We previously announced plans to begin using the Optum’s Emergency Department Claim (EDC) Analyzer to review ED claims pre-payment beginning November 1, 2024. We are delaying implementation of this tool and will announce a new implementation date in our December 2024 provider newsletter.
The EDC Analyzer will support our Emergency Department Visits: Level of Service (Facility #110) reimbursement policy.
11/5/2024
Fall brings with it an increase in respiratory viruses that can affect people of all ages. As a health care provider, you play a key role in educating patients, parents and caregivers about vaccinations.
The fall respiratory virus season typically peaks between September and November, with a surge in cases of COVID-19, influenza and respiratory syncytial virus (RSV).
While there is no cure for these viruses, there are steps your patients can take to prevent their spread and alleviate symptoms:
- Get vaccinated: Encourage your patients to stay up to date on their vaccinations.
- Practice good hygiene: Teach patients to wash their hands frequently with soap and water, cover their mouth and nose when coughing or sneezing, and avoid close contact with people who are sick.
- Stay home when sick: Emphasize the importance of staying home from work or school when experiencing symptoms to prevent the spread of illness.
- Antiviral medications: For high-risk patients, antiviral medications may be prescribed to help alleviate symptoms and shorten the duration of illness.
By promoting prevention strategies and providing timely treatment, you can make a significant impact in reducing the spread of these viruses. We appreciate you prioritizing patient education, staying up to date with the latest information, and taking a proactive approach to keeping our communities healthy and safe.
Resources
Our Quality Improvement Toolkit includes materials in English and Spanish to share with your patients about influenza immunizations. Other helpful resources include:
- Centers for Disease Control and Prevention (CDC)
- World Health Organization (WHO)
- American Academy of Pediatrics (AAP)
9/4/2024
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