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| Banner # | Date | Topics | Type | | 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 – 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 supervisor’s 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 supervisor’s 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 | | BR201917 | 4/23/2019 | IHCP updates NCCI medically unlikely edits for hospitals; IHCP will mass reprocess certain medical claims submitted on paper forms that denied incorrectly; IHCP corrects procedure codes allowable for vision services published in Banner Page BR201915 | All, Hospital, Nursing Facility/Long Term Care, Optometrist, Physician/Practitioner, Rehabilitation Facility | | BR201916 | 4/16/2019 | IHCP to include manually priced procedures in multiple surgery reimbursement reduction, effective June 1, 2019; IHCP will mass reprocess claims for inpatient services that adjudicated incorrectly due to present on admission reporting | Advanced Practice Nurse, ASC, Clinic, End-Stage Renal Disease Clinic, Genetic Counseling, Hospital, Optometrist, Physician Assistant, Physician, Podiatrist | | BR201915 | 4/9/2019 | IHCP to correct vision code sets, and reprocess or adjust vision services claims that denied incorrectly; IHCP reminds providers of revised billing for ABA therapy services, and codes to be end dated June 30, 2019; IHCP clarifies revenue code linkages to procedure codes for billing transcranial magnetic stimulation services; IHCP clarifies coverage for Hoosier Healthwise members during retroactive eligibility period; IHCP reminds providers of new administrative code requirement for documenting medical records | All, Hospital, Mental Health, OPR, Optician, Optometrist, Physician/Practitioner, Radiology, Therapist | | BR201914 | 4/2/2019 | IHCP reminds providers that certain paper claims require the TPL/Medicare special attachment form; CMS awards new contractor for National Correct Coding Initiative Medicare and Medicaid program; IHCP to present live webinar for diabetes educators, April 18, 2019; IHCP corrects reimbursement for certain crisis intervention services published in Banner Page BR201908 | All, Mental Health, Physician/Practitioner |
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