Fee Schedule Updates
HealthChoice and the Department of Corrections (DOC) have updated their fee schedules for CPT/HCPCS, Outpatient Facility (OP), and Ambulatory Surgery Center (ASC), American Society of Anesthesiologists (ASA), American Dental Association (ADA), MS-DRG, and MS-DRG LTCH codes effective for charges incurred on or after October 1, 2013, as stated in earlier notifications.
Be aware that HealthChoice and DOC update the CPT/HCPCS, outpatient hospital, ASC, ASA, and ADA fee schedules quarterly.
The next quarterly fee schedule update will be for charges incurred on or after January 1, 2014, for CPT/HCPCS, OP, ASC, ASA, and ADA codes.
The American Medical Association may periodically change, add, or delete procedure codes throughout the year. When these modifications occur, HealthChoice and DOC will review its fee schedule as soon as possible and make any necessary changes. Additionally, HealthChoice and DOC make fee schedule updates on an ad hoc basis when needed.
Fee schedule updates are reported in each issue of this newsletter, which is distributed quarterly to Network Providers. Updates are also posted to the provider websites. We encourage you and your staff to reference the website for each Network for the most recent fee schedule updates and other important information.
If you have questions, you are welcome to contact Network Management by calling 1-405-717-8790 or toll-free 1-800-543-6044. Email inquiries can be sent to EGID.NetworkManagement@omes.ok.gov or EGID.DOCNetworkManagement@omes.ok.gov.