Tagged with Medicaid Billing

New Jersey – Legislature Passes FY 2019 Budget Bill

On July 1, the Governor of New Jersey signed the 2019 Fiscal Budget into law. The $37.4 billion budget includes increased funding for the Department of Health as well as the state’s Department of Human Services.

CMS Launches New DEL Interoperability Database

CMS has announced the launch of its Data Element Library (DEL), a new free database designed to support the exchange of electronic health information between providers and facilities.

UnitedHealthcare – Coordinated Commercial Reimbursement Policy Updates

Beginning in July, UnitedHealthcare (UHC) will make changes to some commercial reimbursement policies, including after hours and weekend care, intraoperative neuromonitoring, and its professional and technical component policy for duplicate or repeat services of global test only.

New York – State Medicaid EHR Incentive Program Update

The New York Department of Health has released an update regarding its Medicaid Electronic Health Records (EHR) Incentive Program which provides financial incentives to eligible professionals (EPs) and hospitals to promote the transition to EHRs.

Florida – State Medicaid Policy Updates

Florida Medicaid released new and revised policies adopted during the second quarter, including prescribed drug services, Medicaid fair hearings, updated definitions, behavior analysis services, medical foster care, and prescribed pediatric extended care.

Virginia – House Passes Medicaid Expansion

The Virginia House of Delegates recently passed a state budget that includes funding for Medicaid expansion and stricter work requirements. If finalized, the state budget legislation would expand Medicaid eligibility to about 400,000 low-income adults.

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.