Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Emergency Medicine

New Requirements for Indiana’s Prescription Drug Monitoring Program, INSPECT, Begin January 1

By Jan. 1, 2019, all Indiana healthcare providers who hold a controlled substance registration (CSR) must register with INSPECT, the state’s prescription drug monitoring program, and practitioners in hospital emergency departments and pain management clinics must begin querying INSPECT when prescribing opioids or benzodiazepines based on legislation passed during the 2018 General Assembly. READ MORE

What Do Higher Levels of Service Say About What’s Happening in the ED?

An 85 percent increase per member in emergency department spending between 2009 and 2015 was the result of hospitals coding and billing for a greater number of high severity cases, according to a 2017 Health Care Cost Institute study. But what does this upward shift in evaluation and management levels say about what’s happening in the ED? READ MORE

Indiana Medicaid Now Fully Enrolling All PAs, Reimbursing at 75%

According to recently clarified guidelines by Indiana Medicaid, all physician assistants must now enroll as Indiana Health Coverage Providers and can no longer be billed under a supervising physician’s NPI. This change, which brings billing for PAs into alignment with billing for other Mid-Level, or Non-Physician Providers, also reduces reimbursement for PA services to 75 percent of the Medicaid allowed amount. READ MORE

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