Medicare 2023 Deductible Information
On September 27, 2022, CMS released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. Click here for further information.
2022-2023 Flu Vaccine Codes
The payment allowances and effective dates for flu vaccine CPT Codes are available. Click here for coding details.
Aetna November Updates
- Beginning on January 1, 2023, providers will longer no need to request pre-certification for services from National Imaging Associates. This change applies to fully insured commercial and Medicare members in Delaware, New Jersey, New York, Pennsylvania, and West Virginia. Click here for further details.
- On February 1, 2023, Aetna will expand the listing of procedure codes that apply to their Site of Service for Outpatient Surgical Procedures policy. This policy applies to members of thier fully insured, commercial business and to self-insured customers who have opted into the Site of Service for Outpatient Surgery program. Click here to view the codes added to the policy on February 1, 2023.
Cigna’s 4th Quarter Updates
The fourth quarter edition of Cigna’s Network News is out and contains various news articles and updates. Click here to read more.
United Healthcare November Updates
United Healthcare published their November edition of Network News that contains the latest policy and protocol updates, legal mandates, state-specific news, trainings, and more for Medicare Advantage, Medicaid and commercial plans.
Highlights for November include:
- Increased reimbursements on completed Annual Wellness Visits for UnitedHealthcare Community Plan (Medicaid) patients for dates of service of 10/1/2022 to 12/31/2022.
- VCP (Virtual Card Payment) statements are going digital starting February 3, 2023.
- Beginning February 3, 2023, claim reconsideration and appeal submissions must be submitted electronically.
Click here to read all of the updates for November.