Posted in #aetna, Training, Updates

Aetna Better Health of Florida to pay for certain Z codes

Do you or your office reports social determinants and accept Aetna Better Health members? Great news! Now according to an update sent to the physicians, the insurance plan will reimburse for certain Z codes that correspond to certain social determinants of health.


Some of these Social Determinants of Health include (not all included):

• Assistance reapplying for Medicaid benefits
• Transportation: ModivCare
• Cleaning: Pest control, carpet cleaning, house cleaning
• Housing Specialist: assist with housing searches, voucher applications, transitioning from institution to
community
• Member Advocates: assist with coordinating and access to community resources
• In-office care management support for provider or specialist visits
• Peer support specialist
• Disease management education
• Smoking cessation support services

The Z codes will be reimbursed when they are billed with code: G9919

Partial list of covered Z codes:

For full list of the covered Z codes that are covered, please click here.


Find this type of content useful, then follow my blog. Get your updated information about medical coding and billing guidelines, reimbursement/medical policies, prior authorization changes, etc.


Past Blog Posts:

UHC Exchange Plans: diabetes medications coverage.

This change applies to members that have Individual and Family (Exchange Plans)1 and are on diabetes medication. As of September 1,2022 and thereafter UHC will no longer cover diabetes medications: Invokana® and Invokamet®  Current Medication Coverage: UHC will cover these medications for patients that are currently have an authorization, until Dec 31,2022. New covered medicationsEffective […]

EmblemHealth Commercial Plan: Infusion POS Policy update

This policy update applies to Commercial and Exchange EmblemHealth Plans and ConnectiCare Plans. This policy applies to ongoing Infusion maintenance treatment for members that are 21 years and older. Starting for DOS August 1, 2022 and thereafter, EmblemHealth will start to review ongoing infusion treatments for Site of Services (Place of service). Preferred POS locations: […]

BCBS of MN: Reimbursement update (modifiers 52, CO, CQ)

Please note which type of providers will be affected by each reimbursement policy for specific modifiers and the effective date it begins. The following reimbursement updates take effect as of July 1, 2022: Modifier 52- for services performed on 07/01/2022 and thereafter, Blue Cross will be begin reimbursing procedure codes billed with a -52 modifier […]

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Author:

My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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