educational videos which can help. They are:

Read More

Pages