Latest Notices and Updates

MRI Authorization Update Effective January 1, 2020

10/31/2019

Effective 1/1/20 MRI CPT codes 77046-77049 will now require a PA.

Medicare Medical and DME NCD/LCD edits - Effective 8/1/2019

9/24/2019

Medicare Medical and DME NCD/LCD edits - Effective 8/1/2019
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8/22/2019

Effective January 1, 2020 Centers for Medicare and Medicaid Services (CMS) will put into effect a new classification model for Home Health facilities (HH).
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Patient Driven Payment Model (PDPM)

8/21/2019

Effective October 1, 2019 Centers for Medicare and Medicaid Services (CMS) will put into effect a new classification model for Skilled Nursing Facilities (SNF).

Medicare DME NCD/LCD edits active on 08/01/2019

6/28/2019

Medicare DME NCD/LCD edits active on 08/01/2019
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Oregon Dual Members Non-Covered Medicare Service

6/26/2019

Non-Covered Medicare Service
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Enhancement to Behavioral Health Provider Panel

5/7/2019

Enhancement to Behavioral Health Provider Panel
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AIM Genetic Testing Program Webinar

5/1/2019

AIM Genetic Testing Program Webinar
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