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In the past, you may have had to go to a hospital for certain healthcare services. Today, many of those same things are done in your doctor’s office. How much you pay for those services depends on if they are routine or complex.
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We work to make sure our members get the right healthcare in every care setting. We support proper care decisions based on medical necessity and the member’s specific health plan. When a service needs pre-authorization, our Medical Director and clinical staff follow QualChoice Medical Coverage Policies. They also follow the peer-reviewed and nationally noted guidelines of MCG Health, LLC.
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The Centers for Medicare and Medicaid Services (CMS) recently extended an existing transition policy for non-ACA compliant plans through the end of 2018.
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Preventive health benefit BI062 has been updated to allow virtual colonoscopy with pre-authorization. Added that Cologuard and Epi proColon tests will not be covered.
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The Affordable Care Act (ACA) requires everyone to have health insurance. You must report it on your 2016 federal tax return.
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February is American Heart Month, the national awareness campaign aimed at preventing cardiovascular disease. If your plan includes QCARE, your employees have access to our Heart Health program, with nationally accepted practices and personal support for hypertension (high blood pressure).
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To meet compliance regulations, the employer group's Average Total Number of Employees (ATNE) is required.The ATNE is defined as: the sum of the number of employees on the last day of each month in
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Diabetes is one of the leading causes of disability and death in the United States. One American in 11 has diabetes --- that's more than 29 million people.
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These "security lessons learned" are gleaned from Federal Trade Commission (FTC) cases and may help improve your company's security practices:
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Our new My Account employer/broker pages at Qualchoice.com are now easier to use. And they're mobile-friendly, so you can manage your account on the go!
