A trio of recent studies pulls back the curtain on the growing number of emergency department visits in the United States, revealing how presenting symptoms, geographical location, and insurance coverage (or the lack thereof) influence usage. READ MORE
Anthem is once again tweaking policies for modifier 25, apparently still trying to get a handle on separately billed evaluation and management services that are provided on the same day as a minor surgery. READ MORE
Indiana Health Care Programs will no longer reimburse claims that include medical direction by an anesthesiologist of a single anesthesia session with a CRNA or AA, bringing reimbursement in line with existing policy. READ MORE
Did you know providers who bill Qualified Medicare Beneficiaries for copays or deductibles could be subject to sanctions by CMS? Learn more about billing for QMBs … including what not to do. 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
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
