According to EmblemHealth-for self funded plans: Local 389 Health and Welfare fund- for the DOS 9/1/23 and thereafter have a new timely filling date for submitting claims. The new date is 90 days after the services were rendered.
This new time frame applies to In network and Out of Network providers.
Types of claims: professional, facility and other provider types
Please note that this change DOES NOT APPLY to the other ASOs (Administrative Service Organizations).
The following is still in affect:
Find this blog post useful? Then follow my blog for more medical billing and coding guideline updates and changes.
In a meantime check out my other blog posts:
Previous Blog Posts:
FidelisCare: pre- pay claim review for COB – third party payers
NY Providers- Do you have a patient that has FidelisCare and could potentially have a a case through workers comp or motor vehicle case? Then this blog post is for you! What is new? Which claims are subject to this process? Injury or accident Find this information useful? Follow my blog for more!
Tobacco screening services- proper coding and billing- UPMC Community Behavioral Health Org:UPMC Community Behavioral Health Org
The following codes for Tobacco Screening apply to all HealthChoice INN providers that are part of Community Care Behavioral Health Org (MCO PA). What was approved n by The PA The Office of Mental Health and Substance Abuse Services (OMHSAS): Coding: any provider specialty Coding for specific provider type: 370- Tobacco Cessation Counseling provider Billing/Rebursement:…
Are you using the proper Anesthesia codes for fascial plane blocks?
In Jan of 2025 there were 6 new codes that became effective, for fascial plane blocks. In addition, there were updates to already existing abdominal fascial plane blocks. Are staying compliant by selecting the proper codes for services performed? What is new? Thoracic Fascial Block new codes: Bilateral: New codes for Lower Extremity Fascial block:…
KR2 Medical Billing 
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