Avoid Backup Withholding!
New Coverage for Non-Network Emergency Room Services
Sclerotherapy Not a Covered Benefit
Mental Health and Substance Use Disorder Limits Removed
Changes to Certification for 2012
HIPAA 5010 Compliance
MS- DRG and MS- DRG LTCH 2011- 2012 Fee Schedule
Modifier 33 - Preventive Service
Fee Schedule Changes for Sealants and Preventive Resin Restorations
Benlysta Treatment Requires Certification
Timely Claims-Filing Deadline Waived for Coordination of Benefits
Health Insurance Prospective Payment System
New HIPAA Standards for Electronic Transactions
HealthChoice, DOC, and DRS to Adopt Electronic Claims Payments
Concierge Medicine
Fee Schedule Updates
CPT Category II Codes (F Codes)
Correction! Fee Schedule for Services When the Patient is Not Present
HealthChoice Providers May Want to Consider Joining DOC Network Due to New DOC Fee Schedule Mandate
Post Treatment, Breast Symmetry Surgery
New! Provider Applications Can Be Completed Online
Definition of Sound Natural Teeth and Gums
Payment Guidelines for Modifiers -54, -55, and -56
Attention HealthChoice and DOC Providers! Fee Schedule Update for Services When the Patient is Not Present
Lower Liability Coverage Requirements for Skilled Nursing Facilities
New Coordination of Benefits Guidelines
Additional Claim Info
