Beginning October 1, 2019, Indiana Medicaid is making a few changes to their Anesthesia code set for traditional fee-for-service Medicaid. In the process, the payer also is reprocessing some claims denied in error as a result of the updates. READ MORE
Matthew Simpson, CIPROMS Senior Vice President and CIO, was recently nominated as a 2019 Indianapolis Tech Power Player by comSpark. READ MORE
When Medicare overpays, the unwelcome task of sending money back to Medicare becomes top priority. But how do you go about refunding money to Medicare? Here are a few tips. READ MORE
Anthem is changing their timely filing limit for professional claims. Beginning October 1, 2019, all claims will be subject to a 90-day filing requirement. READ MORE
Starting January 1, 2019, all Hoosier healthcare providers who hold a controlled substance registration are required to register for Indiana’s INSPECT program and some practitioners are required to check the database before prescribing an opioid or benzodiazepine to a patient. A recent update to the law clarifies the requirements and moves the law from criminal statute to professional licensing statute. READ MORE
Indiana Medicaid providers who are identified for Program Integrity Audits can respond to audit letters using the Indiana FADS Secure Portal. And a new online training module from IHCP, Indiana FADS Secure Portal Tutorial, will give providers, staff members, or other representatives the information they need to use the system. READ MORE
Under MACRA, Patient Relationship Categories and Codes (PRC) were established to help attribute patients and care episodes to physicians and other clinicians for measuring cost. Beginning in 2020, voluntarily reporting PRC on claims may count toward the Improvement Activity performance category of MIPS for the 2020 performance year. READ MORE
