05/07/2019

Managed Care Committee Reimbursement TIDBITS

Featuring this month: Medicare Advantage Plans

TidBits thanks to 

MSHO Managed Care Committee Member

ASHLEY OCHOA

Did you know....Aetna will be expanding their prepayment coding reviews for specific diagnosis related group (DRG) claims.

Did you know....Medicare Plus Blue/BCN Advantage’s  in network labs are JVHL and Quest. Watch Genetic lab testing.

Did you know....Humana has added the Remittance Inquiry tool to Availity. It is up to your Availity administrator to grant you “Claim Status” role.

NOTE: A different Michigan Payer will be featured monthly.

 Visit the MSHO Website for a listing of the Michigan Health Plans and the MSHO Managed Care Committee.

CLICK HERE