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HealthCare News

Tuesday, January 21, 2014
Health insurance was always a major issue in the US. As of January 1, 2014 more than 1million people, that never had insurance before, are now covered by health insurance plans.The Affordable Care Act, also known as Obamacare allows everyone to enroll into a health in...
   2013 brings big coding changes for prescribers and non-prescribers alike.  On the psychiatry front, perhaps the most notable change is the elimination of the med-management code 90862.   The 908XX psychiatric code series (90807 and 90817, for example) which covered therapy with medical management for prescribers has been eliminated.   Again, prescribers are directed to report medical management...
Monday, July 30, 2012
Starting October 1, 2012, claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to a manual medical review. For outpatient therapy services that exceed $3700 there will be an advanced approval process that will be implemented in three distinct phases. Providers will be assigned to one of three phases for manual medical review and will receive notification from CMS b...
Sunday, May 6, 2012
Massachusetts-based Harvard Pilgrim has started paying patients $10 to $75 each time they get medical tests at a lower cost provider.Under Harvard Pilgrim's SaveOn program, when members get referrals from their doctors, they can call the insurer's "clinical concierge" line that directs them to hospitals or other facilities that charge less for the same tests. When members use this service, Harvard...
Sunday, May 6, 2012
Kaiser Permanente   Kaiser Permanente of Colorado hopes a new incentive--cold, hard cash--will motivate people to lose weight. Although other insurers have offered similar programs, Kaiser is one of the first to make a weight loss program available to all adult members, the Associated Press reports.The insurer's new "Weigh and Win" program awards members between $15 and $150 every three months for...
Sunday, May 6, 2012
Aetna   Aetna has acquired Healthagen, the company that developed mobile app iTriage, which provides information about medical issues and finds nearby providers or health facilities."We're going to begin to change the healthcare industry by giving people tools they can put in the palm of their hand," Aetna Chief Executive Mark Bertolini said during a recent investor conference, according to TechCr...
Sunday, May 6, 2012
Blue Shield   Blue Shield of California is paying $2 million to settle allegations that it improperly stopped covering members when they became sick and required expensive treatment.The insurer decided to settle a 2008 suit, in which the Los Angeles City Attorney's Office alleged Blue Shield's recission practices led to more than 1,000 members losing their coverage to avoid the continuing litigati...
National Government Services12/28/11    National Government Services will deactivate the telephone line and e-mail box that are currently used for Clinical Education effective July 1, 2011. Providers who direct messages to this e-mail box or phone line on or after July 1 will not receive a response, as messages will no longer be received by National Government Services staff.Effective July 1, the ...
   The Office of E-Health Standards and Services (OESS) announced on November 17, 2011, that although the 5010/D.0 compliance date of January 1, 2012 will not change, HIPAA enforcement of compliance with the standards will be deferred until March 31, 2012.The 5010 versions of the institutional and professional claim implementation guides mandate that when claims use non-specific procedure codes a ...
 National Government Services 01/04/12      Are you looking for more information on the Provider Enrollment revalidation effort? The Centers for Medicare & Medicaid Services (CMS) has recently added to their list of Frequently Asked Questions (FAQs) specific to the revalidation effort. Here are just some of the questions you can expect to find answers for:·    Is a revalidation required if recent ...

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