More than two thirds of physicians believe the maintenance of certification process adds no clinical value to their practice. While many certifying boards have responded to pressure by making changes, some states are also addressing the issue through anti-MOC legislation. 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
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
