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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 …

Actived: 1 days ago

URL: https://kr2billing.com/2021/12/22/aetna-medicare-advantage-home-health-program-in-ky-oh-mo/

Billing for Multiple Home Health Visits -UHC update, September …

WEBPosted on September 18, 2020. According to UHC, in order to prevent payment issues for multiple skilled nursing visits on the same day, providers need to bill in the following …

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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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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 …

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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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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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Empire BCBS (NY) and SOMOS IPA Utilization Management

WEBReminder that effective 10/01/2020- SOMOS IPA will assume the administrative functions for several Empire HealthPlus Plans: Medicaid Managed Care …

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

WEBAuthor: KR2Medical Billing My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 …

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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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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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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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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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wig3 – KR2 Medical Billing

WEBAuthor: KR2Medical Billing My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 …

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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

WEBΔ. If 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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EmblemHealth GHI PPO-NYC members-member ID change

WEBPosted on June 20, 2020. Starting 07/01/2020, the claims for Emblem GHI PPO (NYC members) will be processed on another claims platform. In order to comply with this …

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Emblem GHI PPO (commercial members)-new member IDs for 2020

WEBStarting, in the beginning of 2020, Emblem GHI PPO commercial members will receive new ID numbers and new ID cards. The following changes will take place: …

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EmblemHealth Plans that DO NOT require a REFERRAL-2019

WEBThe following is the list of all the EmblemHealh Plans for 2019 that do not require a referral from their primary to see a specialist. Commercial Plans: Access I/II, …

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

WEBEffective 12/01/2020-Oxford Commercial Plan has revised their E/M code reimbursement policy for Non Physician providers. The policy expanded the Non …

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