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The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on November 29, 2017 (unless alternate date is noted). News and Announcements (home page) IHCP will mass reprocess dental claims that may have denied incorrectly (November 29, 2017) Bulletins and Banner Pages BT201776 – IHCP announces upcoming changes to the HIP program Provider Reference Modules
Inpatient Hospital Services -Reorganized and edited text for clarity -Replaced Hewlett Packard Enterprise references with DXC Technology -Removed references to All Patient Diagnosis-Related Group (AP-DRG) -Updated the Prior Authorization for Hospital Inpatient Admissions section per 405 IAC 5-17-2 and to addinformation about managed care PA requests -Updated information in the Present on Asion Indicators section about where to find the list of diagnosis codes that are exempt from POA reporting -Updated HAF end date in the Reimbursement Methodology for Inpatient Services section -Removed reference to DRG + Severity of Illness from the Diagnosis-Related Group Reimbursement System section -Added a link in the DRG Base Rate section for checking the inpatient rates file -Removed outdated information from the DRG Outlier, Medical Education Costs, and Capital Costs Payment section -Specified the Sidney & Lois Eskenazi Hospital (rather than Eskenazi Health) in the Level-of-Care Payment Rates section -Updated the Inpatient Coverage for Inmates section and moved billing information from that section to the Claim -Submission and Processing module -In the Transfers section, specified using the patient status discharge code to identify the transferring hospital -Updated the Inpatient Stays Less Than 24 Hours section and its subsections, including: Updated procedures in the new Expiration Within One Day of Birth subsection Clarified information in the Inpatient-Only Codes subsection -Updated the Newborn Screening section and its subsections, including: - Renamed the Newborn Heelstick Screening – Dried Blood Spot Sample section and removed the list of specific conditions screened - Added a separate Newborn Screening for Critical Congenital Heart Disease – Pulse Oximetry section - Renamed the Newborn Hearing Screening – Early Hearing Detection and Intervention section and removed unnecessary information Code Table and Other Updates The following updated code tables are now available on the Code Sets page: Long-Term Care Codes -All codes were reviewed Inpatient Hospital Services Codes -All codes were reviewed -ICD-9 Birth Weight Diagnosis Codes table was removed -Procedure Codes Payable as an Inpatient Service When Delivered in an Inpatient Setting for Stays of Less Than 24 Hours table was corrected; see BR201745 for details Vision Services Codes -Procedure Codes for Eye Exams and Other Ophthalmological Services Limited to One Unit per Member per Day table was removed; see BR201747 for detail Check out these resources to stay up-to-date with the most recent changes at the IHCP. Comments are closed.
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