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
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
Regular Medicare revalidations, which were mandated in the Affordable Care Act and commenced in March 2016 after the Centers for Medicare and Medicaid Services (CMS) completed their first widespread validation of all Medicare providers, are in full-swing. But the process is not without its challenges. READ MORE
While the debate over out-of-network balance billing rages on, one way to minimize the impact would be enter into or maintain contracts with payers. For those payers that you do decide to go or remain in-network with, here are a few tips for navigating payer contracts. READ MORE
Physicians practicing as hospitalists will soon be able to self-designate with Medicare using the new specialty code C6 when they enroll or update their enrollment. READ MORE
When the Centers for Medicare and Medicaid Services (CMS) recently released the final rule of the Medicare Physician Fee Schedule (MPFS), this was the first year in a while that industry insiders weren’t scouring for guidelines related to the Physician Quality Reporting System or the Value-Based Payment Modifier. With those programs being replaced through the MACRA Quality Payment Program, the MPFS dealt primarily with payment policies. READ MORE
Effective July 1, 2016, Anthem will start requiring credentialing for several additional practitioner and health delivery organization (HDO) provider types. READ MORE
