Ciproms.com

UHC Plan to Deny ED Claims Delayed … Maybe Forever

The UHC program, which would retroactively assess ER claims to determine “medically necessity” and then deny or limit coverage based on those findings, was supposed to take effect on July 1. … See more

Actived: 1 days ago

URL: https://www.ciproms.com/2021/07/uhc-plan-to-deny-ed-claims-delayed-maybe-forever/

Indiana's New CoreMMIS Billing Guidelines

WebMany of the IHCP billing guidelines will remain the same on the new CoreMMIS. However, a few will change, as outlined below: HIPAA-compliant coding will apply to all claims …

Category: Health Go Health

IHCP Says Medicaid Provider Enrollment Is Back On Track: Here's …

WebIn July 2017, the Indiana Health Coverage Programs (IHCP) announced a delay in provider enrollment for its various Indiana Medicaid programs, citing system changes and a large …

Category: Health Go Health

EHR Hardship Exception: Who Needs to Apply

WebIn the American Recovery and Reinvestment Act of 2009 (ARRA), Congress mandated that payment adjustments should be applied to Medicare eligible …

Category: Health Go Health

HHS Earmarks $20 Billion for Third General Distribution of Provider

WebHealthcare providers can now apply for additional funds through the third General Distribution allocation of COVID-19 Provider Relief Fund.

Category: Health Go Health

IHCP to Cover Opioid Treatment in the ED

WebAccording to the Indiana Health Coverage Programs (IHCP), for dates of service on or after July 7, 2022, the IHCP will cover procedure code G2213 – Initiation of medication for the …

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CMS Finalizes Rule for Medicare Shared Savings Program and ACOs

WebThe Centers for Medicare and Medicaid Services (CMS) recently released a final rule updating the Medicare Shared Savings Program (MSSP), an initiative emerging from …

Category: Health Go Health

Negotiations Continue on HIP 2.0

WebGovernor Mike Pence continues to wait for approval from federal officials for his Healthy Indiana Plan (HIP) 2.0 version of Medicaid expansion.

Category: Health Go Health

Medicare Moves Toward Greater Access to End of Life Care

WebThe Centers for Medicare and Medicaid Services (CMS) is moving toward providing greater access to care for patients who are terminally ill. In addition to paying for two advance …

Category: Health Go Health

ICD-10 Certification for Coders

WebPreparing your coding staff for the October 1, 2015, implementation of ICD-10 involves more than just training. Coders who are certified through the American Health Information …

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How ER Physicians Really Feel about Insurance Companies

WebHealth insurance companies mislead patients by offering “affordable” premiums but then limiting coverage. That’s the consensus of nine out of 10 emergency physicians in an …

Category: Health Go Health

Using the Audio-Only Telehealth to Provide Care during COVID-19

WebAs doctors offices begin to reopen, the use of telehealth is plateauing, and in some cases declining, after a surge during the COVID-19 public health emergency (PHE).

Category: Health Go Health

CIPROMS ICD-10 War Room: Day One

WebDay one of life under ICD-10 ended with little fanfare. As Chuck Buck at ICD-10 Monitor said, so far so good. “Early reports from the first full day of ICD-10 indicate that some of …

Category: Health Go Health

Meaningful Use: Aligning Stages 1 and 2 with Stage 3

WebIn the last few weeks, the Centers for Medicare and Medicaid Services (CMS) issued two new proposed rules for the Medicare and Medicaid Electronic Health Record (EHR) …

Category: Health Go Health

TEMPORARY CHANGES UNDER TELEHEALTH WAIVER The …

WebLEARN MORE @ ciproms.com TEMPORARY CHANGES UNDER 135 WAIVER The following are Medicare’s temporary telehealth restrictions that have been eased or adapted

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Bipartisan Senate Group Addresses Surprise Bills in Draft Legislation

WebEarlier this month, a bipartisan group of Senators announced draft legislation that would address the issue of surprise bills for patients seen by out-of-network medical providers. …

Category: Medical Go Health

Check the Fine Print before Accepting Your CARES Provider Relief …

WebMany providers received their first payments from the CARES Provider Relief Fund on April 10 to help cover the costs of preparing for, testing, and treating COVID-19 …

Category: Health Go Health

Indiana Medicaid Now Fully Enrolling All PAs Beginning …

WebBeginning September 1, 2018, all physician assistants (PAs) must now enroll as Indiana Medicaid Providers and can no longer be billed under a supervising physician’s NPI. The …

Category: Health Go Health

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