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The PAF program is designed to help providers ensure that all chronic conditions are being addressed and documented to the highest level of specificity at least once per calendar year for all Medicare Advantage and Medicaid Managed Care Plan patients.
Humana is excited to announce that we recognize the new coding and guidelines for our Medicare Advantage, commercial and select Medicaid plans. When the AMA and CMS differ in their coding and guidelines, Humana plans follow the CMS guidance.
What is a Medicare Advantage plan? Medicare Advantage options are offered by private insurance companies\u2014like Humana\u2014contracted by the federal government. Medicare Advantage, also referred to as Medicare Part C, covers the same healthcare services as Original Medicare, with the exception of hospice care.
What is the Humana PAF? The Humana practitioner assessment form (PAF) is intended to guide a comprehensive health assessment. The form consists of elements from the Annual Wellness Visit, a physical exam and Healthcare Effectiveness Data and Information Set (HEDIS®) measures.
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