Anthem Blue Cross and Blue Shield recently announced a new policy of post payment reviews of professional ER claims billed with level 5 E/M codes. The new policy is being implemented to “ensure documentation meets or exceeds the components necessary to support its billing,” according to Anthem, and will begin August 1. Indiana and a few other states currently are excluded. READ MORE
The Indiana Family and Social Services Administration’s (FSSA) new provider enrollment and credentialing solution – FSSA EnCred – will be rolled out in a phased implementation process. Phase one is slated to begin in late summer or early fall 2019. A timeline for additional phases has not been announced. READ MORE
So what exactly is the difference between moderate sedation and monitored anesthesia care? And when does monitored anesthesia care become general anesthesia? READ MORE
Medicare Administrative Contractor WPS-GHA, which serves Part A and B Medicare providers in Jurisdictions 5 and 8, including Indiana, will soon change how they process Not Otherwise Classified procedure codes for Part B claims. READ MORE
