Read Article
November 18, 2022
Code auditing changes effective December 7, 2022
For claims processed on or after December 7, 2022, you may notice differences related to changes in code pairs in CCI, which includes modifier override changes; daily frequency limits; incidental, mutually exclusive and unbundled code edits; assistant surgeon eligibility; modifier to procedure compatibility; evaluation of incomplete diagnosis; global surgery pre-operative and post-operative periods as defined…
#Network in the Know
Read Article
June 27, 2022
Code auditing changes effective June 15, 2022
For claims processed on or after June 15, 2022, you may notice differences related to changes in code pairs in CCI, which includes modifier override changes; daily frequency limits; incidental, mutually exclusive and unbundled code edits; assistant surgeon eligibility; modifier to procedure compatibility; evaluation of incomplete diagnosis; global surgery pre-operative and post-operative periods as defined…
#Network in the Know
Read Article
April 21, 2022
Exclusions to the HEDIS Low Back Pain measure
In our ongoing effort to improve overall performance with the HEDIS Low Back Pain (LBP) measure, CDPHP is sharing information on measure exclusions. What this means is if the following condition is appropriate to your patient and coded as such, the member would be excluded and not count against your overall performance. Exclude members who…
#Network in the Know
Read Article
March 23, 2022
If you care for children, you can help prevent cancers
Evidence continues to mount that the HPV vaccine dramatically reduces the risk of cervical cancer, the most common cancer in young women. A recent study published in The Lancet journal showed that girls 12 to 13 years of age receiving HPV vaccine had an 87% risk reduction for cervical cancer and a 97% risk reduction…
#Network in the Know
Read Article
March 21, 2022
Code auditing changes effective March 23, 2022
For claims processed on or after March 23, 2022, you may notice differences related to changes in code pairs in CCI, which includes modifier override changes; daily frequency limits; incidental, mutually exclusive and unbundled code edits; assistant surgeon eligibility; modifier to procedure compatibility; evaluation of incomplete diagnosis; global surgery pre-operative and post-operative periods as defined…
#Network in the Know
Read Article
January 25, 2022
No-cost smoking cessation for your patients
The beginning of the year is a common time for people to try and make healthy changes in their lives. But, as we all know, those “resolutions” come with varying degrees of follow through and success. There is a lot to be said for utilizing this annual reminder for fresh starts — but the reality…
#Network in the Know
The Daily Dose