Tagged with 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 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 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 – Cardiology Code Edits

Humana released three Cardiology code edits that will be effective as of August 31, as well as significant revisions to certain medical coverage policies.

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