PLAN DESIGN AND BENEFITS PROVIDED BY …

Custom Medicare HMO Open Access Plan State of New Jersey PLAN DESIGN AND BENEFITS Aetna Medicare SM Plan (HMO) PROVIDED BY AETNA HEALTH INC Arizona, California, Connecticut, Delaware, District of Columbia, Florida, Georgia, Illinois, Maryland, Maine, New

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Find out how members can save on lab costs - Aetna

• Accu Reference Medical Laboratory, LLC • Advanced Clinical Laboratory Solutions, Inc. • Alere Toxicology • Ameritox • ARL/Labsouth, Inc.

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Coverage of Experimental and Investigational …

Coverage of Experimental and Investigational Procedures Policy Aetna covers experimental or investigational technologies (i.e., …

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Aetna OfficeLink Updates - All regions September …

September 2017 Aetna OfficeLink Updates™ All regions Inside this issue Updates to our precertification list 2 Clinical payment, coding and policy updates 3 – 4

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How to use electronic referrals - Aetna

Specialty family Aetna specialties Taxonomy code GASTROENTEROLOGY Colon and rectal surgery Gastroenterology Gastroenterology (pediatric) Hepatology Proctology 207RG0100X GENERAL PRACTICE Adolescent medicine Developmental medicine

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Great Savings on Hearing Aids - Aetna

Great Savings on Hearing Aids! Hearing loss is the third most prevalent medical condition among Americans over age 65 after arthritis and hypertension.

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You don’t join us, we join youSM - Aetna

Our Code of Conduct is grounded in and reflects the principles at the heart of The Aetna Way. The Code guides our compliance with the rules and regulations that govern our business throughout the world.

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Volume 10, Issue 1 Aetna OfficeLink Updates

Quality health plans & benefits Healthier living Financial well-being Intelligent solutions March 2013 • Volume 10, Issue 1 Mid-America Region

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Ptosis Surgery Precertification Information …

PCFX . Ptosis Surgery Precertification Information Request Form . About this form . You can’t use this form to initiate a precertification request.

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Procedures, programs and drugs you must precertify

Procedures, programs and drugs you must precertify Participating provider precertification list Effective July 1, 2018 . Applies to. 1,2,3,4,9: Aetna

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April 2, 2018 - Centers for Medicare & Medicaid Services

campus, outpatient, provider-based department of a hospital). As stated in the CY 2018 OPPS/ASC final rule with comment, we intend to consider changes to the payment policy for 340B-acquired drugs furnished in non-excepted off-

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Process and Information Required for a New Technology ...

a New Technology APC assignment under the Medicare hospital outpatient prospective payment system (OPPS). ... changes. The table below indicates the earliest date that New Technology APC status could be implemented once a completed application and all additional information are received.

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Billing and Coding Guidelines - Centers for Medicare ...

In cases where a hospital utilization review committee determines that an inpatient admission does not meet the hospital’s inpatient criteria, the hospital may change the beneficiary’s status from inpatient to outpatient and submit an outpatient claim (bill type 13x or 85x) for medically necessary Medicare Part B

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Medicare and your mental health benefits.

Medicare helps cover outpatient and inpatient mental health care, as well as ... changes in your mental health so they can evaluate your changes year to year. You pay nothing for your yearly “Wellness” visit if your doctor or ... through a hospital outpatient department or community mental health center.

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Changes in Ownership: Medicare Rules and Other Issues

Medicare classifies “providers” and “suppliers” as follows: 1. Providers are defined generally to mean: (1) a hospital, critical access hospital, skilled nursing facility, comprehensive outpatient rehabilitation facility (“CORF”), home health agency, or hospice that has in effect an agreement to participate in Medicare; (2) a clinic,

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Hospital Outpatient Therapeutic Services - CMS

SinceCY 2012, the Hospital Outpatient Payment (HOP) Panel hasconsideredand advised CMSon stakeholder requests for changes in the requiredminimum level of supervision of individual hospital outpatient therapeutic services.For services furnished prior to January 1, 2020, the

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Outpatient Clinical Documentation Improvement (CDI): An ...

Outpatient Clinical Documentation Improvement (CDI): An Introduction MA paid under Medicare Part C and the impact of quality of care measures, out-patient payment represents a larger piece of overall hospital revenue. From 2004 through 2011, for example, outpatient …

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AARP

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