Clear Coverage, the program used to request preauthorization, has new minimum usage requirements. Please ensure your computer and software meet these requirements so you can continue using Clear Coverage without issues.
New CMS Training Requirements Starting in 2016, all Medicare Advantage organizations and Prescription Drug Plan sponsors, like Health Alliance Medicare, will be required to provide general compliance and fraud, waste, and abuse (FWA) training for all employees of their organization and for the first-tier, downstream, and related entities (FDRs) they partner or contract with to provide benefits or services.
New CMS Training Requirements Starting in 2016, all Medicare Advantage organizations and Prescription Drug Plan sponsors, like Health Alliance Medicare, will be required to provide general compliance and fraud, waste, and abuse (FWA) training for all employees of their organization and for the first-tier, downstream, and related entities (FDRs) they partner or contract with to provide benefits or services.
Assistant Surgeon Reimbursement Rate Change Effective January 1, 2016, Health Alliance is changing the reimbursement for assistant surgeons from 25% to 20% to align with CMS standards. If you have any questions about this change, please contact your provider relations specialist.
Starting in 2016, all Medicare Advantage organizations and Prescription Drug Plan sponsors, like Health Alliance Medicare, will be required to provide general compliance and fraud, waste, and abuse (FWA) training for all employees of their organization and for the first-tier, downstream, and related entities (FDRs) they partner or contract with to provide benefits or services.