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Featured Functionality

 

  • ICD-10 is coming. Are you ready?  Registration for the IME ICD-10 Volunteer Testing is now open. To register for testing, please contact the IME Provider Services Unit at 1-800-338-7909, or locally in Des Moines at 515-256-4609 or by email at ICD-10project@dhs.state.ia.us
  • The Centers for Medicare and Medicaid (CMS) published the Outpatient Prospective Payment System (OPPS) Final Rule Nov. 27, 2013, established a new alphanumeric HCPCS code, G0463 (Hospital outpatient clinic visit for assessment and management of a patient) for hospital use only.  The new HCPCS code will be representative of any clinic visit under the OPPS replacing CPT codes 99201 through 99205 and 99211 through 99215.  Effective for claims starting January 1, 2014 Iowa Medicaid Providers will be required to use the new G0463 in place of the previously used E/M codes.  The final rule can be found here.
  • Effective February 15, 2014, all complaints and critical incidents for the Habilitation program will now be submitted to Magellan. Critical incident forms can be located on Magellan’s website at http://www.magellanofiowa.com/for-providers-ia/forms.aspx. Completed forms are to be submitted by FAX at 888-656-2723 or by email at DSMcriticalincidents@magellanhealth.comto the attention of the Magellan Quality Improvement Department. Forms should be submitted within 24 hours of the critical incident.  Any Habilitation questions can be directed to DSMcriticalincidents@magellanhealth.com.
  • Provider Informational Letters -Go here and sign up!
  • Provider incident reporting - As a provider, you can have the ability to report, track and monitor incidents in "real time".
  • Remittance Advice - View weekly remittance advice online at your convenience.
  • Presumptive Eligibility - Medicaid Presumptive Eligibility Portal can be accessed at this link: http://dhsmpep.iowa.gov
  • List Serv Subscriptions - Subscribe to different topics on the IMPA List Serv.
    Subscribe to the selected topics
 

 

Helpful Hints
Looking for a medicaid participating provider? Find one here.

Be sure to find all of the latest Provider Information Letters here.

Medicaid in the news

Medicaid is a very good investment even if it does not lower cholesterol or blood pressure (21 hours ago)
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Mental health disorders complicate standards used by ACA to penalize hospitals for readmission (Yesterday)
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APTA, AOTA, and ASHA agree: Medicare SGR bill leaves beneficiary access issue behind (3 days ago)
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Diabetes diagnoses surge in states that expanded Medicaid under the affordable care act (4 days ago)
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Medicare freeze could lead to $8 GP copayment, Australia (4 days ago)
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Expanding Medicaid under ACA helped to identify 23 percent more people with previously undiagnosed diabetes (4 days ago)
Newly diagnosed now covered for early treatment and care; American Diabetes Association supports Med...


Seniors oppose doc-fix "compromise" that sticks them with higher Medicare costs (5 days ago)
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Burgess introduces bill to repeal SGR formula, preserve Medicare integrity (5 days ago)
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Insuring undocumented residents could help solve multiple US health care challenges (6 days ago)
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Hospital ratings on social media appear to reflect quality of care (3/17/2015)
Mass. General study finds correlation between hospitals' Facebook ratings and common measure of qual...


Skyrocketing cancer drug costs 'are damaging patient care' (3/16/2015)
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Over 300 physician groups call for centers for Medicare and Medicaid services (CMS) to strengthen Medicare Advantage (3/11/2015)
Organized by CAPG, the largest national association of capitated, accountable physician groups, over...


DermaPure receives Medicare coverage and reimbursement (3/10/2015)
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Most states have implemented prior authorization policies for atypical antipsychotic prescribing to children (3/6/2015)
With a concern about inappropriate prescribing of antipsychotic medications to children, 31 states h...


Brain tumor patients fare better with private insurance, new study finds (3/6/2015)
Brain tumor patients who are uninsured or use Medicaid stay hospitalized longer and develop more med...


Medical Research Future Fund will help tough career choices, Australia (3/4/2015)
The Director of Western Australia's adult medical research institute has welcomed the news that the ...


The failure of the Medicare principle of universality, Australia (3/4/2015)
Monash University researchers have revealed for the first time clear and detailed evidence of the in...


For patients with brain tumors, insurance status linked to differences in patient safety and quality of care (3/4/2015)
Findings explained by differences in patient and hospital characteristics, says study in neurosurger...


Medicare and patients with schizophrenia could save $150 million on Part D plans (3/2/2015)
Using an "intelligent," rather than random, method for assigning people with schizophrenia to Medica...


Johns Hopkins helps lead discovery on efficacy and safety of 3 drugs for treating diabetic macular edema (2/24/2015)
A researcher from Johns Hopkins Medicine helped lead colleagues from across the country in a governm...


Research shows value of additional PET/CT scans in follow-up of lung cancer patients (2/21/2015)
PET/CT scans changed treatment in more than 28 percent of patientsNew research from Johns Hopkins Sc...


Cancer patients make unreasonable demands 'just 1% of the time' (2/13/2015)
Survey of cancer professionals working in outpatient care finds the idea of demanding patients is a ...


Study: More expensive emergency care does yield better results (2/10/2015)
Unique research method reveals significant return on additional health care spendingBecause American...


Doctors group hails reintroduction of Medicare-for-All bill (2/6/2015)
A national physicians group has hailed the reintroduction of a federal bill that would upgrade the M...

 
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