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Electronic Medicaid bulletins provide information that can save you time, money
e-Reports, Oct. 20, 2014
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TRIAGE: COMMUNICATING, INTERPRETING, EXPLAINING IMPORTANT NEWS FOR YOUR PRACTICE Untitled document

If you and your staff are not receiving the electronic Indiana Health Coverage Programs (IHCP) bulletins, you may be missing important updates that can affect your bottom line and save your staff time.

The Indiana Family and Social Services Administration (FSSA) notes that the bulletins provide up-to-date information such as:

  • New rules
  • Billing and coding advice
  • Updates to the Medicaid manual
  • Claims issues
  • Free educational opportunities
Dr. Rau
David Rau, M.D.

“The electronic bulletins keep physicians and their staffs aware of the Medicaid formulary status and changes on a regular basis, which reduces prior authorization experiences and hassles,” said ISMA member David Rau, M.D., who serves on the Medicaid Drug Utilization Review Board.

Modifier updates
As an example, Gloria Kirkham, ISMA practice advisor, said that the ISMA has received calls from practices concerning claim rejections when billing for deliveries – something that was addressed in the May IHCP Bulletin #BT201421.

“Practices need to remember to add modifiers when billing for any delivery,” advised Kirkham. “If a claim is rejected, add the modifier and submit a corrected claim or call the managed care entity.”

All Medicaid deliveries require one of three modifiers:

  • UB – Medically necessary delivery prior to 39 weeks of gestation
  • UC – Delivery at 39 weeks of gestation or later
  • UA – Nonmedically necessary delivery prior to 39 weeks of gestation

To receive IHCP bulletins electronically, simply register here.

The link also lets you customize your choices for information you wish to receive.

For questions, email FSSA's Brian Musial.

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