Humana

Humana Issues Provider Resources for COVID-19

Humana has created a space for providers to access information regarding diagnosis codes and claims, telehealth, and other administrative processes concerning COVID-19.

Humana Claims Payment and Medical Coverage Policy Updates

Humana has published new and recently updated claim payment policies, including new policies for inpatient readmission review, modifiers CO and CQ, as well as revisions to the insurer’s chronic care management and principal care management and telehealth services policies.

Humana Releases Latest Claims Payment Policy Updates

Humana has published its latest medical claims payment policy updates, including its reimbursement policy for ambulance transportation, requirements for billing and documentation of observation services, as well as a new policy for obstetric billing, including antepartum, delivery and postpartum care.

Humana Releases Update to Facility Observation Services Payment Policy

Humana has issued a new claims payment policy for appropriate billing and documentation of facility observation services.

Humana Posts New, Revised Medical Coverage Policies

Humana has released its most recent medical coverage policy changes, including one new policy and updates to its brachytherapy, genetic testing, and transcatheter valve procedures policies.

Humana New, Revised Medical Coverage Policies Implemented

Humana has released its most recent medical coverage policy changes, including updates to its Code Compendium (Ophthalmology) and Laser Interstitial Thermal Therapy policies.

Humana Updates Preauthorization and Notification Lists for 2019

Humana has posted the recent updates to its preauthorization and notification.

Humana Claim Payment Policy Update

Humana has published a new claim payment policy update for durable medical equipment (DME) repair and replacement.

Humana Updated Claim Payment Policies

Humana recently published new updates to its claim payment policy for pass-through billing as well as its policy for telehealth and telemedicine.

Humana Policy and Claims Payment System Updates

Humana has posted a number of policy and claims payment system updates, that will become effective in October.

Humana Claim Processing Edits

Humana has released several claims processing edits, including updates to Outpatient Prospective Payment System (OPPS), Modifiers 96 and 97, HCPCS Drugs & Biologicals, and other policies.

Humana New and Revised Pharmacy and Medical Coverage Policies

Humana has released a number new pharmacy coverage policies, as well as significant revisions to its medical coverage policies.

Humana Updates Preauthorization and Notification Lists for 2018

On January 22nd, Humana will update its preauthorization and notification lists for all commercial fully insured, Medicare Advantage plans and dual Medicare-Medicaid plans.

Humana New and Revised Medical Coverage Policies

Humana has released two new medical coverage policies and several updates to policies effective at the start of the new year.

Humana CPT Code Edits for Certain Specialties

Humana has issued several CPT code edits for specialties including Surgery, Pathology, and Radiology.

OH Cleveland Clinic, Humana Launch Co-Branded Medicare Advantage Plans

Humana and the Cleveland Clinic have created two $0 premium Medicare Advantage health plans for people with Medicare in Cuyahoga County, intended to improve experience and care by providing affordable access patient-focused expert doctors, nurses and facilities.