by Keith Kuhn | Jul 8, 2013 | Payor, Reimbursement
NCTracks Claim Processing Update Provided directly by CSC. Today marks the beginning of the second week of operations for NCTracks, the new claims processing system for the North Carolina Department of Health and Human Services (DHHS). We have processed over two...
by Keith Kuhn | Jul 8, 2013 | Beneficiary
April 2013 CMS Released a PDF Document containing the Legal Business Name of each Contract Supplier for the National Mail-Order Program. There has been much confusion and information seeking regarding the continued service of beneficiaries in need of Diabetic Testing...
by Keith Kuhn | Jul 7, 2013 | Payor
Western Health Advantage displaced Health Net for a spot next to Kaiser Permanente in the health benefits program offered by the Elk Grove Unified School District, effective Monday. The school district has just fewer than 10,000 employees and dependents, plus 2,500...
by Keith Kuhn | Jul 7, 2013 | Government
U.S. Senators Lamar Alexander and Bob Corker have introduced legislation that may re-open the competitive bidding process for durable medical equipment suppliers in Tennessee. Re-Bid Bill The bill would require the Centers for Medicare and Medicaid Services to conduct...
by Keith Kuhn | Jul 7, 2013 | Payor, Reimbursement
Aetna Health Plan has revised their TENS policy effective 6/25/2013 to state that TENS is considered experimental and investigational for chronic low back pain. Change in Stance Aetna now considers transcutaneous electrical nerve stimulators (TENS) medically necessary...
