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Latest Notices and Updates

Critical Access Hospitals (CAH) and Rural Health Centers (RHC)
3/21/2019

Critical Access Hospitals (CAH) and Rural Health Centers (RHC)


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Physical Therapy, Speech Therapy and Occupational Therapy Cap limits
2/11/2019
Clarification of 2019 PT,ST and OT cap limits
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Waiver of 3-Day Rule Eases Patient Access to SNF Care
1/30/2019

As a provider, you’re able to prescribe skilled nursing facility (SNF) care without the customary three-day hospital stay. 


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Duplicate 1099 Forms
1/18/2019
Duplicate 1099's
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2019 Medicare Claims Hold
1/14/2019
All Medicare Advantage claims with 2019 dates of service are being held while we validate correct pricing and benefit configuration.  We anticipate these claims will be released by the end of this week.  
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Electronic Prior Authorization/InPatient Notification 2019
12/6/2018
Electronic Prior Authorization/InPatient Notification 2019
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Opioid Overutilization Initiative Program Effective January 1, 2019
12/4/2018
Opioid Overutilization Initiative Program Effective January 1, 2019.
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PacificSource Medical Drug Formulary changes, Effective on 01/01/2019
10/31/2018

This notification is to inform you of changes to our medical drug formulary for all PacificSource Medicare, Medicaid, and Commercial Plans.

 

Effective on 01/01/2019 our formulary will change


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Holding claims for pricing based on October 2018 IPPS release
10/4/2018
CMS is placing a claims payment hold on all Inpatient and Long Term Care claims with discharge dates 10/1/18-10/22/18
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Inpatient Stay Update
8/1/2018

Inpatient Stay Update – only one IP reference number per stay.


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