Provider Notices
CMS is placing all IP claims (PART A) on a hold for dates of service on/after July 1, 2018 while the pricing files are being updated. This will ensure proper payment going out.
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St Charles is hosting support groups for new mothers. More information can be found in this posting.
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PacificSource allows “incident to” billing for caregivers who are not eligible to be credentialed by PacificSource or a delegated credentialing entity. This provides practices the opportunity to fully utilize their staff appropriately. PacificSource does NOT allow incident to billing for practitioners who are eligible for credentialing.
Effective June 1, 2018, in order for a service to be considered for payment under the “incident to” billing policy, the modifier SA must be appen
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The State of Oregon has upcoming Provider Education Series. You can find information regarding these opportunities here. Please reach out to OHA for further information
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An update to the claim research requests through Provider Service Representatives has been made and information on this new procedure is outlined here. The new process will begin on April 2, 2018
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New CPT and HCPC codes have been added to the Pre-Approval Grid for Medicaid services. Please find more information within this update:
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Please join us for a webinar that will answer questions regarding the upcoming HEDIS Audit
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For In-network providers, PA's will no longer be required for Home Health Care. More information can be found in this post.
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New procedure information for cataract procedure reqirements as of January 1, 2018 can be found here.
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The American Cancer Society is partnering with RMPHTC to launch a new interactive tool regarding colorectal screenings.
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PacificSource Community Solutions maintains a behavioral health panel for our Medicaid members in Central Oregon and the Gorge. In order to better serve our members’ needs, we are seeking additional behavioral health providers to be part of this panel. Click READ MORE for detailed information.
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