News & Information

Effective April 1, 2014, the SI for HCPCS code Q2052 (Services, supplies, and accessories used in the home under the Medicare intravenous immune globulin (IVIG) demonstration) will change:

1)  From SI=N (Paid under OPPS; payment is packaged into payment for other services. Therefore, there is no separate APC payment.)

2) To SI=E (Not paid by Medicare when submitted on outpatient claims (any outpatient bill type)).

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Are you ready for testing?  CMS released  providers, suppliers, billing companies, and clearinghouses are welcome to submit acknowledgement test claims anytime up to the October 1, 2015, implementation date. In addition, CMS will be highlighting this testing y offering three separate weeks of ICD-10 acknowledgement testing. These special acknowledgement testing weeks give submitters access to real-time help desk support and allows CMS to analyze testing data. Registration is not required for these virtual events.

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Deadline for ICD-10 allows health care industry ample time to prepare for change
Deadline set for October 1, 2015

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The SAMHSA-HRSA Center for Integrated Health Solutions (CIHS) promotes the development of integrated primary and behavioral health services to better address the needs of individuals with mental health and substance use conditions, whether seen in specialty behavioral health or primary care provider settings. CIHS is the first “national home” for information, experts, and other resources dedicated to bidirectional integration of behavioral health and primary care.

 

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It is apparent as the healthcare changes so does Managed Care contracts.  You need to be more aware, they are more complex than ever and can be confusing, take heed as you enter into a new contract as a participating provider.  Below are just a few issues to be sensitive to and is in no way inclusive of everything you need to be aware of.

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