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
As we wrap up 2018, the Indiana Health Coverage Programs has released a variety of information Indiana healthcare providers need to know about billing Medicaid in 2019. We’ve created a short list of the top five things you should know. READ MORE
Wondering why Medicaid is denying your anesthesia claims performed during routine sterilization procedures? Most likely you’re missing a properly completed Consent for Sterilization form. READ MORE
Indiana physician practices have just over two weeks to report and relinquish unclaimed property to meet the November 1, 2018, deadline. READ MORE
Indiana Medicaid recently published a new list of providers who must revalidate their enrollment by the published due date. However, to ensure the revalidation is processed correctly, providers really should submit their revalidation application at least 30 days before the due date, says CIPROMS’ Denise O’Brien. READ MORE
Beginning September 1, 2018, all physician assistants must now enroll both with Indiana Medicaid and all Indiana Medicaid Managed Care Entities and can no longer be billed under a supervising physician’s NPI. READ MORE
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
A new Indiana law passed last April to address the issue of out-of-network surprise billing took effect January 1, 2018. READ MORE
Indiana Medicaid group providers have until the end of January to be sure they’re properly linked to all service locations where they practice. Beginning January 1, 2018, services billed at locations that are not linked to a provider’s enrollment record will be denied. READ MORE
In July 2017, the Indiana Health Coverage Programs announced a delay in provider enrollment for its various Indiana Medicaid programs. On October 10, IHCP reported that they have reduced the backlog and currently are processing normal levels of enrollment “inventory.” As IHCP gets back on track, here are a few tips from CIPROMS Director of Provider Enrollment Denise O’Brien for staying ahead of the game in enrolling providers in Indiana Medicaid. READ MORE
