Emergency physicians in Kansas and Missouri are raising new concerns about insurers refusing to pay or paying only a screening fee for patients being treated for conditions which they claim are non-urgent. Is Indiana next? Read more
Rendering providers who have yet to be linked to one of their group’s service locations in the Indiana Medicaid program will have a few extra months to meet the requirement before the payer begins denying claims. Read more
The Indiana Health Coverage Programs is in the second week of implementing their new CoreMMIS and Provider Healthcare Portal. While there have been several performance problems during the implementation, the Indiana Family and Social Services Administration and Hewlett Packard Enterprise are reporting progress in stabilizing the new system and are working to resolve outstanding issues as quickly as possible. Read more
As the Indiana Health Coverage Programs (IHCP) replaces its current Medicaid Management Information System (MMIS), IndianaAIM, with the new CoreMMIS beginning December 5, 2016, there are several things providers should know as they prepare to make the change in their own billing procedures. Read more
The Indiana Health Coverage Programs will replace its current Medicaid Management Information System, IndianaAIM, with the new CoreMMIS beginning December 5, 2016. Along with CoreMMIS, a new provider interface called the Provider Healthcare Portal will replace Web interChange. Read more
Cardiopulmonary resuscitation (CPR) is now considered an “all-inclusive” procedure by the Indiana Health Coverage Programs (IHCP), and separately billed charges for complementary services will be denied according to an August 25, 2016, announcement. Read more
The Indiana Family and Social Services Administration (FSSA) recently announced the 2017 managed care contractors that will administer health care coverage for Hoosiers enrolled in the Healthy Indiana Plan and Hoosier Healthwise programs. Read more
When the Centers for Medicare and Medicaid Services released the Medicaid and CHIP Managed Care Final Rule back in late April, one provision will continue to protect payment for emergency physicians treating Medicaid managed care patients. Read more
New enrollment screening criteria under the Affordable Care Act requires regular revalidations for all providers enrolled in the Medicare and Medicaid programs. Indiana providers face a March 26, 2016, deadline for the first round of revalidations with the Indiana Health Coverage Programs. Read more
While millions of Americans await a Supreme Court ruling on the case of King v. Burwell to determine the fate of their healthcare coverage, medical providers also should begin thinking about how the case could affect their practice. Read more
