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June Newsletter

ICD-10 Transition Delayed to 2015 Many of you have already heard about the ICD-10 delay that was embedded in the Protecting Access to Medicare Act of 2014. This act aimed to delay cuts in physicians’ Medicare rates, but it also pushes back implementation of ICD-10 until 2015.

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April Newsletter

ICD-10 Transition Delayed to 2015 On April 1, President Obama signed bill H.R. 4302, enacting into law the Protecting Access to Medicare Act of 2014. The act was introduced as a temporary solution to the Medicare sustainable growth rate, but it also delays implementation of ICD-10 until October 1, 2015, at the earliest.

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February Newsletter

Happy New Year! We’re gearing up for another great year of partnership with each of you, and we appreciate your hard work and dedication to your patients and our members. As always, your provider relations specialist will be there for you throughout 2014 if you have any questions or concerns. They act as a liaison between us to help with open communication.

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FLASH: Remittance Changes

Effective 11/29/13, the “G” (inappropriate billing/coding) adjustment reason remits to OA16 (Claim/service lacks information or has submission/billing error). In the past, when a code was denied for “G” (inappropriate coding) you would see OA125 on the remittance. OA125 (billing/submission error) was deactivated. We are working to fix this, and it should be updated by 1/1/2014.

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FLASH: Online Preauthorization Instructions at Your Health Alliance

We’ve posted a guide for using our online preauthorization forms (for Medical and Durable Medical Supplies) on Your Health Alliance for providers and office personnel. Log in and choose the Forms and Resources page and look under Resources for a PDF of the online preauthorization instructions.

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