Medicare & Medicaid

CMS unveils new rules for Medicaid managed care

Article from the AMA Morning Rounds, 4/26/16. The AP (4/26, Alonso-Zaldivar) reports that on Monday, the Federal government “set new standards for Medicaid private insurance plans, which in recent years have become the main source of coverage for low-income people.” These rules impact “insurers operating as Medicaid middlemen…

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Help with Submitting Documentation to Novitas

Novitas Solutions’ Medical Review Department has noticed an increase in the improper submission of documentation in response to an Additional Documentation Request (ADR) and has provided the following information to help alleviate the problem. Multiple occurrences have been identified of providers submitting redetermination forms in response to an…

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