The Indiana Health Coverage Programs (IHCP) posted the following important information to the provider website at indianamedicaid.com on April 25, 2017 (unless alternate date is noted).
News and Announcements (home page)
Income limit calculating incorrectly for presumptive eligibility applications (posted April 21, 2017)
News and Announcements (home page)
Income limit calculating incorrectly for presumptive eligibility applications (posted April 21, 2017)
Bulletins and Banner Pages
BR201717
- Claims billed with modifier 92 that denied or paid incorrectly to be mass reprocessed or adjusted
- MRT and PASRR member ID numbers have changed
- Income limit calculating incorrectly for presumptive eligibility applications
- ICD diagnosis codes added as valid diagnoses for presumptively eligible pregnant women
Provider Reference Modules
Outpatient Hospital and Ambulatory Surgical Center
- Changed Web interChange references to Provider Healthcare Portal (Portal)
- Added Portal options to the billing instructions
- Added information about revenue codes in the Introduction section
- Updated the Reimbursement for Outpatient Hospital and ASC Services section
- Updated the Rate Reduction section
- Updated the Outpatient Surgeries section
- Updated the policies and billing guidelines in the Treatment Room Visits section
Durable and Home Medical Equipment and Supplies
- Changed Automated Voice Response (AVR) system reference to Interactive Voice Response (IVR) system
- Changed Web interChange references to Provider Healthcare Portal
- Added Portal instructions for billing and PA requests where needed throughout the module
- Updated the Manually Priced DME, HME, and Supplies section:
- Expanded reference to include all fee-for-service reimbursement
- Updated the description for EOB 6169
- Changed the code table reference in the Orthotic and Prosthetic Codes in the Outpatient Setting section
- Updated benefit plan information in the Humidifiers, Nonheated or Heated section
- Updated the Customer Assistance telephone number
Check out these resources to stay up-to-date with the most recent changes at the IHCP.
BR201717
- Claims billed with modifier 92 that denied or paid incorrectly to be mass reprocessed or adjusted
- MRT and PASRR member ID numbers have changed
- Income limit calculating incorrectly for presumptive eligibility applications
- ICD diagnosis codes added as valid diagnoses for presumptively eligible pregnant women
Provider Reference Modules
Outpatient Hospital and Ambulatory Surgical Center
- Changed Web interChange references to Provider Healthcare Portal (Portal)
- Added Portal options to the billing instructions
- Added information about revenue codes in the Introduction section
- Updated the Reimbursement for Outpatient Hospital and ASC Services section
- Updated the Rate Reduction section
- Updated the Outpatient Surgeries section
- Updated the policies and billing guidelines in the Treatment Room Visits section
Durable and Home Medical Equipment and Supplies
- Changed Automated Voice Response (AVR) system reference to Interactive Voice Response (IVR) system
- Changed Web interChange references to Provider Healthcare Portal
- Added Portal instructions for billing and PA requests where needed throughout the module
- Updated the Manually Priced DME, HME, and Supplies section:
- Expanded reference to include all fee-for-service reimbursement
- Updated the description for EOB 6169
- Changed the code table reference in the Orthotic and Prosthetic Codes in the Outpatient Setting section
- Updated benefit plan information in the Humidifiers, Nonheated or Heated section
- Updated the Customer Assistance telephone number
Check out these resources to stay up-to-date with the most recent changes at the IHCP.
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