This recurring update notification provides the availability of payment allowances for the seasonal influenza virus vaccines as updated on an annual basis, effective August 1… Read More »Annual Updates for Flu Vaccine_2019-2020 – Season (Payment Allowance)
As part of the Patient Protection and Affordable Care Act (PPACA) regulations, CPT code 90461 is not reimbursable for vaccines administered to Medicaid members through… Read More »UHC – Reimbursement Update to Vaccines for CPT 90461
Screening for Hepatitis B (HBV) infection in pregnant women provides substantial benefit, reaffirms the U.S. Preventive Services Task Force (USPSTF) in their recommendation statement released… Read More »Stop Hepatitis B via HBsAg Screening in Pregnant Women
Deleted Codes: J1942 Injection, aripiprazole lauroxil, 1 mg S1090 Mometasone furoate sinus implant, 370 micrograms Revised Codes: J0641 Inj., levoleucovorin, 0.5 mg J2794 Inj., risperdal… Read More »Upcoming HCPCS (DELETED/REVISED) Code Changes Effective from October 1, 2019
Anthem has sent out a notice to all providers who have signed non-Medicare (Commercial) or Medicare Advantage contracts with them, stating as, “Effective for all… Read More »Anthem Changes Timely-Filing (TFL ) Deadlines Effective On October 1, 2019
The MACs to implement logic that ensures they bypass payment window edits (3-days and 1-day) when processing claims for donor post-kidney transplant complications services. MACs… Read More »Changes in Bypass Payment Edits (3-days and 1-day) For Donor Post-Kidney Transplant
New Codes: J0121 Injection, omadacycline, 1 mg J0122 Injection, eravacycline, 1 mg J0222 Injection, Patisiran, 0.1 mg J0291 Injection, plazomicin, 5 mg J0593 Injection, lanadelumab-flyo,… Read More »Upcoming HCPCS (NEW) Code Changes Effective from October 1, 2019
For World Hepatitis Day on July 28, 2019, learn more about the different types of viral hepatitis and how to take action. Worldwide, 300 million… Read More »World Hepatitis Day July 28, 2019
The Center’s for Medicare & Medicaid Services (CMS) just released the updated 2019 ASP drug pricing files for July. These files contain the payment amounts to… Read More »ASP Drug Pricing Updates for July 2019
The procedures include vascular access, catheterization, balloon valvuloplasty, valve deployment and (as needed) repositioning, temporary pacemaker insertion for rapid pacing, and access site closure. 0483T… Read More »Transcatheter Mitral Valve Implantation/Replacement (TMVI) – 0483T & 0484T