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Banner # Date Topics Type
BR201820 5/15/2018 IHCP reminds providers of service location address requirements for professional and institutional claims All
BR201819 5/8/2018 HCPCS code J7340 linked to revenue code 636; IHCP to mass reprocess MRO claims for maternity members that denied inappropriately; IHCP to update pricing for HCPCS code J7178; IHCP clarifies billing guidance for blood factor HCPCS codes; IHCP reminds providers of W-9 requirements for provider enrollment transactions All, Ambulatory Surgical Center, Clinic, Home Health Agency, Hospital, Nursing Facility
BR201818 5/1/2018 IHCP to cover HCPCS code J7186; IHCP removes gender restriction on ICD-10-CM code Z15.81; IHCP corrects rate for CPT code 80410; IHCP to mass reprocess inpatient and inpatient crossover claims that may have denied incorrectly; IHCP reminds home health providers of cost-reporting obligations; IHCP moves to ADA 2012 dental claim form; Save the date for the 2018 Summer IHCP provider workshops All, Ambulatory Surgical Center, Dentist, Home Health Agency, Hospital, Physician
BR201817 4/24/2018 This banner page has been canceled.
BR201816 4/17/2018 IHCP to mass adjust hospice claims that paid incorrectly due to NF retroactive rate adjustments; Providers required to use the Portal or IVR system to verify claim status; Medicare Part D prescription drug copayment issue corrected; IHCP recognizes additional training certification for physician-administered topical fluoride varnish All, Hospice, Pharmacy, Physician
BR201815 4/10/2018 IHCP updates the maximum fee rates for CPT codes 01953 and 99140; CPT code 99195 linked to revenue code 940 and a maximum fee assigned All, Advanced Practice Nurse, Ambulatory Surgical Center, Hospital, Physician, Physician Assistant
BR201814 4/3/2018 IHCP to cover CPT code 90682; IHCP to cover CPT Code 81528; New dental provider training now available; IHCP revises periodontal maintenance policy; IHCP to mass adjust inpatient claims that did not have HAF or ICD-10-PCS codes applied appropriately; IHCP to mass adjust or mass reprocess certain claims that adjudicated incorrectly in CoreMMIS All, Anesthesiologist, Dentist, Physician, Hospital
BR201813 3/27/2018 Portal upgrade will allow electronic submission of fingerprint confirmation information; IHCP to mass reprocess LTC claims for retroactive rate adjustments that may have denied incorrectly All, Nursing Facility
BR201812 3/20/2018 CMS to issue new Medicare cards with new identification numbers; IHCP clarifies the procedure codes for chemodenervation for use with botulinum toxin injections; IHCP clarifies reimbursement restrictions for dental anesthesia codes; RSV season modified to end April 15, 2018 All, Dentist, Prescribers, Pharmacy, Physician
BR201811 3/13/2018 IHCP removes restrictions for dental code D9920 when billed with other dental anesthesia codes; IHCP to update pricing for certain procedure codes and assign ASC pricing indicator to code 96377; IHCP air ambulance transportation policy applies to rotary-wing and fixed-wing aircraft; IHCP clarifies provider requirements for SUD Residential Treatment Facilities All, Addiction Services, Ambulatory Surgical Center, Dentist, Mental Health, Transportation
BR201810 3/6/2018 IHCP to update the mileage rate for HCPCS code A0090 and mass adjust claims; Medicare Part D prescription drug copayments may have calculated incorrectly; IHCP updates pricing for certain laboratory codes; IHCP to update pricing and reimbursement requirements for certain dialysis codes All, Laboratory, Pharmacy, Transportation
BR201809 2/27/2018 IHCP revises policy regarding outpatient mental health services limitation; Providers may submit replacement claims for J7340 that may have paid incorrectly; IHCP to assign ASC pricing indicators to CPT codes 62321, 62323, 62325, and 62327; Providers may resubmit claims for HCPCS code J3490 billed with NDC 50419-042-401 that may have denied incorrectly; IHCP to update pricing for CPT code 50590; Portal account managers are reminded to deactivate delegates no longer with the organization All, Ambulatory Surgical Center, Hospital, Mental Health
BR201808 2/20/2018 IHCP to make audit 6661 obsolete; IHCP clarifies that CPT codes 99173 and 99174 are linked to revenue code 920; IHCP to update pricing for certain dental codes; IHCP to mass adjust claims for various CPT codes that paid incorrectly; IHCP to mass adjust or mass reprocess medical and outpatient claims subject to NCCI editing that adjudicated incorrectly; IHCP addresses issue of LOC segments being end dated in CoreMMIS in error; DXC Technology to reissue 1099-MISC Forms All, Dentist, Hospital, Physician, Nursing Facility, Optometrist, Rehabilitation Facility
BR201807 2/13/2018 IHCP removes linkages between certain CPT codes and revenue code 513 and adds coverage to 9XX series revenue codes All, Clinic, Mental Health, Psychiatrist
BR201806 2/6/2018 IHCP to mass reprocess claims for dental codes that denied inappropriately; IHCP clarifies billing guidance for clubhouse psychosocial rehabilitation services; IHCP to retroactively cover end-dated HCPCS code C9494; HCPCS code J0606 no longer linked to revenue code 636 All, Dentist, Mental Health
BR201805 1/30/2018 IHCP reminds providers of processes and requirements for appealing pharmacy audit determinations; IHCP reminds pharmacy providers of FDA storage and handling requirements; New Provider Profile information in the Portal All, Pharmacy
BR201804 1/23/2018 IHCP to mass adjust or mass reprocess claims for certain mental health codes that may have denied inappropriately; Sign up now for spring 2018 IHCP provider workshops All, Mental Health, Psychiatrist
BR201803 1/16/2018 IHCP to cover HCPCS code Q2043; IHCP to mass adjust or mass reprocess claims for certain ocular implant DME codes that may have denied inappropriately All, Durable Medical Equipment, Physician
BR201802 1/9/2018 New ambulance transportation training now available; Physician-administered drug codes updated with 2018 annual HCPCS updates All, Transportation, Physician
BR201801 1/2/2018 IHCP to cover HCPCS codes J0887 and J0888; Providers may resubmit claims for CPT code 99292 that denied incorrectly All, Physician

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