Latest News

Extension of Member Cost-Share Waiver for COVID, non-COVID Telehealth Services

Audience: Professional Providers and Certified Home Healthcare Agencies

Member Cost-Share for Telehealth Services  For Medicare Advantage members, we will continue to cover both COVID-19 and non-COVID-19 related telehealth services with no member cost-share through the end of the public health emergency, currently set to expire...

Coding Guideline Changes for Outpatient Hospital Facilities Effective January 1, 2021

Audience: Participating Hospitals

Your opinions and suggestions are very important to us. As the result of the suggestions that we received regarding the upcoming coding guideline changes communicated in our bulletin issued October 9, 2020, additional revenue codes will be removed from the CPT/HCPCS...

Modifier CG Clarification for COVID-19 Viral and Antibody Testing

Audience: Participating Physicians, Hospitals, Facilities and Laboratories

We would like to clarify the use of modifier CG (policy criteria applied) when submitting claims for COVID-19 viral and antibody testing. This applies to all Health Plan products and lines of business. Modifier CG (or one of these diagnosis codes - Z02.0, Z02.1,...

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Connection Newsletter

Inside this month's Connection newsletter:

  • Telemarketing Fraud, Waste, and Abuse
  • PPACA Grid Updated
  • Billing for a Medicare Annual Wellness Visit
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Dental Newsletter

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