UHC Waives Cost Sharing
UnitedHealthcare (UHC) is waiving cost sharing for Medicare Advantage plan members for primary care services through Dec. 31. This applies to in-network and covered out-of-network COVID-19 and non-COVID-19 visits, whether they are conducted in office or via telemedicine.
Provider Roster Update
Who’s On First?
Or should we say “Who’s in What”
This roster includes all the POET physicians and list what insurance plans they have opt’ed into.
It is a great tool to keep at your front desk or download for the person who makes the referrals in your office.
Oh, just google “Who’s on first” and watch the clip, for a little slap stick humor.
From CMS.Gov
Critical Care Evaluation & Management Services: Comparative Billing Report in May
In late May, CMS will issue a second letter in the Special Edition Comparative Billing Report (CBR) series on Part B claims for critical care evaluation & management services. Use the data-driven tables to compare your billing and payment patterns with peers in your state and across the nation.
The public can’t view CBRs. Look for an email from [email protected] to access your report. Update your email address in the Provider Enrollment, Chain, and Ownership System to ensure delivery.
More Information:
- View a webinar recording
- Visit the CBR website
- Register for a live webinar on June 9 from 3-4 pm ET
Special Enrollments Periods
SEP for Individuals Affected by a Disaster or Emergency
Effective January 1, 2021, an SEP exists for individuals affected by a disaster or other emergency declared by a Federal, state or local government entity who were unable to, and did not make an election during another valid election period. This includes both enrollment and disenrollment elections.
Protecting Workers:
Guidance on Mitigating and Preventing the Spread of COVID-19 in the Workplace
The Centers for Disease Control and Prevention (CDC) has issued new guidance relating to recommended precautions for people who are fully vaccinated, which is applicable to activities outside of healthcare and a few other environments. OSHA is reviewing the recent CDC guidance and will update our materials on this website accordingly. Until those updates are complete, please refer to the CDC guidance for information on measures appropriate to protect fully vaccinated workers.
Patient Support Programs
Medically complex patients benefit from tailored interventions. Cigna Medicare Patient Support Programs can serve as a customizable adjunct to your treatment plans. All programs are offered at no additional cost to the patient.
BENEFITS
> Short-term and complex care management
> Assistance coordinating services and community resources
> Targeted efforts to prevent or manage exacerbations
RESULTS
> Improved self-management skills
> Improved medication adherence
> Closed gaps in preventive care measures
PATIENT ELIGIBILITY ASSESSMENTS
Email us to request eligibility assessment for your patient:
[email protected]
Updated Plan Reps
The Health Plan Representative Contact List has been updated.
Need Expert Advice
The Texas Medical Association is launching a new “Ask the Expert” virtual series to bring members direct access to professional experts who can answer questions on legal, practice management, advocacy, and regulatory topics.
Join them each month as a TMA staff expert hosts a virtual meeting to discuss their area of expertise and answer questions from attendees
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