Fee Schedule Updates Effective July 1, 2012 and October 1, 2012
HealthChoice and the Department of Corrections (DOC) have updated their fee schedules for CPT/HCPCS, Outpatient Facility (OP), Ambulatory Surgery Center (ASC), American Society of Anesthesiologists (ASA), and American Dental Association (ADA) codes effective for charges incurred on or after July 1, 2012, as stated in earlier notifications.
The next quarterly fee schedule update will be for charges incurred on or after October 1, 2012, for CPT/HCPCS, OP, ASC, ASA, and ADA codes. A comprehensive fee schedule update for MS-DRG and MS-DRG LTCH codes will also become effective for charges incurred on or after October 1, 2012.
As a reminder, the American Medical Association periodically changes, adds, corrects, and/or deletes procedure codes throughout the year. When these changes occur, HealthChoice and DOC review them as soon as possible and make 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 the Network News newsletter which is distributed quarterly to all Network Providers. Updates are also posted to the provider websites. We encourage you and your staff to reference the website of your provider network for the most recent fee schedule updates and other important information.
If you want specific codes and Allowed Charges affected by these updates or if you have questions, please contact the Network Management/Provider Relations Division at 1-405-717-8790 or toll-free 1-800-543-6044. Email inquiries can be sent to firstname.lastname@example.org or DOCProviderRelations@sib.ok.gov.