| Banner # | Date | Topics | Type | | BR201717 | 4/25/2017 | Claims billed with modifier 92 that denied or paid incorrectly to be mass reprocessed or adjusted; MRT and PASRR member ID numbers have changed; Income limit calculating incorrectly for presumptive eligibility applications; ICD diagnosis codes added as valid diagnoses for presumptively eligible pregnant women | All, OB-GYN, Presumptive Eligibility QP |
| BR201716 | 4/18/2017 | IHCP will mass adjust outpatient claims for procedure/revenue code linkages that paid inappropriately; IHCP reminds transportation providers about correct use of HCPCS codes T2003/T2004 | All, Transportation |
| BR201715 | 4/11/2017 | IHCP to cover skin substitutes at a flat, statewide per-unit rate; IHCP to cover J8565; Various procedure codes linked to appropriate revenue codes; IHCP reminds providers of the PA status codes that display in the Portal; IHCP to mass adjust or mass reprocess claims for waiver code T2022 U7 that denied or paid incorrectly; HPE merges with CSC to form DXC Technology | All, Waiver, Pharmacy |
| BR201714 | 4/4/2017 | IHCP to mass adjust claims with a detail line for CPT code 77300 that denied incorrectly; IHCP to reprocess claims that denied incorrectly with EOB 3001 | All |
| BR201713 | 3/28/2017 | IHCP to cover HCPCS code Q5102; IHCP will no longer cover chemistry and toxicology tests; IHCP will no longer cover HCPCS code S3000; OPR Search Tool now available; IHCP revises maximum facility reimbursement rates for birthing centers; Pricing updated for HCPCS codes A6450 and A6451; Prior authorization is now required for CPT code 69930; Providers should no longer bill certain DME procedure codes with the NU modifier; Pricing updated for CDT codes D0251 and D1354; IHCP updates attachment requirements for various HCPCS codes | All, Dental, Birthing Centers, DME |
| BR201712 | 3/21/2017 | PE application currently inaccessible on the Portal for members with MRT/PASRR-only coverage; Nursing home (LTC) patient liability reporting zero or missing; IHCP to mass adjust claims paid in error for deleted codes G0477, G0478 and G0479; Paper claims with TPL or Medicare information must include the special attachment form; IHCP adds prenatal care diagnosis code to bypass TPL | All, LTC, Hospice, PRTF |
| BR201711 | 3/14/2017 | Paper claims with TPL or Medicare information must include the special attachment form; Facility claims must include HIPAA-compliant occurrence codes; IHCP reminds providers how to add multiple rendering providers to an active group location in the Portal; Member search issue in the Portal corrected | All, Long-Term Care, Hospitals |
| BR201710 | 3/7/2017 | IHCP to cover HCPCS code Q0144 - Azithromycin Dehydrate; IHCP to cover CPT code 61635 – Transcatheter placement of intravascular stents; IHCP to cover HCPCS code C1780 – Lens, intraocular (new technology); Certain Long-Term Care crossover claims denying due to LOC information; Home health claims for 99600 denying due to issue on PAs; IHCP will mass reprocess dialysis claims for laboratory services that denied inappropriately; Claims billed by small ICF/IID with type of bill codes in the 67X series are denying; IHCP ending extended Customer Service call center hours; IHCP announces temporary workaround to address slow Portal response times | All, Optometrist, Ophthalmologist, Laboratory, Home Health |
| BR201709 | 2/28/2017 | IHCP will mass adjust waiver claims that denied incorrectly; IHCP clarifies Provider Healthcare Portal prior authorization status codes; IHCP will mass reprocess institutional crossover claims that denied incorrectly; Delegates must have Provider Maintenance access to add or remove rendering providers; IHCP clarifies which provider types should use their Provider ID for billing purposes; IHCP reminds providers attesting for the EHR Incentive program they must register as rendering providers in the Portal; All rendering providers who enrolled in the IHCP before 2017 display a default address of “Indianapolis” in the Portal; IHCP will mass adjust claims with details that denied incorrectly due to manual pricing | All, Wavier, Home Health |
| BR201708 | 2/21/2017 | Confirm use of the correct user ID and password when logging on to the Provider Healthcare Portal; IndianaAIM RAs available on Web interChange through March 15, 2017; IHCP reminds home health providers to bill claims with appropriate revenue code/procedure code combinations; Home health providers must use occurrence code 73 when billing for overhead payments; Institutional claims: condition codes, occurrence codes and value codes “required” only when applicable; Rendering providers must be linked to the specific service location for a claim to adjudicate correctly in CoreMMIS; IHCP reminds providers to check the MCE portals for delivery system information; Waiver, home health, and transportation providers use Provider IDs for billing purposes; Providers must submit TPL and Medicare crossover information at the detail level for some claim types | All, Home health, Transportation, Waiver, Hospice, Hospital, Ambulatory Surgical Center |
| BR201707 | 2/14/2017 | This banner page has been canceled. | |
| BR201706 | 2/7/2017 | HCPCS code J3301 linked to provider specialty 180/Optometrist; CPT code 99000 linked to provider specialty 150/Chiropractic; IHCP clarifies TPL detail reporting policy; MRO, MRT, and PASRR claims may have denied incorrectly; First-quarter 2017 IHCP provider workshops | All, Vision Services, Chiropractor, LTC, Mental Health |
| BR201705 | 1/31/2017 | This banner page has been canceled. | |
| BR201704 | 1/24/2017 | This banner page has been canceled. | |
| BR201703 | 1/17/2017 | IHCP identifies processing error for Hoosier Healthwise dental claims; Save the date for the 2017 first-quarter IHCP provider workshops | Dental, All |
| BR201702 | 1/10/2017 | IHCP to revise rates for select clinical laboratory services based on 2017 Medicare rates | All |
| BR201701 | 1/3/2017 | This banner page has been canceled. | |
| BR201652 | 12/27/2016 | This banner page has been canceled. | |
| BR201651 | 12/20/2016 | IHCP makes updates to the Procedure Codes That Require Attachments code table | All |
| BR201650 | 12/13/2016 | This banner page has been canceled. | |