Tagged with Humana
Humana has created a space for providers to access information regarding diagnosis codes and claims, telehealth, and other administrative processes concerning COVID-19.
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 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 has issued a new claims payment policy for appropriate billing and documentation of facility observation services.
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 has released its most recent medical coverage policy changes, including updates to its Code Compendium (Ophthalmology) and Laser Interstitial Thermal Therapy policies.
Humana has posted the recent updates to its preauthorization and notification.
Humana has published a new claim payment policy update for durable medical equipment (DME) repair and replacement.
Humana recently published new updates to its claim payment policy for pass-through billing as well as its policy for telehealth and telemedicine.
Humana has posted a number of policy and claims payment system updates, that will become effective in October.
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 has released a number new pharmacy coverage policies, as well as significant revisions to its medical coverage policies.
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 has released two new medical coverage policies and several updates to policies effective at the start of the new year.
Humana has issued several CPT code edits for specialties including Surgery, Pathology, and Radiology.
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.
Humana and Community Care Physicians (CCP) in New York have signed a value-based agreement that will allow in-network access to Humana’s Medicare Advantage members at CCP facilities.
The Illinois Department of Healthcare and Family Services has announced the names of the insurers that will take part in the Governor’s proposed overhaul of the state’s Medicaid Managed Care program.
Humana released three Cardiology code edits that will be effective as of August 31, as well as significant revisions to certain medical coverage policies.
Humana has updated its policy concerning Anesthesia modifiers for anesthesia services to comply with the Illinois Medicaid Practitioner Handbook.