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From the Desk of the CMO
John E. Crum, M.D.
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I am very pleased to inform you about three developments of value for our provider partners in the TRICARE South Region.
Online Continuing Medical Education
Humana Military Healthcare Services, Inc. (Humana Military), in partnership with the University of Louisville, is offering a two-hour continuing medical education course on post-traumatic stress disorder and traumatic brain injury, topics of interest for care of our returning service members and the civilian community. The course is free and offers two hours of category 1 American Medical Association Physician Recognition Award credit. Please visit the “ Online Learning Center” located in the “ Tools & Resources” section of our site.
Reduced Prior Authorization Requirements
Humana Military has reduced prior authorization requirements to include only procedures required by the Department of Defense plus bariatric surgery. Bariatric surgery prior authorization is intended to ensure coverage of services and to direct beneficiaries to Medicare-certified bariatric centers of excellence when possible. The list of services requiring prior authorization can be found in the TRICARE Provider Handbook.
Updated Online Referral and Authorization Tool
Humana Military has updated the referral and authorization system at www.humana-military.com. New features offer increased convenience, speed of entry and automation of results. The system incorporates eligibility checks and referral requirements. Humana Military receives more than 60% of referrals from civilian providers through the online system, and this number increases each month. More than 58% of these referrals receive immediate online approval. If your office is not using our online referral and authorization tool, we encourage you to do so in order to reduce administrative work and accelerate approvals for patient care. We at Humana Military thank you for caring for our deserving TRICARE South Region beneficiaries.
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