Tag: #Fasenra

Posted in Insurance, Training, Updates

New Updated On-Demand Webinar-Fasenra for 2020/2021

Posted on by KR2Medical Billing

I am proud to announce that an updated webinar: Fasenra-updated medical billing and coding guidance w/prior auth criteria 2020/2021 IS available on my Thinkiffic website.

What you get (partial list):

  • Learn new medical billing and coding guidelines-2020/2021
  • Major updates for MVP plans (NY)-2020/2021
  • Handle denial management with confidence!
  • Get approved on your FIRST submission!

All these benefits and more! Register today!

Bonus includes full reimbursement /medical policies as well as prior authorization forms (for several various insurance payers).

#Fasenra2020/2021changes, #Fasenra #fasenraautoinjector, #fasenrabuyandbill,#fasenraprioruath

Posted in In The Know Series, Insurance, My services

New J code for Fasenra

Posted on by KR2Medical Billing

*INJECTION CODES FOR FASENRA VARY BY INSURANCE

There are 374 changes to the HCPCS codes for the year of 2019. Some of them had to do with increasing number of new injectable medications/drugs that have saturated the market.

If you are a provider that treats patients with Fasenra, then up until now you have been probably using J3490 – unlisted cpt code, to bill for the mediction itself.

However, as of January 1,2019 for any dates of services on that day or going forward the new J code is assigned to Fasenra:

J0517- Injections, Benralizumab, 1mg

Package size: 30mg single-dose pre-filled syringes

IF YOU WOULD LIKE TO LEARN MORE ABOUT COVERAGE OF FASENRA BIOLOGICS, BILLING PROPER INJECTION CODES, REQUESTING PRIOR AUTHORIZATIONS, PLEASE FEEL FREE TO REGISTER FOR MY NEW ON DEMAND WEBINAR BELOW:

New On Demand Webinar– Register Here!

#medicalbilling, #medicalbilling #fasenra
Posted in In The Know Series, Insurance, My services

EmblemHealth new Specialty Pharmacy for 2019

Posted on by KR2Medical Billing

According to EmblemHealth, starting in 01/01/2019- the new Specialty Pharmacy will be Accredo. Accredo which is a subsidiary of an Express Scripts, is already a specialty pharmacy for other insurance companies like 1199, BCBS.

Starting on 01/01/2019 EmblemHealth providers will need to send RX’s for specialty medications, to the Accredo pharmacy.

Some of the specialty medications would be: Xolair, Dupixent, Fasenra, Nucala.