Search

Heart failure

Attention providers: Issues with HealthHelp prior authorizations

A MEDS Ed seminar

 

Problems viewing this embedded video? You can view it here: 

https://www.youtube.com/playlist?list=PLyMdH550xxLwv1SpYc-ZhIbHZpHiCjF9y

This session of CareOregon Pharmacy’s MEDS Ed program for healthcare professionals focuses on Heart Failure – a disease of epidemic proportions. Approximately 5.7 million Americans are currently living with heart failure, with approximately 1 million hospitalized each year.

Content from Jayne Mitchell include types of heart failure, signs & symptoms, self-care and disease progression.

Heart Failure - A MEDS Ed seminar
Recorded on April 20, 2017 at CareOregon, Portland, Ore.

Featured Speakers

Jayne Mitchell
ANP-BC, CHFN
OHSU Heart Failure Program

Pamela Chukwuleta, PharmD
Pharmacy Resident
CareOregon

Kelly Hayes, AIC RN
CareOregon

Laura Macias, RN – CHPN
Clinical Manager OPPC
Adventist Health Homecare Services


Slides

“Heart Failure: Turn Down the Volume!” (PDF)


Provider updates

Sexually transmitted infection CPT code bundling policy change

Jul 1, 2026, 21:17 PM

CareOregon is implementing a new policy to bundle sexually transmitted infection (STI) testing CPT codes as part of the laboratory panel group to align with industry standard payer practices. This policy does not change how STI codes should be billed; it only impacts how claims are processed for payment.

Effective August 1, 2026, when two or more STI nucleic acid amplification testing (NAAT) laboratory CPT codes are submitted by the same provider for the same date of service for the same member, CareOregon will bundle those services into the comprehensive laboratory procedure code 87801. This change applies to CareOregon/Health Share CCO, Jackson Care Connect CCO, Columbia Pacific CCO, and CareOregon Advantage.

This policy applies to the following codes:

Single STI CPT codes

  • 87491 – IADNA Chlamydia trachomatis, amplified probe technique
  • 87591 – IADNA Neisseria gonorrhoeae, amplified probe technique
  • 87661 – IADNA Trichomonas vaginalis, amplified probe technique

Comprehensive CPT Code

  • 87801 – Infectious agent detection by nucleic acid (DNA or RNA), multiple organisms; amplified probe(s) technique

This bundling logic is applied during claims adjudication for both professional and facility claims.

View the policy guide on our website: https://careoregon.org/docs/default-source/providers/provider-support/coding-quick-guides/sexually-transmitted-infection-testing-policy-coding-guide.pdf?sfvrsn=b00bd7d1_3

What is not changing?

This policy does not change how providers are required to bill. Providers should continue to bill for the applicable single STI CPT codes as they are rendered, and the comprehensive CPT code will be reimbursed. This applies regardless of the number of units billed, and modifiers will not override the bundling of codes.

There will not be retroactive adjustments for claims processed prior to the effective date of August 1, 2026.

If you have any questions or require additional clarification, please contact our customer service team (option 3 for provider):

  • CareOregon/Health Share of Oregon CCO: 503-416-4100 or 800-224-4840
  • Jackson Care Connect CCO: 541-500-0567 or 855-722-8208
  • Columbia Pacific CCO: 503-488-2822 or 855-722-8206
  • CareOregon Advantage: 503-416-4279

View all provider updates >