Billing News Oct 2010



Notice of New Interest Rate for Medicare Overpayments and Underpayments

  • October 27, 2010

The Medicare contractors shall implement an interest rate of 10.75% effective October 22, 2010 for Medicare overpayments and underpayments.

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U.S. Sues Michigan Blue Cross Over Pricing

  • October 27, 2010

The Justice Department sued Blue Cross Blue Shield of Michigan on Monday, asserting that the company, the state’s dominant health insurer, had violated antitrust laws and secured a huge competitive advantage by forcing hospitals to charge higher prices to Blue Cross’s rivals. The civil case appears to have broad implications because...

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CIGNA To Use New Legal Entity Name

  • October 26, 2010

Beginning in November 2010, CIGNA will begin a gradual transition from widespread use of Connecticut General Life Insurance Company (CGLIC) to the use of a new legal entity to underwrite certain types of contracts and documents. The new legal entity, CIGNA Health and Life Insurance Company (CHLIC), will become another important legal underwriting...

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New and Updated on UnitedHealthcare Online

  • October 26, 2010

Electronic Payments and Statements (EPS) as accessed through UnitedHealthcareOnline.com was recently enhanced to provide additional claim information and improved navigation of claim and remittance documents. Rendering Provider, Group Policy Number and Product Name information now displays when available. In addition, page displays have been...

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TriWest Offering Online Claims Correspondence/Webmail

  • October 26, 2010

TriWest Healthcare Alliance has introduced a new tool for registered providers - online claims correspondence and Webmail. Available from the secure provider portal at www.triwest.com/provider, these tools allow registered users to electronically submit claims-specific issues and other general website inquiries directly to TriWest. For online...

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Trofile Testing Criteria Update

  • October 26, 2010

Effective for dates of service on or after November 1, 2010, the following reflects updated criteria for Trofile testing: Patients diagnosed with AIDS who have evidence of viral replication may be screened with Trofile testing to receive a new class of drugs. This blood test determines whether a patient will respond to the drugs classified as...

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Modifier QW Required With Drug Screen Procedure Codes

  • October 26, 2010

Providers are reminded that, effective September 1, 2010, HCPCS procedure codes G0430 (drug screen, qualitative; multiple drug classes other than chromatographic method, each procedure) and G0431 (drug screen, qualitative; single drug [eg., immunoassay, enzyme assay], each drug class) are considered to be CLIA-waived when performed with a CLIA-...

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EHR Incentive Program Information

  • October 26, 2010

Incentive payments totaling as much as $27 billion may be made under the Medicare & Medicaid Electronic Health Record (EHR) Incentive Programs beginning in 2011. Are you eligible for an incentive? How much c Tip Sheets for Eligible Professionals: UPDATED: Medicare EHR Incentive Programs, PQRI, and E-Prescribing Comparison • Learn...

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