{"id":7482,"date":"2022-05-28T19:30:28","date_gmt":"2022-05-28T19:30:28","guid":{"rendered":"http:\/\/hnetalk.com\/provider\/?p=7482"},"modified":"2022-05-28T19:31:07","modified_gmt":"2022-05-28T19:31:07","slug":"claims-editing-rules","status":"publish","type":"post","link":"http:\/\/hnetalk.com\/provider\/claims-editing-rules\/","title":{"rendered":"Claims Editing Rules"},"content":{"rendered":"<p>As a reminder, Health New England implements National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) to align our claims payment system against accepted industry rules and coding guidelines.<\/p>\n<p>The following edit rules will be in place May 2022:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/ncd.aspx?ncdid=25&amp;ncdver=1&amp;bc=0\" target=\"_blank\" rel=\"noopener\">Urine Culture, Bacterial (190.12)<\/a> \u2013 Effective May 23, 2022<\/li>\n<li><a href=\"https:\/\/www.cms.gov\/medicare-coverage-database\/view\/ncd.aspx?ncdid=80&amp;ncdver=1&amp;bc=0\" target=\"_blank\" rel=\"noopener\">Prothrombin Time (PT) (190.17)<\/a> \u2013 Effective May 23, 2022<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p>For additional information, you may call your Provider Relations Representative at (800) 842-4464, extension 5000, or send an email to <a href=\"mailto:providerrelations@hne.com\">providerrelations@hne.com<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>As a reminder, Health New England implements National Coverage Determinations (NCD) and Local Coverage Determinations (LCD) to align our claims payment system against accepted industry rules and coding guidelines. The following edit rules will be in place May 2022: Urine Culture, Bacterial (190.12) \u2013 Effective May 23, 2022 Prothrombin Time (PT) (190.17) \u2013 Effective May [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[92],"tags":[144,145],"class_list":["post-7482","post","type-post","status-publish","format-standard","hentry","category-provider-newsletter","tag-claims-editing","tag-edit-rules"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p6ZZHB-1WG","_links":{"self":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7482","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/comments?post=7482"}],"version-history":[{"count":2,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7482\/revisions"}],"predecessor-version":[{"id":7484,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/posts\/7482\/revisions\/7484"}],"wp:attachment":[{"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/media?parent=7482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/categories?post=7482"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hnetalk.com\/provider\/wp-json\/wp\/v2\/tags?post=7482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}