MSSNY in Action: Expanding Nebulizer Treatment Coverage for NYS Medicaid Patients MSSNY was recently made aware by Lisa Chinnici from Panoram Pediatric office that NYS Medicaid would only cover one in-office nebulizer treatment per month. If multiple CPT codes were billed within a month, the patient would be denied coverage, resulting in a loss of
New CMS 588 Electronic Funds Transfer (EFT) Authorization Agreement There is a new version of the CMS 588 Electronic Funds Transfer (EFT) Authorization Agreement (11/23). Effective 4/30/24, the Medicare Administrative Contractors (MAC) may only accept the CMS 588 EFT (11/23) version. If a provider submits the outdated form, it will be returned. Please note: If
COVID-19 Vaccines Billing Guide We are monitoring COVID-19 vaccine updates from state and federal governments. Effective September 11, 2023, for New York State Medicaid Fee-for-Service (FFS) and for Medicaid Managed Care (MMC) Plans, reimbursement is available to enrolled and qualified providers for COVID-19 vaccines and their administration as approved by the FDA or authorized for
Important Cybersecurity Update: Change Healthcare Incident Briefing Resources The following resources are from a recent HHS briefing on the Change Healthcare cyberattack, emphasizing the necessity for vigilant cybersecurity in healthcare. The comprehensive material, including UnitedHealth Group's slides and a webinar recording, is available on the HHS YouTube page. We urge you to review and share these insights with
Let’s Chat Open Forum: Change Healthcare/Optum Payment Disruption Accelerated/Advance Payment Program Part A and Part B Providers experiencing cash flow problems related to Change Healthcare/Optum Payment Disruption (CHOPD), which began on 2/21/2024, may be eligible for Accelerated/Advance Payments (AAP). Accelerated and Advance Payments are intended to provide necessary funds to Part A and B providers,
Register Today! The NY State Pain Society and the NY Workers Compensation Forum invite you to the Annual Meeting on Friday, April 6, 2024. You can earn up to 7 CME/ CEU in one day! 8:00 AM - 6:00 PM LIVE at the SUNY Global Center in NYC or Simulcast Online. Hurry - LIVE Seating
NYRx, The Medicaid Pharmacy Program Notice to Providers: Program Update The NYRx Clinical Call Center is experiencing higher than normal call and fax volume. Prescribers should not send duplicate prior authorization (PA) requests to NYRx. Prescribers may experience a higher volume of requests for PA, but only one submission is necessary. Pharmacies should only request
Pediatricians, We Need Your Help! It has come to the Payment and Practice Division’s attention that Medicaid will only allow and reimburse in-office nebulizer treatments once per month. DOH has advised they are willing to re-look at this policy but has asked for some supporting information. Please answer the 4 questions below and send your
CMS Update on Change Healthcare Security Incident The Centers for Medicare & Medicaid Services (CMS) and National Government Services, Inc. (NGS) are aware that Change Healthcare recently suffered a cyber-attack. Change Healthcare is a clearinghouse vendor that connects providers with insurance payers and has operations that impact the submission of Medicare claims, including NGS. At
Clarification on the New G2211- Are You Billing Correctly? National Government Services (NGS) addresses critical questions and clarifies the new G2211 code to ensure healthcare providers are billing accurately. As part of the Evaluation and Management Services, understanding the nuances of G2211 is crucial for compliance and optimal reimbursement.
