While bringing on new physicians or other clinicians is an important part of building your medical practice, enrolling them with commercial and government payers can be time consuming…and costly. The tedious process leaves plenty of room for error and delay, both of which can mean missed opportunity for payment. As you work through enrolling providers, here are a few tips to ensure a timely and successful process. READ MORE
The Program Integrity unit of Indiana’s Office of Medicaid Policy and Planning has implemented a new program to reduce costs related to improper payments. The Targeted Probe Education, or TPE, program, designed by CMS, began August 20, 2021. READ MORE
Some providers who received CARES Act Provider Relief Fund payments during the COVID-19 public health emergency now have more time to use the funds and complete required reporting based on changes announced by the HHS through the Health Resources and Services Administration earlier this week. READ MORE
Indiana’s Third-Party Liability Disallowance Project supplies Indiana Medicaid providers with Medicare and third-party commercial insurance information to properly bill claims to the primary carrier. Managed by the Indiana FSSA Office of Medicaid Policy and Planning, the TPL Disallowance Project identifies paid Indiana Medicaid claims for which there is third-party coverage and notifies providers of the third-party coverage information. READ MORE
On Friday, the Centers for Medicare and Medicaid Services put states with Medicaid work requirements on notice for a likely partial withdrawal of their section 1115 demonstration project waivers. READ MORE
As we begin 2021, the Indiana Health Coverage Programs has released a variety of information Indiana healthcare providers need to know about billing Medicaid in the new year. We’ve created a short list of the top four things you should know. READ MORE
IHCP has changed the telemedicine billing guidelines for Indiana Medicaid fee-for-service and managed care benefit plans through the end of the COVID-19 public health emergency. READ MORE
Medicaid and CHIP providers, along with safety net hospitals that serve our most vulnerable citizens, will finally get their portion of the CARES Act Provider Relief Fund. READ MORE
During Indiana’s COVID-19 emergency declaration, IHCP is implementing temporary changes to provide flexibility for Indiana Medicaid providers and patients. Changes affect many areas of IHCP, including telemedicine, timely filing limits, provider enrollment, and more. Here is a brief overview of several of those changes. READ MORE
Here are 15 things to know about billing Medicare and Indiana Medicaid for telehealth services in the ED during the COVID-19 public health emergency. READ MORE
