Banner # | Date | Topics | Type | BR201825 | 6/19/2018 | IHCP to cover CPT code 22857; IHCP to require NDCs on claims for low osmolar contrast material; IHCP to cover home INR monitoring codes; IHCP adds coverage of fenestrated endovascular repair procedures for aortic aneurysms; IHCP reminds providers of policy alignment with Medicare for inpatient-only codes; Certain procedure codes no longer considered inpatient-only; ASC pricing indicators assigned to CPT codes 27477 and 27485; PRTF PA request attachments via the Portal | All, Ambulatory Surgical Center, Hospital, Physician |
BR201824 | 6/12/2018 | IHCP enhances the Portal with NEMT eligibility information; IHCP corrects information about linking rendering providers to multiple group service locations in a single Portal transaction | All, Transportation |
BR201823 | 6/5/2018 | IHCP identifies system issues with processing outpatient claims for certain revenue codes | Ambulatory Surgical Center, Clinic, Hospital |
BR201822 | 5/29/2018 | IHCP to mass adjust or mass reprocess certain institutional claims that denied incorrectly for revenue code-to-procedure code combinations; IHCP to apply CMS billing guidelines for professional claims with certain surgical modifiers; Transition to single Customer Assistance telephone number to be finalized; IHCP enhances IHCP fee schedule references on the provider website | All, Anesthesiologist, Advanced Practice Nurse, Hospital, Physician, Physician Assistant |
BR201821 | 5/22/2018 | IHCP issues guidance for billing and rebilling inpatient rehabilitation encounters; IHCP to include level of need information for the MRO benefit on the Portal; IHCP Portal to allow rendering provider linkages to multiple group service locations in a single transaction; IHCP to hold dental listening sessions at locations around the state in June; Sign up now for Summer 2018 IHCP provider workshops | All, Community Mental Health Center, Dentist, Rehabilitation Facility |
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 |