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Company Updates

Postal Employees Added to Federal Employee Program Payer Starting January 1

November 7, 2024
Payer name changes in Availity to include postal members.
Company Updates

New Breast Exam Benefit Begins December 1, 2024

November 7, 2024
Alaska state mandate SB134 eliminates cost sharing for supplemental or diagnostic breast examinations.

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Company Updates

New Payment Policy: Critical Care in the Emergency Department

8/1/2024
Critical care services rendered in the emergency department when a patient is discharged home may no longer be reimbursed.

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Company Updates

New Vendor to Perform Audits in November

8/1/2024
Performant Healthcare Solutions will audit durable medical equipment, home infusion therapy, home health, and skilled nursing facility claims starting November this year.

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Company Updates

Doctor Romilla Batra Joins Premera

07/08/2024
Meet Dr. Romilla Batra, our new senior vice president and chief medical officer.

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Company Updates

Policy Update: Medicare Status B, P, and T Services Reimbursement

07/08/2024
Status P codes and Code G2211 will no longer be reimbursed.

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Company Updates

Annual Risk Adjustment Data Validation Audits

07/08/2024
Your office may receive a request for medical records.

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