Category: My services

Posted in MU Stage 2 and 3, My services, NY Medicaid EHR incentive program, Training

Payment! Another Successful Year for NY State Medicaid EHR Incentive Program! (CMS Interoperability program (2018 and after)

Posted on by KR2Medical Billing

ehrprogramyear3.png

A great feeling when your hard work pays off! Great Surprise for the Holiday Season for both my client and myself!!!

Posted in In The Know Series, Insurance, My services

Anthem BCBS members: Screening for Vitamin D Deficiency in Average Risk Individuals

Posted on by KR2Medical Billing

Previously, I published an article regarding Aetna Vitamin D Testing (click here to view it)

The following is the policy for Anthem BCBS:

Things to consider:

  1. Original date for this policy is 09/13/2017
  2. Policy was updated and reviewed on 08/22/2019
  3. Publish date: 09/25/2019
  4. The updated sections: discussion and general information
  5. Note the coding section provided
  6. Note the recommendation section in the policy

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Posted in In The Know Series, Insurance, My services, Training

OptumRx and prior authorization fax numbers-updated 2019

Posted on by KR2Medical Billing

As of 11/01/2019 OptumRx will be “retiring” the following fax numbers, for the plans that it manages the pharmacy benefits:

800-527-0531

855-806-3524

855-806-3525

855-806-3526

800-203-1664

800-382-8135

From 11/01/2019 on wards providers would need to visit an online website to complete the prior authorization:

https://professionals.optumrx.com and click on the Prior Authorization link.

Due to individual state guide lines, the providers in the following states are to still use the fax to request the Prior Authorization:

Massachusetts

Rhode Island

South Carolina

Texas

The new fax number,  for the providers located in the above states,  will be available via online starting in October of 2019