News

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Current issue: May 1, 2019 Provider Update

Past issue: February 1, 2019 Provider Update

The latest news for our providers, including coverage updates, coding reminders, mandates, plan changes, requirements and more.

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CarePartners of Connecticut distributes its Provider Update newsletter by email. In order to receive Provider Update, you must complete the online registration form by registering your email. 

Apr 30, 2019

The following claim edits are effective for dates of service on or after July 1, 2019. These policies are derived from CMS, the AMA’s Current Procedural Terminology Manual, the Healthcare Common Procedure Coding System, ICD-10, nationally accredited societies and CarePartners of Connecticut policy.

CarePartners of Connecticut will implement the following claim edits:

Apr 30, 2019

As a routine business practice, claims are subject to payment edits that are updated at regular intervals and generally based on CMS (including the National Correct Coding Initiative [NCCI] edits), specialty society guidelines and drug manufacturers’ package label inserts.

Apr 30, 2019

Effective July 1, 2019, CarePartners of Connecticut will implement changes to the DRG Validation of Inpatient Hospitals Policy. As part of this change:

Apr 30, 2019

Provider Update is CarePartners of Connecticut’s quarterly newsletter for providers, hospital administrators and ancillary providers in the CarePartners of Connecticut network. Provider Update is CarePartners of Connecticut’s primary vehicle for providing 60-day notifications and other critical business-related information to providers.

Apr 30, 2019

Providers who have not yet registered to receive the CarePartners of Connecticut Provider Update newsletter by email must complete the online registration form, available in the News* section of the CarePartners of Connecticut public Provider web

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