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April 2012 MyHumana Mobile Application Continues to Expand Services for Members Humana recently introduced three new pharmacy features to its MyHumana mobile application. Along with researching drug prices and alternatives and viewing pharmacy claims, members can now use the application to help manage their medications and refills. Humana members who sign up and download the MyHumana application can now benefit from the following enhancements of the MyHumana application: • Receive medication refill reminders by text message • Be alerted to take their medications either by text message or on their smart phones • Place prescription order refills to RightSource, Humana’s mail-order pharmacy This application helps members stay on their physician-directed medication plans, which also helps health care providers. By encouraging Humana-covered patients to use this feature, health care providers and Humana can work together to remind these individuals to stay compliant with their care plans. Health care providers can direct their Humana-covered patients here ( https://slservices.humana.com/ HumanaRegistration/RegAdmin.aspx ) to register to use the MyHumana application and mobile services. Health Care Providers Prepare for ICD-10 Documentation Changes According to the Centers for Medicare & Medicaid Services and the American Health Information Management Association, the transition to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10CM) will have a major impact on clinical documentation for health care providers and their coding staff. Because the ICD-10-CM codes contain increased detail, accurate and specific documentation in the patient’s record will be crucial. A successful transition by the compliance date of October 1, 2013, will require a well-organized implementation process that includes a clinical documentation plan. Having a clinical documentation improvement plan and working to expand the knowledge and skills of a practice’s coding staff will go a long way toward making the transition go smoothly. In order to develop a clinical documentation plan, health care providers and their coding staff should: • Identify education and implementation resources • Set implementation goals Humana’s Your Practice Humana.com/providers April 2012 • Measure current coding performance • Review top diagnosis codes for their practices • Compare current documentation practices to requirements for ICD-10-CM • Confirm that documentation supports the ICD-10-CM specificity Specific Details Are Crucial In preparation for the transition to ICD-10-CM, health care providers should begin reviewing their clinical documentation now. Accurate coding for ICD-10-CM will depend on detailed documentation in a patient’s medical record. Many of the ICD-10-CM codes differ from ICD-9-CM only in the statements distinguishing the episode of care. Codes may also differ only in specifying the laterality of a condition (right versus left side of a patient’s body). Many codes, such as fractures, have a significant change in specificity, including: • Type of fracture • Specific anatomical site • Displacement or no displacement • Laterality • Type of encounter (initial, subsequent) An example of this specificity is: A young child is seen with a closed fracture of the right femur. The fracture is found to be a comminuted fracture of the radial shaft that is displaced. (The emphasized documentation illustrates specificity needed to assign a code.) The code selection for this scenario is S72.351A, displaced comminuted fracture of the right femur, initial encounter for closed fracture. In the ICD-10CM code set, accurate clinical documentation will have an impact on both the patient and the health care provider. Inaccurate or nonspecific coding could lead to nonpayment or reduced payment for health care providers and result in undue out-of-pocket expenses for patients. Being proactive in improving clinical documentation now can help make the transition to ICD-10-CM easier for health care providers, coding staff and patients. References: CMS, AHIMA HHS Announces Intent to Delay ICD-10 Compliance Date On February 16, 2012, the Department of Health and Human Services (HHS) announced that it will initiate a process to postpone the compliance date of the ICD-10 diagnostic code set beyond the original deadline of October 1, 2013, for certain health care entities. (See http:// Humana’s Your Practice Humana.com/providers April 2012 www.fiercehealthit.com/press-releases/hhs-announces-intent-delay-icd-10-compliance-date ) The announcement did not specify how long the implementation would potentially be postponed. HHS stated that the agency had heard from many health care providers who expressed concern about possible administrative burdens that implementation of the new ICD-10 code set could place on them. HHS wants to work with health care providers to reassess the pace at which HHS and the nation implement these changes. It is important to note that this is only an intent to delay the compliance date, and it does not affect the implementation of 5010 transactions. Humana recommends that health care providers continue to make the changes necessary in order to be prepared when implementation of ICD-10 is mandated. Humana will continue to keep health care providers updated as new information is released about this change. Guidelines for Initial Preventive Physical Exams, Annual Physicals and Annual Wellness Visits for Humana Medicare Members The overview below may help shed some light on which services are included in initial preventive physical exams (IPPE, also known as the “Welcome to Medicare” exam), annual routine physicals and annual wellness visits, how they should be coded and how often they are available for coverage. Humana’s Your Practice Humana.com/providers April 2012 Visit Type Frequency Healthcare Common Procedure Coding System (HCPCS)/ Current Procedural Terminology (CPT) Code Initial Preventive Physical Exam (IPPE, also known as “Welcome to Medicare” exam) Includes services such as: Once per lifetime, within • Reviewing medical and social history • Reviewing potential risk factors for depression • Reviewing functional ability and level of safety • Measuring height, weight, body mass index and blood HCPCS G0402 first 12 months of Medicare Part B enrollment pressure; visual acuity screen; and other factors deemed appropriate by the health care provider • Discussing end-of-life planning, if patient agrees • Providing education, counseling and referrals based on the results of the services performed during the visit • Providing education, counseling and referral for EKG, as appropriate, and other appropriate screenings and preventive services Humana’s Your Practice Humana.com/providers April 2012 Visit Type Frequency Healthcare Common Procedure Coding System (HCPCS)/ Current Procedural Terminology (CPT) Code Annual Routine Physical Includes services such as: • One visit every 12 months, New patient preventive Reviewing medical history and performing a physical examination to identify risk status and to manage any interventions that are needed • in the years following the medicine service - CPT codes IPPE. This physical may be conducted during the same 12 months as the Counseling on diet, exercise, substance abuse and annual wellness visit Established patient preventive medicine service - CPT codes 99391 – 99397 injury prevention • 99381 – 99387 Recording of height and weight at intervals according to provider’s clinical discretion • Checking blood pressure every two years after age 21 • Screening vision at provider’s discretion • Screening hearing at provider’s discretion Annual Wellness Visit (AWV) – Initial Includes services such as: • Once per lifetime, at least Healthcare Common Procedure Developing a list of the patient’s current providers 12 months after Part B Coding System (HCPCS) enrollment, at least 12 G0438 months after the initial • Assessing cognitive impairment • Writing down a screening schedule • Listing risk factors and conditions for which preventive physical exam (IPPE), also known as the “Welcome to Medicare” exam (IPPE not required interventions are recommended • to receive AWV) Providing personalized health advice and referrals, as appropriate, to educate about preventive counseling services and programs Humana’s Your Practice Humana.com/providers April 2012 Visit Type Frequency Healthcare Common Procedure Coding System (HCPCS)/ Current Procedural Terminology (CPT) Code Annual Wellness Visit – Subsequent Includes services such as: One visit every 12 months, HCPCS G0439 may be conducted during • Updating the list of the patient’s current providers • Monitoring for cognitive impairment • Updating the written screening schedule • Updating the list of risk factors and conditions for which the same 12 months as the annual routine physical, at least 12 months after the most recent AWV interventions are recommended • Providing personalized health advice and referrals, as appropriate, to educate about preventive counseling services and programs If you have questions about IPPEs, routine physical exams or annual wellness visits, please call Humana customer service at 1-866-753-8451. Quality Improvement Essential to Improving Members’ Outcomes Dear Physicians and Office Staff, As director of Humana’s clinical quality strategy development, quality improvement activities and patient safety initiatives, it’s my job to incorporate health care providers’ input into our clinical programs. I believe that involving health care providers in quality improvement discussions and initiatives is essential to improving our members’ health outcomes and well-being. I’d like to share some new strategies we’re developing to improve both the efficiency and quality of health care delivery to our members. In our drive for improved quality health care for our members, we are collaborating with our health care providers through Humana’s enhanced quality nurse program. For many years, our quality nurses have worked with practices to promote preventive services, improve HEDIS scores and increase medication compliance. This year, we’re enhancing the program by assigning specific nurses to specific practices, allowing them to better understand the practice and its specific needs. This quality improvement nurse serves as the health care provider’s clinical point of contact with Humana and will deliver the following services: Humana’s Your Practice Humana.com/providers April 2012 • Support physicians and health care practices by sharing with them tools, practice-specific reports and resources available through Humana • Help physicians and health care practices improve on care delivery by bridging gaps in care through actionable reports made available to the health care provider • Link health care providers to core Humana services, such as HumanaCares, chronic condition management, case management, etc. Another approach we’re focusing on to improve the quality of health care is continuity of care (COC). Continuity of care, often touted as the “hallmark of quality medicine,” is one of the most important tools to improve patient health outcomes. Continuity of care, a team-based approach to health care, puts an emphasis on communication between all health care providers involved in a patient’s care and promotes the following benefits: • Improved coordination of health care resources • More focus on patient-centric care • Higher rates of preventative medicine • Better record keeping • Increased patient satisfaction with his or her health care provider These efforts help reduce the overall cost of health care and lower out-of-pocket expenses for the patient. One example of COC is when a specialist’s office forwards results of office visits and tests to a patient's primary care physician. This allows for a more thorough, safer, higher level of clinical management of the patient’s condition, and overall better care to the patient through this coordination and sharing of information. This trend toward a new care model and continuity of care is catching on in all levels of the health care industry. The National Committee for Quality Assurance Continuity (NCQA) believes so strongly in the benefits of continuity of care that it is a requirement for accreditation by NCQA. According to the NCQA standards, Humana is required to monitor and take action, as necessary, to improve continuity and coordination of care across the health care network. With these programs in place, we are working to do just that. Learn more about the quality nurse program in this issue’s article, The Humana Quality Improvement Nurse: Collaborating with Health Care Providers to Advance Patient Well-being Sincerely, Dr. George A. Andrews, M.D., M.B.A., F.A.C.P., F.A.C.C., F.C.C.P. Humana’s Your Practice Humana.com/providers April 2012 The Humana Quality Improvement Nurse: Collaborating with Health Care Providers to Advance Patient Well-being Health care providers and Humana share a common goal: to promote the well-being of patients/members through effective, efficient care. In keeping with this goal, Humana is expanding its quality initiatives in 2012 to heighten collaboration and informationsharing with primary care physicians across the United States. Humana seeks to improve quality of care for all of our Medicare, Medicaid and commercial health plan members. As part of the expansion, a Humana quality improvement nurse will be provided on a dedicated basis to health care providers’ offices across the country to collaborate with them and to offer support, tools and resources to enhance the delivery of care to Humana members. Program Goals By providing this additional resource to the group practice, Humana is working to achieve the following goals: • Increase collaboration between Humana and the health care provider • Provide tools and actionable information in support of improved clinical quality care • Improve the health and well-being of patients and Humana members Role of the Quality Improvement Nurse The Humana quality improvement nurse will: • Serve as a central point of contact, from a clinical perspective, to provide support to the office • Collaborate with other Humana departments and help facilitate communication between them and the practice • Share tools, practice-specific reports and resources available through Humana • Work to support physicians and individual practices in closing gaps in quality measures for members • Provide a link to core Humana services, such as HumanaCares, chronic condition management, case management and other clinical programs What to Expect when the Quality Improvement Nurse Visits Initially, the quality improvement nurse will reach out to health care providers’ offices to schedule an introductory meeting. The nurse will offer a customized view of resources, tools and information available from Humana. For example, depending on the needs of the specific office, the quality improvement nurse might take the following actions: • Share ideas about additional opportunities to promote patient well-being as part of an office visit, such as how to best use member-specific, health-oriented tools; the opportunity to benchmark patients’ status; use a body mass index (BMI) to discuss exercise and diet; coordinate and promote completion of mammograms, colorectal cancer screenings, glaucoma screenings, etc. • Provide data on the group’s current screening rates and its progress toward increasing those rates • Relay practice-specific information about patients’ medication adherence, preventive services that can help Humana members stay healthy or facilitate patients’ participation in clinical programs In addition to the clinical opportunity, the quality improvement nurse may explain possible financial opportunities that can come from being a Humana provider. Equally important, because two-way communication is essential to collaboration, Humana’s Your Practice Humana.com/providers April 2012 the quality improvement nurse will seek to gather feedback and ideas regarding how Humana can best support the needs of both the health care provider’s office and Humana members. If you have questions about Humana’s quality improvement nurse program, please contact Humana provider relations at 1-800-626-2741. Eligibility and Benefits Web Tool Enhanced by Health Care Provider Request Humana’s Web tools are designed to give health care providers an efficient way to work with and communicate with Humana. The company also works to include improvements that health care providers have requested. One example is Humana’s eligibility and benefits Web tool, available on Humana.com/providers (registration required). The following enhancements have been made, thanks to health care provider input: • New streamlined, easier-to-follow format • Addition of a Care Alerts section, which shows short messages indicating opportunities for additional care for the health care provider’s patients with Humana coverage • New benefit categories, including: • Behavioral/mental health • Cancer treatment • Durable medical equipment • Prosthetics and diabetic supplies • Infertility • Women’s health • Skilled nursing facility Accessing eligibility and benefit information online can save health care providers the time that may have been spent on the phone with Humana’s customer service. Humana encourages health care providers to take full advantage of all its available Web tools. Humana’s Web tools are available to registered users of Humana.com and www.availity.com. Humana’s Your Practice Humana.com/providers April 2012 Humana Tools Can Help Physicians and Patients Receive Recommended Care The Centers for Medicare & Medicaid Services (CMS) and the National Committee for Quality Assurance (NCQA) are working to ensure that individuals receive quality care from both their health plans and health care providers. As state and federal governments move toward a quality-driven health care industry and health plans like Humana expand provider rewards programs, the clinical Healthcare Effectiveness Data and Information Set (HEDIS) Stars measures are becoming more and more important to the individual health care provider. Physicians can help meet the Stars-HEDIS goals by encouraging their patients to receive any necessary tests and/or screenings and submitting appropriately coded claims/encounter data for each service rendered. Humana is working to help primary care physicians (PCPs) by providing a member outreach letter to be used by health care providers as a way to remind their patients to schedule necessary tests and screenings. The letter can be found on the provider area of Humana’s website at Humana.com/providers. It contains information for the patient about the clinical Stars-HEDIS measures being recommended (e.g., breast cancer screening, glaucoma screening, body mass index, etc.), and can be customized by PCPs to include their practices’ specific information. For more detailed information about the clinical Stars-HEDIS measures, including pertinent coding information, health care providers are invited to visit Humana.com/providers, From Humana.com/providers, the provider may choose “Clinical,” then “Quality Resources.” Be Alert for Fraudulent Phone Inquiries Humana has been made aware of several incidents when health care providers have received calls from someone fraudulently claiming to be a representative of Humana. The caller is requesting information about the health care provider or the practice. To date, the calls have all come from the same phone number, 973-330-3760. Because the caller is not an employee or agent of Humana and due to the types of information being requested, it can be assumed that the caller is trying to gather enough information to be able to gain a health care provider’s billing information to use for illegal purposes. In order to help health care providers protect their identities and practices from fraudulent callers from the number above or any suspicious number, Humana recommends that health care providers do not give any information to anyone claiming affiliation with Humana. Instead, contact Humana at a number that you know and trust. If a health care provider thinks that he or she may have already provided information to a fraudulent caller, the provider should make a list of the information provided and contact Humana provider relations at 1-800-626-2741. If a suspicious call is received, health care providers are encouraged to refer to the call checklist below in an effort to gather information that may help stop these calls. Health Care Provider Call Checklist Health care providers and their staff members should try to obtain the following information and provide it to Humana provider relations at 1-800-626-2741 when they receive a suspicious call: Humana’s Your Practice Humana.com/providers April 2012 • Was the caller male or female? • Did the caller speak with an accent? • If yes, what type of accent? • How did the caller identify himself/herself? (for example: did he/she say he/she was a customer care representative, with a service that is contracted by Humana or that he/she was calling on behalf of Humana, etc.?) • What exactly did the caller request? • Did the caller give a reason for the request? • Did the caller’s number appear on caller ID? If so, please provide the number. • If the number was not recorded, is the area code known? • Is the health care provider currently contracted with Humana or ChoiceCare? • If not, has he or she ever been contracted with Humana or ChoiceCare? • Did the caller contact the health care provider on a published phone number associated with the practice? • If not, did the caller contact the practice on a number known to Humana? • What information did the caller know about the health care provider? • What information did the caller know about the practice? • What information did the caller know about the health care provider’s contract? • Was there noticeable background noise on the call? • If yes, please describe (others talking, etc.) • Did the caller provide a call-back number, email address, name, etc.? Remember, if a heath care provider has any questions or concerns or needs to report a suspicious call, he or she can call Humana provider relations at 1-800-626-2741. Humana Helps Physicians Publicize PIM Recognition Humana recognizes internal medicine and subspecialty diplomates who are enrolled in the American Board of Internal Medicine (ABIM) Maintenance of Certification program and who complete ABIM's Practice Improvement Modules® (PIMs). By recognizing Humana-contracted physicians who complete PIMs, Humana is giving its members information about health care providers who are committed to improving their practices. Humana’s Your Practice Humana.com/providers April 2012 Several years ago, Humana added ABIM's designated seal, "Improving Practice Performance," on its Physician Finder Plus online provider search tool, next to the name of each physician participating in the program. Physician Finder Plus is available to more than 11 million Humana members via Humana.com. Humana recognizes ABIM physicians for each PIM completed and will continue to post the designation for up to two years for each completed PIM. Humana wants to help health care providers publicize their PIM accomplishments. To give Humana permission to retrieve and publicize PIMs, health care providers need to log into the ABIM website ( http://www.abim.org/ ). Health care providers can find a list of self-assessment PIMs for Maintenance of Certification (MOC) program credit here. ABIM has included several new PIMs this year, including the following choices: • Clinical Supervision PIM • Cancer Screening PIM • Chronic Obstructive Pulmonary Disease (COPD) • Chronic Kidney Disease (CKD) • Preventive Cardiology PIM Health care providers may access Physician Finder Plus on www.humana.com under the “Find a Doctor” tab to see how they are currently listed. Online Tools, Presentations, Webinars Provide Important Tips to Providers, Staff Humana's medical and medication coverage policies are based on evidence published in peer-reviewed medical literature, technology assessments obtained from independent medical research organizations, evidence-based consensus statements and evidence-based guidelines from nationally recognized professional health care organizations. Information about medical and medication coverage policies can be found on Humana.com/providers by selecting "Medical Coverage Policies." Medical and medication coverage policies can be reviewed by name as well as revision date. Users may also search for a particular policy using the search box. More detailed information may be found by reviewing "How to Read a Medical Coverage Policy" and "Understanding the Medical Coverage Policy Development Process." Below are the new and revised policies: New Medication Policies • Inlyta (axitinib) Humana’s Your Practice Humana.com/providers April 2012 • Erivedge (vismodegib) • Kalydeco (ivacaftor) Medication Policies with Significant Revisions • No medication policies with significant revisions New Medical Policies: • Genetic Testing and Genetic Counseling for Marfan Syndrome Medical Policies with Significant Revisions: • Bariatric Surgery- Surgical Treatment for Severe Obesity • Bone Growth Stimulators • Cryoablation • Durable Medical Equipment • Gene Expression Profiling • Mobility Assistive Devices (Wheelchairs) • Noninvasive Prenatal Screening for Chromosomal Abnormalities • Outpatient Cardiac Monitoring Devices • Pharmacogenomics • Prosthetics • Varicose Vein Treatments Online Presentations Make It Easier to do Business with Humana Humana's "Education on Demand" tool provides health care providers and their office staff members with quick, easy-tounderstand presentations on topics that should make it easier for them to do business with Humana. To access any of these presentations, health care providers may choose: http://www.humana.com/providers/tools/ provider_tools/education_on_demand.asp. If a computer with a sound card is not available, or if the computer is not configured for streaming audio, the presentations are available over the telephone while viewing the slides on screen. To begin the telephone playback process, health care providers should follow these steps: • Click on the question mark in the bottom right corner • Select "Player Settings" from the pop-up box • Check "Use telephone playback with standard player" • Click the "Submit" button • A window will open displaying the telephone number and access code that need to be dialed to receive the audio Available presentations are as follows: Humana’s Your Practice Humana.com/providers April 2012 • How to do Business with Humana • HumanaAccessSM Visa® Debit Card • RadConsultTM Online • SmartSummarySMRx • SmartSummary • Texas Deficiency Tool • Special Needs Plans (SNPs) • Humana’s Quality Initiatives The presentations can be accessed around the clock. Webinars Provide Interactive Learning Humana offers interactive Web-based training sessions for health care providers and their office staff members each month. To register, health care providers may send an email to [email protected]. Below is a listing of the upcoming Webinars. Please note that all times are Eastern. Date Time Training Subject Tues., April 17, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Tues., April 17, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., April 19, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., April 19, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., April 24, 2012 10 a.m. ET Availity.com Overview Tues., April 24, 2012 2 p.m. ET Humana.com Overview Thurs., April 26, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., April 26, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., May 1, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., May 1, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., May 3, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., May 3, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., May 8, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., May 8, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Thurs., May 10, 2012 10 a.m. ET Humana.com RTA (Real Time Adjudication) Thurs., May 10, 2012 2 p.m. ET Availity.com RTA (Real Time Adjudication) Tues., May 15, 2012 10 a.m. ET Availity.com Primary Access Administrator Training Humana’s Your Practice Humana.com/providers April 2012 Tues., May 15, 2012 2 p.m. ET Humana.com Primary Access Administrator Training Thurs., May 17, 2012 10 a.m. ET Humana.com Overview Thurs., May 17, 2012 2 p.m. ET Availity.com Overview Tues., May 22, 2012 10 a.m. ET Availity.com Claims Tools and Remit Inquiry Tues., May 22, 2012 2 p.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., May 24, 2012 10 a.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., May 24, 2012 2 p.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., May 29, 2012 10 a.m. ET Availity.com Referrals and Authorizations Tues., May 29, 2012 2 p.m. ET Humana.com Referrals and Authorizations Thurs., May 31, 2012 10 a.m. ET Humana.com Registration and ERA/EFT Thurs., May 31, 2012 2 p.m. ET Availity.com Registration and ERA/EFT Tues., June 5, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Tues., June 5, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., June 7, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., June 7, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., June 12, 2012 10 a.m. ET Availity.com Overview Tues., June 12, 2012 2 p.m. ET Humana.com Overview Thurs., June 14, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., June 14, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., June 19, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., June 19, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., June 21, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., June 21, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., June 26, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., June 26, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Thurs., June 28, 2012 10 a.m. ET Humana.com RTA (Real Time Adjudication) Thurs., June 28, 2012 2 p.m. ET Availity.com RTA (Real Time Adjudication) Tues., July 3, 2012 10 a.m. ET Availity.com Primary Access Administrator Training Tues., July 3, 2012 2 p.m. ET Humana.com Primary Access Administrator Training Thurs., July 5, 2012 10 a.m. ET Humana.com Overview Thurs., July 5, 2012 2 p.m. ET Availity.com Overview Tues., July 10, 2012 10 a.m. ET Availity.com Claims Tools and Remit Inquiry Humana’s Your Practice Humana.com/providers April 2012 Tues., July 10, 2012 2 p.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., July 12, 2012 10 a.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., July 12, 2012 2 p.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., July 17, 2012 10 a.m. ET Availity.com Referrals and Authorizations Tues., July 17, 2012 2 p.m. ET Humana.com Referrals and Authorizations Thurs., July 19, 2012 10 a.m. ET Humana.com Registration and ERA/EFT Thurs., July 19, 2012 2 p.m. ET Availity.com Registration and ERA/EFT Tues., July 24, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Tues., July 24, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., July 26, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., July 26, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., July 31, 2012 10 a.m. ET Availity.com Overview Tues., July 31, 2012 2 p.m. ET Humana.com Overview Thurs., August 2, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., August 2, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., August 7, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., August 7, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., August 9, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., August 9, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., August 14, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., August 14, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Thurs., August 16, 2012 10 a.m. ET Humana.com RTA (Real Time Adjudication) Thurs., August 16, 2012 2 p.m. ET Availity.com RTA (Real Time Adjudication) Tues., August 21, 2012 10 a.m. ET Availity.com Primary Access Administrator Training Tues., August 21, 2012 2 p.m. ET Humana.com Primary Access Administrator Training Thurs., August 23, 2012 10 a.m. ET Humana.com Overview Thurs., August 23, 2012 2 p.m. ET Availity.com Overview Tues., August 28, 2012 10 a.m. ET Availity.com Claims Tools and Remit Inquiry Tues., August 28, 2012 2 p.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., August 30, 2012 10 a.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., August 30, 2012 2 p.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., September 4, 2012 10 a.m. ET Availity.com Referrals and Authorizations Humana’s Your Practice Humana.com/providers April 2012 Tues., September 4, 2012 2 p.m. ET Humana.com Referrals and Authorizations Thurs., September 6, 2012 10 a.m. ET Humana.com Registration and ERA/EFT Thurs., September 6, 2012 2 p.m. ET Availity.com Registration and ERA/EFT Tues., September 11, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Tues., September 11, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., September 13, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., September 13, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., September 18, 2012 10 a.m. ET Availity.com Overview Tues., September 18, 2012 2 p.m. ET Humana.com Overview Thurs., September 20, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., September 20, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., September 25, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., September 25, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., September 27, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., September 27, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., October 2, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., October 2, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Thurs., October 4, 2012 10 a.m. ET Humana.com RTA (Real Time Adjudication) Thurs., October 4, 2012 2 p.m. ET Availity.com RTA (Real Time Adjudication) Tues., October 9, 2012 10 a.m. ET Availity.com Primary Access Administrator Training Tues., October 9, 2012 2 p.m. ET Humana.com Primary Access Administrator Training Thurs., October 11, 2012 10 a.m. ET Humana.com Overview Thurs., October 11, 2012 2 p.m. ET Availity.com Overview Tues., October 16, 2012 10 a.m. ET Availity.com Claims Tools and Remit Inquiry Tues., October 16, 2012 2 p.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., October 18, 2012 10 a.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., October 18, 2012 2 p.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., October 23, 2012 10 a.m. ET Availity.com Referrals and Authorizations Tues., October 23, 2012 2 p.m. ET Humana.com Referrals and Authorizations Thurs., October 25, 2012 10 a.m. ET Humana.com Registration and ERA/EFT Thurs., October 25, 2012 2 p.m. ET Availity.com Registration and ERA/EFT Tues., October 30, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Humana’s Your Practice Humana.com/providers April 2012 Tues., October 30, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., November 1, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., November 1, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., November 6, 2012 10 a.m. ET Availity.com Overview Tues., November 6, 2012 2 p.m. ET Humana.com Overview Thurs., November 8, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., November 8, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., November 13, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., November 13, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., November 15, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., November 15, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., November 20, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., November 20, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Tues., November 27, 2012 10 a.m. ET Availity.com RTA (Real Time Adjudication) Tues., November 27, 2012 2 p.m. ET Humana.com RTA (Real Time Adjudication) Thurs., November 29, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., November 29, 2012 2 p.m. ET Availity.com Primary Access Administrator Training Tues., December 4, 2012 10 a.m. ET Availity.com Overview Tues., December 4, 2012 2 p.m. ET Humana.com Overview Thurs., December 6, 2012 10 a.m. ET Humana.com Claim Tools and Remit Inquiry Thurs., December 6, 2012 2 p.m. ET Availity.com Claims Tools and Remit Inquiry Tues., December 11, 2012 10 a.m. ET Availity.com Eligibility and Benefits, Cert of Coverage Tues., December 11, 2012 2 p.m. ET Humana.com Eligibility and Benefits, Cert of Coverage Thurs., December 13, 2012 10 a.m. ET Humana.com Referrals and Authorizations Thurs., December 13, 2012 2 p.m. ET Availity.com Referrals and Authorizations Tues., December 18, 2012 10 a.m. ET Availity.com Registration and ERA/EFT Tues., December 18, 2012 2 p.m. ET Humana.com Registration and ERA/EFT Thurs., December 20, 2012 10 a.m. ET Humana.com RTA (Real Time Adjudication) Thurs., December 20, 2012 2 p.m. ET Availity.com RTA (Real Time Adjudication) Thurs., December 27, 2012 10 a.m. ET Humana.com Primary Access Administrator Training Thurs., December 27, 2012 2 p.m. ET Availity.com Primary Access Administrator Training For more information, visit http://www.humana.com/providers/education/explore/interactive.aspx. 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