AmeriHealth
Highlights: Guidelines for billing with taxonomy codes; Updated coverage for COVID-19 vaccine
Click the links for more information:
Guidelines for billing with taxonomy codes (amerihealth.com)
Updated coverage for COVID-19 vaccine (amerihealth.com)
Aetna
Highlights: Changes to Aetna’s National Precertification List (NPL); Modifiers 59, XE, XP, XS and XU to not bypass daily unit limits
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This month’s 90-day notices and related reminders (aetna.com)
Horizon BCBS
Highlights: Reimbursement Policy Implementation: Outpatient Facility Claim Coding Requirements
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Reimbursement Policy Implementation: Outpatient Facility Claim Coding Requirements – Horizon NJ Health
Medicare
Highlights: CMS Releases Million Hearts Cardiovascular Disease Risk Reduction Model Final Evaluation
Click the link for more information:
CMS Roundup (Oct. 20, 2023) | CMS
United HealthCare
Highlights: New Jersey 21st Century Cures Act requirement; New Jersey: Help raise Medicaid redetermination awareness for your patients
Click the links for more information:
Avoid claim denials for New Jersey Medicaid | UHCprovider.com
NJ-Help-Patients-Avoid-Lapse-in-NJ-FamilyCare-Coverage (uhcprovider.com)
