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Banner # Date Topics Type
BR201937 9/10/2019 IHCP to remove age restriction from diagnosis code L21.0, and mass reprocess claims Hospital, Physician/Practitioner
BR201936 9/3/2019 IHCP to update rates and rate methodology for DME, HME, and eyeglasses frame and lens; IHCP increases rates for wheelchair van transportation procedure code A0130 with or without modifiers DME/HME, Optometrist, Optician, Transportation
BR201935 8/27/2019 IHCP to correct for overpayment of medical paper claims submitted with TPL/Medicare attachment forms; IHCP clarifies coverage qualifications for partial hospitalization; IHCP to update the anesthesia code sets; IHCP†postpones Portal enhancement for allowing certain out-of-state providers to perform telemedicine services All, Anesthesiologist, Mental Health, Optometrist, Physician/practitioner, Podiatrist, Psychiatric Residential Treatment Facility
BR201934 8/20/2019 IHCP to apply claim-processing limit on reimbursement of treatment room revenue codes All, ASC, Clinic, End Stage Renal Disease Clinic, FQHC/RHC, Home Health, Hospital, Mental Health, Personal Care, Physician/Practitioner, Psychiatric Residential Treatment Facility
BR201933 8/13/2019 IHCP to cover CPT codes 72083 and 72084; IHCP will mass adjust claims for home hospice care that paid incorrectly; IHCP to mass reprocess or mass adjust claims for certain add-on services that may have denied inappropriately; Providers may resubmit outpatient claims for HCPCS code J1670 that denied incorrectly; IHCP to mass reprocess school corporation claims for NEMT services that denied incorrectly; IHCP to mass reprocess or mass adjust claims for FQHC and RHC services that denied incorrectly; IHCP clarifies billing instructions for the attending physician field on institutional claims; IHCP offers new program integrity provider training Ė random sampling and extrapolation process All, ASC, Clinic, Chiropractor, FQHC/RHC, Hospice, Hospital, Nursing Facility/Long Term Care, Physician/ Practitioner, Radiology, Transportation
BR201932 8/6/2019 This banner page has been canceled.
BR201931 7/30/2019 IHCP to cover CPT code 22856; IHCP will mass reprocess or mass adjust claims for services provided by CMHC interns that denied incorrectly; IHCP to change flat rate of certain revenue codes; IHCP updates FQHC and RHC encounter codes; Medtronic notifies of concern with diabetes medical device cybersecurity; IHCP announces new email inbox for provider feedback; IHCP reminds pharmacy providers of FDA storage and disposal requirements; IHCP reminds providers of member transfer of property penalty period; IHCP clarifies published information regarding PADs carved out of managed care exempt from HAF payments; IHCP clarifies guidance about midlevel practitioners using a supervisorís NPI All, ASC, Clinic, FQHC/RHC, Home Health, Hospital, Mental Health, Nursing Facility/Long Term Care, Pharmacy/Prescribing, Physician/Practitioner, Waiver
BR201930 7/23/2019 IHCP to reimburse for revenue codes 390 and 391 billed as stand-alone services or with treatment rooms; Physician-administered drugs carved out of managed care exempt from HAF payments, unless submitted as professional claims; IHCP establishes a Telemedicine Services Code Set; IHCP reminds providers that midlevel practitioners must bill using supervisorís NPI; IHCP revises date for including manually priced procedures in multiple surgery reimbursement reduction ASC, Clinic, Dentist, Genetic Counseling, Home Health, Hospital, Laboratory, Mental Health, Nursing Facility/Long Term Care, Optometrist, Physician/Practitioner, Podiatrist, Waiver
BR201929 7/16/2019 IHCP to cover HCPCS code Q5111 (Udenyca); IHCP to mass adjust claims for CPT code 96151 that may have denied inappropriately; IHCP to mass reprocess or mass adjust claims for blood glucose monitors that denied incorrectly ASC, Clinic, DME/HME, Hospital, Mental Health, Physician/Practitioner
BR201928 7/9/2019 IHCP to cover CPT code 87505 in the outpatient setting; Mark your calendar for the 2019 IHCP Annual Provider Seminar All, Clinic, Hospital
BR201927 7/2/2019 IHCP to cover HCPCS code S2235; IHCP will mass reprocess claims for inpatient services that adjudicated incorrectly for POA reporting; IHCP will reimburse for HCPCS J0221 only if billed on a professional claim; New program integrity fraud and abuse detection system training now available All, Audiologist, Clinic, FQHC/RHC, Hospital, OPR, Pharmacy/Prescribing, Physician/Practitioner
BR201926 6/25/2019 Substance use disorder PA request attachments can be submitted on the Portal; IHCP to implement measures to prevent overlap of MRO and AMHH services; IHCP postpones Portal enhancement for allowing multiple provider types in a rendering provider profile; IHCP adjusts summer 2019 provider workshops schedule All, Addiction Services, Advanced Practice Nurse, Audiologist, Chiropractor, Clinic, Dentist, Genetic Counseling, Hospital, Mental Health, Optometrist, Physician/Practitioner, Psychiatric Residential Treatment Facility
BR201925 6/18/2019 IHCP to mass adjust or mass reprocess claims that denied for certain hospital services; IHCP to allow reimbursement for CPT code 58661 under the Family Planning Eligibility Program; IHCP corrects published qualifications and supervision requirements for certain mental health providers Addiction Services, ASC, Clinic, Hospital, Mental Health, OPR, Physician/Practitioner, Rehabilitation Facility
BR201924 6/11/2019 IHCP to update pricing for CPT codes 92594, and 92595; Procedure codes reimbursable in the outpatient setting and linked to revenue code 636; IHCP announces change to domain names of file exchange website All, Audiologist, DME, Hearing Aid Dealer, Hospital, Pharmacy, Physician/Practitioner, School Corporation, Therapist
BR201923 6/4/2019 IHCP to update pricing for procedure codes 77371, 95943, and G0282; Provider Healthcare Portal to allow multiple provider types in a rendering provider profile; IHCP postpones date for including manually priced procedures in multiple surgery reimbursement reduction ASC, Audiologist, Chiropractor, Clinic, Dentist, End-Stage Renal Disease Clinic, Genetic Counseling, Hospital, Mental Health, Optometrist, Physician/Practitioner, Podiatrist, Radiology, Therapist, Waiver
BR201922 5/28/2019 IHCP postpones implementation of new DRG grouper; IHCP to announce more information about mass adjusting claim details that denied for certain hospital services; Sign up now for summer 2019 IHCP provider workshops All, Hospital
BR201921 5/21/2019 This banner page has been canceled.
BR201920 5/14/2019 IHCP to mass adjust or mass reprocess claims affected by prior authorization decrementing incorrectly; IHCP reminds providers of additional information required for renewing licenses; Save the date for the 2019 Summer IHCP provider workshops All, Dentist, Mental Health, Nursing Facility/Long Term Care, Pharmacy/Prescribing, Physician/Practitioner, Psychiatric Residential Treatment Facility, Therapist
BR201919 5/7/2019 IHCP will no longer cover HCPCS code S9446; IHCP clarifies change to FQHC cost report for Fiscal Year 2019; IHCP to present live webinar about changes to filing claims and documenting medical records, May 14, 2019; IHCP to present live webinar about changes to provider enrollment requirements, May 21, 2019 All, CMHC, FQHC
BR201918 4/30/2019 IHCP to update pricing for certain physician-administered drug codes ASC, Clinic, Hospital, Physician/Practitioner, Pharmacy/Prescribing

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