Posted on January 6, 2014
Submitting Claims to HNE HNE will follow the Centers for Medicare & Medicaid Services (CMS) guidelines regarding ICD-10 cutover and will not accept claims with ICD-9 codes for dates of service after the defined cutover date (i.e., 10/1/2014). They will be returned to the provider for correction and resubmission. HNE participating in the Collaborative Testing […]
Posted on December 20, 2013
As part of our efforts to comply with the federally mandated CAQH Committee on Operating Rules for Information Exchange (CORE) in effect on January 1, 2014, HNE will be enhancing our processes for both EFT and ERA. Please click on the link below to click on a notification being sent to providers regarding this enhancement: […]
Posted on December 20, 2013
Please click on the link below to view a recent notification that went to providers regarding the availability of the 2014 formularies online at hne.com: 2014 Formulary Letter
Posted on December 16, 2013
To make sure that health plans and their members have the most up-to-date information about your practice, the Mass Collaborative* is pleased to introduce the Standardized Provider Information Change Form. When you are changing your practice name, address, phone numbers, e-mail, billing company, or other practice information, you only need to complete this single form […]
Posted on December 12, 2013
Please note that HNE recently reviewed its Clinical Care Guidelines for ADHD. There were no changes made during this review. These guidelines are available on hne.com. Please click on the link to view the guidelines: ADHD Clinical Guidelines 2013
Posted on December 6, 2013
For several years, the National Committee for Quality Assurance (NCQA) has ranked HNE among the top 30 health plans nationwide. The NCQA’s standardized measurement criteria—known as the Healthcare Effectiveness Data and Information Set (HEDIS)—includes clinical components, which are measured using data from claims and medical record reviews. In 2014, HNE will be reviewing medical records […]
Posted on October 8, 2013
Are you ready for ICD-10? To assist providers meet the ICD-10 compliance deadline of October 1, 2014,Massachusettshealth plans and MassHealth are conducting the third annual ICD-10 provider progress survey. The survey will assess statewide compliance efforts underway and will be used to develop education strategies, training materials, and identify resources to aide providers in their […]
Posted on February 27, 2013
Attached is a copy of of the recent mailing regarding the new Behavioral Health CPT codes for 2013. Provider information on changes to behavioral health codes V3
Posted on February 7, 2013
In late 2012, CMS announced the ICD-10 Final Rule which mandates the use of two code sets, ICD-10-CM for diagnostic conditions and ICD-10-PCS for inpatient procedure codes, by October 1, 2014. The ICD-10-CM will replace ICD-9-CM volumes 1 and 2 for diagnosis codes. The ICD-10-PCS will replace ICD-9 volume 3 for inpatient procedure codes. In […]
Posted on January 30, 2013
The Mass Collaborative is a group of payers, providers, and trade associations within the health care community focused on reducing administrative complexities in the health care system. In order to better understand the health care community’s awareness of the Collaborative, we are issuing a survey and would appreciate your response. The survey will be distributed […]