Tag: Medicare
SEP for Individuals Affected by a Disaster or Emergency, Humana 2021
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THRIVE
THRIVE CareAllies’ Provider Newsletter May 2021
Education inside: Obtain Assistance with Coding Accuracy and Documentation, one-on-one education, coding reference tools. Get set up for remote access, email [email protected].
Resource Material inside:
- CoVid Vaccine Flyers
- Call us first: Poster, Wallet Card, Wearable Button, etc.
- NO-SHOW: Poster and Wallet Card (customizable)
Email CareAllies at [email protected] with any topic suggestions for this (your) newsletter.
Cigna MA 2nd Qtr News 5/11/2021
Feature Article: Engaging with Patients Virtually, Cigna’s Virtual Care Reimbursement Policy
Policy Updates:
- Preventive Care Services
- Precertification
- Clinical, Reimbursement, and Administrative
General News
- Claim Denial preventive tips
- Appeal Reminders
- and many more to numerous to add
Webinar Schedule for Digital Solutions:
| Topic | Date | Time (CT) | Length | Meeting # |
|---|---|---|---|---|
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, May 12, 2021 | 12:00 | 60 min | 179 626 8334 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Monday, May 17, 2021 | 11:00 | 60 min | 179 602 5133 |
| Online Appeal and Claim Reconsideration | Wednesday, May 19, 202 | 11:00 | 60 min | 179 487 2665 |
| Website Access Manager Training | Wednesday, May 26, 2021 | 11:00 | 60 min | 179 079 6479 |
| CignaforHCP.com Overview | Tuesday, June 1, 2021 | 1:30 | 90 mins | 179 702 7790 |
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, June 9, 2021 | 11:00 | 60 min | 179 319 4586 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Wednesday, June 16, 2021 | 11:00 | 60 min | 179 225 1773 |
| Online Appeal and Claim Reconsideration | Monday, June 21, 2021 | 11:00 | 60 min | 179 162 7760 |
| Website Access Manager Training | Monday, June 28, 2021 | 11:00 | 60 min | 179 940 8512 |
Claims Hold!
Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension
In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a short period without affecting providers’ cash flow. This will minimize the volume of claims the MACs must reprocess if Congress extends the suspension; the MACs will automatically reprocess any claims paid with the reduction applied if necessary.
Billing for Services when Medicare is a Secondary Payer Feb. 23, 2021
This MLN Matters® Special Edition (SE) Article is for physicians, hospitals, Skilled Nursing Facilities (SNFs), suppliers and other providers who bill Medicare Administrative Contractors (MACs) or Durable Medical Equipment (DME) MACs for services provided to Medicare beneficiaries.
Sample Insurance Restriction form (simple)
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Self-Pay Insurance Restriction Sample Policy 2/22/2021
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Medicare Benefit Policy Manual Chapter 15.40 Revised 8/7/20
[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/02/Medicare-Benefit-Policy-Manual-Chapter-15.40-Effect-of-Beneficiary-Agreements-NOT-to-Use-Medicare-Coverage-2020.08.07.pdf” download=”all” viewer=”google”]
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