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Claims, Coding, Payment

In the “Current” tab, you’ll find news published during the past year. Use the “Archive” tab to view news going back an additional two years.

6/1/23 We’ve simplified our ABA authorization response process
5/1/23 Important inpatient billing guidelines
3/31/23 Updated payment policies now available
3/31/23 Second quarter 2023 hospital outpatient drug fee schedule posted
3/24/23 Bill primary insurer first for tribal health program enrollees
3/22/23 New Equian addresses for pre-payment review
3/13/23 Submit rendering provider site address in box 56
3/9/23 Help us improve dental billing with more than one insurer
3/9/23 Medicare cost share changes under the Inflation Reduction Act
3/1/23 Upcoming claim edits for monitored anesthesia care
12/30/22 Updated payment policies now available
11/1/22 We will follow 2023 AMA evaluation and management guidelines
11/1/22 Interprofessional telehealth assessment and management services
10/18/22 Update for electrical stimulation of the spine
9/30/22 Updated payment policies now available
9/30/22 Fourth quarter 2022 hospital outpatient drug fee schedule posted
9/27/22 Coordination of benefits: How to submit electronic claims successfully
9/9/22 Monkeypox vaccine billing guidelines
7/8/22 Expanding telehealth payment parity for mental health services
7/1/22 Third quarter 2022 hospital outpatient drug fee schedule
6/30/22 Updated payment policies now available
6/3/22 Reminder: Bill outpatient rehab services per our payment policy