Complete Story
 

12/14/2023

Aetna

Aetna Managed Care Committee Member

Nicole Carson

Nicole Carlson, CCA - Oncology Hematology Associates of Saginaw Valley



 

 

To view December's OfficeLink Updates, click here

Below are a few articles that may be of interest to you:

  • Assistant surgeon services update (Page 6)
  • Claim and Code Review Program (CCRP) update (Page 6)
  • NCCI for outpatient facility (Page 8)
  • Immunization and vaccine coding update (Page 9)
  • Changes to commercial drug lists begin on April 1. Find out about drug list changes and how to request drug prior authorizations. (Pages 9-10)
  • Important pharmacy updates: Read the updates for Medicare, Medicare Part B step therapy and commercial. (Page 10)
  • Telemedicine coverage clarification (Page 11)
  • Now available: Use our virtual assistant to check precertification requirements. By calling the phone numbers you already use, you can get details about the requirements. (Page 24)
  • Now you can send electronic claims attachments using a new secure solution. Get paid faster and save money by submitting claims attachments electronically. (Page 25)
  • Update to Timely Notification of Hospital Admissions Payment Policy: Beginning December 1, 2023, notify us of all inpatient admissions, including those through the emergency department, within two business days of the admission (Page 27)
  • Somatic tumor profiling made simpler. Use Aetna® preferred labs for better service and quality. (Page 28)
  • New wig benefit for all Aetna Medicare Advantage (MA) plans in 2024. The supplemental benefit is for hair loss as a result of chemotherapy, and you bill Aetna® using code A9282. (Page 45)


 

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