News and Announcements
The end of continuous Medicaid enrollment on April 1 will bring about the disenrollment of the vast majority of TennCare beneficiaries. The state claims that they will automatically re-enroll those who are eligible, but some estimate that upwards of 50% of rightful enrollees will remain mistakenly disenrolled. How to help- urge your patients to update their contact information and look for correspondence from their Medicaid provider. TN click here ARclick here MSclick here
Cigna Updates:
Effective 05/25/2023 Cigna will require the submission of documentation to support the use of modifier 25 when billed with E/M CPT® codes 99212 – 99215 and a minor procedure. Documents may be faxed or emailed. click here for policy details OFFICE NOTE SUBMISSION DETAILS HERE
Digital ID Cards are Here: Digital ID cards are already created for Cigna members and the plan is for them to be off paper and fully implemented by 2024. click here for details
2022 MIPS: Data Submission Period is Open and CMS Extended the MIPS Extreme and Uncontrollable Circumstances Exception Application Deadline click here for details and links
SDOH:
Coding for Social Determinants of Health: Good for patient care, quality measure outcomes, and E&M levels Lunchtime Coding Webinars
click date to register March 8 March 15 April 5 April 12
Access to Dental Care
Beginning January 1, 2023, TennCare Medicaid members ages 21 and older are eligible for dental benefits under their medical coverage. For more information on the new dental benefits and resources for your patients, visit TN.gov/TennCare/members-applicants/dental-services.
Food Insecurity
You likely have patients who are struggling to make ends meet these days and may now qualify for food stamps for the first time in their lives.
LaDonnica Moore Blakemore, the Mid-South Food Bank’s SNAP Coordinator for Outreach, wants to help anyone who could use application assistance. Feel free to reach out if you know someone who may be interested in food stamps, 901-305-5833 This email address is being protected from spambots. You need JavaScript enabled to view it.
News from UnitedHealthcare
Updates to state exchange plans for 2023. click here for detailed information
Reconsiderations, appeals and claims/attachments are moving to digital submissions only in 2023. Use of virtual IDs rather than physical cards encouraged. click here.
Cigna IFP Expansion into north Mississippi: click here
Cigna Healthcare Professional Online Training: CLICK HERE
UHC Healthcare Professional Online Training: CLICK HERE
All MetroCare events continue to be webcast until further notice.
Those who register or have registered will be emailed the link to access one day prior along with the slide deck for printing. Please watch for our emails.
