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
Everyone involved in the revenue cycle, from providers to follow-up team members, needs to be aware of payer timely filing limits and what they can do to help meet them. 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
Beginning September 1, 2018, all physician assistants (PAs) must now enroll as Indiana Medicaid Providers and can no longer be billed under a supervising physician’s NPI. The new effective date was announced by IHCP earlier this week. 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
The Indiana Family and Social Services Administration (FSSA) recently contracted with Conduent Business Services LLC to develop, design, and implement an integrated process for enrolling and credentialing providers that participate in the Indiana Healthcare Coverage Programs. READ MORE
The healthcare industry sees anywhere from $11 billion to $54 billion in challenged revenue each year, with claims denial rates as high as 22 percent for traditional fee-for-service Medicaid and 10 percent for insurer-run Medicaid. Here’s what you can do about it. READ MORE
Managed Health Services is the latest payer to create payment policies aimed at keeping patients from making emergency department visits for “non-emergency” conditions. READ MORE
