Verification of the member’s benefit coverage before treatment is critical. While the member may provide this information, the provider is responsible to verify the accuracy of the member’s coverage directly with Heraya for Self-Referred...
Heraya covers medically necessary care under the provider’s contract and applicable fee schedules. If a provider recommends services – including services not performed by the provider such as labs or radiology – that are...
Heraya Health is committed to improving the care delivered to patients by our network providers. One approach to achieving this goal is accomplished by integrating Clinical Quality Improvement Initiatives (CQII) throughout our organization and...
Heraya’s annual patient satisfaction survey is an integral part of our quality management program. Using the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) 3.0 survey tool, the overall patient satisfaction score for Heraya...
An NCCIH article reports numerous studies that suggest benefits with several aspects of wellness, including stress management, mental/emotional health, promoting healthy eating/ activity habits, sleep and balance. In addition, promising results show yoga to be...
The National Center for Complementary and Integrative Health (NIH), reported a December 2018 randomized clinical trial of eight weekly treatments (lasting 60 minutes each), then randomly assigned 60 minute-massage every two weeks up to...
A retrospective study of outpatient and inpatient claims from 216,504 individuals 18 and older across the United States demonstrated that when compared with seeing a primary care provider as the initial provider, patients who...
Integrative providers often see intake history reports of hyperthryoidism and RAI treatment. The NIH and the National Cancer Institute have compiled findings from a study of more than 19,000 patients receiving RAI. A clear...
If patients complain about the difficulty of changing a diet when confronted with increasing blood sugar findings, use this educational information. Patients should understand the longer you have diabetes, the more likely you will...