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Operations Bulletins

Operations Bulletins provide timely notification to participating providers regarding changes in Health Plan policies, procedures and/or member benefits.

Please contact your Provider Relations Representative if you have any questions concerning the information contained in an Operations Bulletin.

The following Operations Bulletins amend
the Participating Provider Guide (Dev. 8/05, Eff. 11/1/05)

Date Title Audience
February 2008

HIPPS codes reporting requirement;
Geisinger Gold Secure 2 Transportation Benefit*

Participating Skilled Nursing Facilities
January 2008 Revised Notice of Medicare
Non-Coverage (NOMNC) Forms
Participating Comprehensive Outpatient Rehabilitative Facilities
January 2008 Revised Notice of Medicare
Non-Coverage (NOMNC) Forms
Participating Home Health/Hospice Providers
January 2008 Revised Notice of Medicare
Non-Coverage (NOMNC) Forms
Participating Skilled Nursing Facilities
November 2007 Geisinger Gold 2008 Participating Providers
November 2007 FluMist approved, Bronchitis coding, Gold chart reviews, Utilization/cost efficiency reports Participating Providers
August 2007 Expansion of outpatient radiology precertification program Participating Facilities
August 2007 Extension of Referral time limit Geisinger Health System Providers
August 2007 Extension of Referral time limit Participating Providers
June 2007 Expedited Review Process for Hospital Inpatients Participating Hospitals
May 2007 Erythropoietin Stimulating Agents
and Xolair Update

Participating Providers

October 2006 Geisinger Health Plan Gold 2007 Participating Providers
August 2006 PQS Changes,
New "No Referral" HMO Products
Primary Care Providers
August 2006 New "No Referral" HMO Products Participating Providers
June 2006 Gold Member Rights and Responsibilities Participating Providers
May 2006 United Behavioral Health, Continuity of Care, RANLI Notification Participating Providers

December 2005

Prenatal Assessment Form Participating Obstetrical and Nurse Midwife Providers

December 2005

PEBTF Chiropractic Benefit Participating Chiropractic Providers
September 2005 Specialty Pharmacy Vendor Program Participating Physicians

*Contact your Provider Relations Representative for a copy of the transportation fee schedule