2022
- Peer-to-Peer Review Request Requirement Changes Effective September 1, 2022
- InterQual Criteria Rollout: Effective August 1, 2022
- NIA to Authorize Certain Cardiac Procedures Effective July 1, 2022
- CareCentrix Home Health Provider Notification
- Webinar: Beyond the Basics - Advanced Provider Documentation
- Prior Authorization Requirement Updates: Effective March 1, 2022
- NIA Therapy and Pain Management Implementation Announcement
2021
- CPP 161: Polymerase Chain Reaction Respiratory Viral Panel Testing
- New Somatus Care management Program for patients with CKD/ESRD
- National Imaging Associates Inc. (NIA) Provider Educational Webinars
2020
- Claims and Payment Policy: Review of NOS, NEC, & Unlisted Codes
- New Prepay Edits: Institutional Ambulance Claims
- Prepayment Clinical Validations Edit Policy
- Comprehensive Eye Exam Claim & Payment Policy
- $0 Member Liability extended for select services until end of 2020
- Revised ED Outpatient Facility E/M Coding Policies
- CPP 145: Incorrect Billing for Severe Malnutrition Policy
- Opioid Program MAT Certification
- Prior Authorization Updates: Wound Care & Skin Substitutes
- Claims & CPP 133: 340B Drug Payment Reduction Policy
- Wellcare & Louisiana Healthcare Connections are joining plans
- New Medicare ID cards for 2020
- Inpatient Hospital Short Stays Guideline Updates
