Group Health's quick reference guide of common HEDIS measures includes newly issued statin measures for patients with cardiovascular disease and diabetes.
Information about drugs empagliflozin, zetia and PCSK9 inhibitors, antibiotics for acute otitis media in children, and proton pump inhibitors.
Drug Screenings Payment Policy Removed
The CPT coding listed in the policy is no longer valid.
Modifiers Payment Policy (PDF)
See updated information on the P3, P4, and P5 modifiers. These do not impact reimbursement.
Non-Medicare Drug List updated April 1.
Highlights from the March 9 meeting.
See what's offered, which services require preauthorization, and get information about claims submissions.
Standardized protocols for therapy care after surgery.
See Clinical Pearls recommendations you can integrate into your daily practice.
See monthly clinical practice and business updates.
Effective May 15, Group Health is adopting MCG care guidelines for gynecomastia.
HEDIS medical record review season, updated guidelines, and more.
Group Health does not separately reimburse CAD for mammography services for all commercial members.
Criteria updates, approved and non-approved technology.
Get information and see FAQs about the HEDIS medical record review.
Updated policies for Access and OMNI PPO Plans Out-Of-Network Reimbursement, and Pharmacist Reimbursement.
Updates to our guidelines, services, provider manual, and other important information.
For questions about your existing account, call OHP technical support at 1-800-973-4797.
Don't have an account? Visit OneHealthPort for more information.
Change to Your Practice?
Group Health Appointment Access Standards