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Aetna Louisiana Better Health: new reimbursement policy for …

WEBThis policy applies to Aetna Medicaid members and for the portable x-ray services done on 08/01/2021 and thereafter. Aetna Better Health of Louisiana (ABHLA) …

Actived: 8 days ago

URL: https://kr2billing.com/2021/07/07/aetna-louisiana-better-health-new-reimbursement-policy-for-portable-x-ray/

Aetna Medicare Advantage: Home Health Program in KY, OH, MO

WEBSince 08/01/2021 Aetna has partnered with myNEXUS, a technology-enabled care management company, to manage the network, claims payment and …

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Violations of Interpreter Ethics – KR2 Medical Billing

WEBThe consequences of violating the code of ethics as it applies to interpreters can be grave. Nonetheless, and unfortunately, the fact of the matter is ethical violations …

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Aetna Better Health of Louisiana- Pain Management Program …

WEBuse ABHLA’s 24/7 Secure Provider Web Portal. fax the request to 1-844-227-9205, using the Prior Authorization Form. Use a cover sheet with the practice’s …

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Aetna Better Health of Louisiana (ABHLA)-Specialized Behavioral …

WEBThis policy applies to services performed in a facility: HCPCS and CPT codes Aetna Better Health of Louisiana would like to remind providers that its …

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Oscar Insurance: New Physical and Occupational Therapy Prior

WEBLet’s begin. Recently Oscar Insurance announced that effective 07/15/2021, the “medical necessity for Physical and Occupational Therapy”, will be handled by the …

Category: Medical Go Health

Checking the Spelling of Medications, especially when completing …

WEBRecently, I had a situation in an office of an allergy/immunologist - regarding a denial of the medication (that requires prior authorization), because of a failure to double …

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Practice Fusion introduces paid package for their EMR 2017/2018

WEBAt the beginning of this year, Allscipts bought Practice Fusion EMR. It's been a long road but in the last 3 years, Practice Fusion has become the most customer …

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MVP: Home Health Auth and Concurrent Review Process changes

WEBThe change to the prior authorization process and concurrent review process will affect the Medicare Advantage and DualAccess (D-SNP) Members in New York and …

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Aetna and Mid Level Reimbursement EM Services update 2022

WEBAccording to Aetna June 2022 provider newsletter- Aetna will NO Longer pay for the mid level staff: nurse practitioners, physician assistants, certified nurse midwives and clinical …

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Aetna: Mid level practitioner reimbursement policy-07/01/2022

WEBThis reimbursement policy update applies to AETNA Commercial Plans for Texas Medicare, Commercial and IVL exchange networks. Recently, AETNA expanded …

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#behavioralheath – KR2 Medical Billing

WEBThis blog post applies to physicians that are providing ABA ( Applied Behavior Analysis) services to MVP Managed Medicaid Patients.. Earlier this year MVP sent a …

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EmblemHealth & SOMOS IPA LLC. (NY Providers)-Managing …

WEBAs of October 1,2020 Somos IPA partnered up with EmblemHealth, to become a managing entity for some Medicaid, ChildHealth Plus, HARP. And Essential …

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UHC Commercial Plan: new prenatal ultrasound policy -2022

WEBAs of 06/01/2022- UHC announced a new prenatal ultrasound policy for the year 2022. The reimbursement for this policy will be determined post-service, with pre …

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EmblemHealth (NY) Physical Therapy/Occupational Therapy …

WEBThis is a reminder for PT/OT providers that see EmblemHealth HIP (Health Insurance Plan of Greater NY), and HIPIC (Insurance Company of NY), and GHI …

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BCBS Empire NY Medicaid: Summary of changes for HEDIS …

WEBSource: Empire Health Plus Plan (NY Managed Medicaid Plan) Revised measures: The former Well-Child Visits in the First 15 Months of Life (W15) measure …

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New York Providers: Empire non-covered services for Managed …

WEBNOTE: This announcement was published in Empire NY Providers communication section on FEB 1,2020 According to Empire BCBS Health Plus (NY)- …

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Oxford Commercial Plan-E/M Code Reimbursement Policy Revised …

WEBDefinitions: Physician- MD or DO Guidelines as per Oxford: Only Physicians and other qualified healthcare professionals are allowed to bill E/M codes. These other …

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UHC Community Health (NY) Specialist Referral Requirements, …

WEBThese Specialist Referral Requirements will apply to the following: UnitedHealthcare Community Plan for Families (Medicaid)UnitedHealthcare Community …

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The Empire Plan (NYSHIP)- Office Visit co-pay changes for 2020

WEB1. The office visit $20 co-pay will still apply to the following employee groups: – APSU-Council 82-PEF. 2. Student Employee Health Plan will still continue to …

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Empire BCBS Ohio: new AIM Specialty Health phone numbers

WEBIf you are a physician that is accepts Empire BCBS Ohio members and requests services through AIM Specialty Health then this blog post is for you! The …

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I am so proud! Finally success for year 2 of NY Medicaid EHR …

WEBAfter 6 months!!!! Yes, 6 months of fighting with NY DOH, regarding this provider NYSIIS transmission. Finally! SUCCESS!!! Year 2 of Medicaid EHR Incentive …

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