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Special Bulletins/Mailings

2012 Mailings

Autism Spectrum Disorder Benefit Max to Increase Eff 1/1/13

Physical Medicine Management Program to Modify Modalities Guidelines

Major Changes to Psychiatric CPT Codes to Take Effect 1/1/13

2013 Freedom Blue PPO and Blue RX PDP Changes

Revenue Code 0583 to Report Home Health Skilled Nursing Evaluations Performed on or After 10/1/2012

ICD-10: Change in Validation of Claim-Level Procedure Codes on Inpatient Claims

HBAS Accept Electronic Claim & Return Acknowledgement & Remittance Tansactions in Veriosn 005010 Format Only

Radiology Management Program Expanded to include Brain CT & Sinus CT Procedure Codes

MA Medical Policy on Physical Medicine & Rehabilitation Services - Facility, Eff. 10/1/11

Diagnosis Codes Aplicable to Physical Medicine & Rehabilitation Services Except 97026

Diagnosis Codes Applicable to Physical Medicine & Rehabilitation Service Reported under Procedure Code 97026

Effective Date for Application of Medicare Advantage Medical Polices to Facility Business

Affirmative Statement Regarding Appropriate Utilization Decision Making

HM Physical Medicine Management Program, Eff 9/1/2012 for Providers and SNFs

Physical Medicine Management Program, Eff. September 1, 2012

HM Observation Billing Requirement Effective July 1, 2012

HM Accept & Return Electronic Inquiry Transactions 5010

MA Outpatient Procedures Requiring Authorization August 1, 2012

HM Institutional Annual Fee Schedule Update April 1, 2012

MA Updated List of Outpatient Procedures Require Authorizations