Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Healthcare in Indiana

Indiana Medicaid’s Third-Party Liability Disallowance Project: What You Need to Know

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

Indiana Legislates Fewer Surprise Bills for Patients at In-Network Facilities

New regulations intended to reduce out-of-network balance billing, or so-called “surprise billing,” by Indiana physicians are set to take effect July 1, 2020. H.B. 1004 ensures that patients who go to an in-network hospital will not receive surprise bills from out-of-network physicians. As well, the new law requires hospitals and physicians to provide good faith estimates to patients when requested. READ MORE

Indiana Medicaid COVID-19 Flexibilities: Telemedicine, Timely Filing Limits, Provider Enrollment, and 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

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