Attention Behavioral Health Providers
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
ProviderMatters
ICD-10 Resource Site
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 […]
Mass Collaborative-Simplifying Healthcare Administration
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 […]
Attention Be Healthy Providers: Clarification for 340B Covered Entities on Requirement to Submit a UD Modifier on claims for HNE Be Healthy (MassHealth) Providers.
Posted on January 30, 2013
As posted on January 3rd, MassHealth Managed Care Organizations (MCO) are required to collect National Drug Code (NDC) information on claims for drugs administered as part of an outpatient visit as required by the Affordable Care Act. Entities participating in the 340B program are exempted from this requirement and do not need to submit NDC […]
Introducing Electronic Funds Transfer (EFT)
Posted on January 4, 2013
***Please note that this is for inplan, participating providers only*** HNE is happy to to announce that EFT is now available! Please click on the link below for a copy of the enrollment form. The average turnaround time is 2 weeks from the date you submit the form, however, please allow some additional time as […]
HEDIS 2013: Your Cooperation is Needed and Appreciated
Posted on January 4, 2013
For six consecutive years, the National Committee for Quality Assurance (NCQA) has ranked HNE in the top 15 health plans nationwide. We look forward to maintaining this position with the help of the clinicians. The NCQA’s standardized measurement criteria—known as the Healthcare Effectiveness Data and Information Set (HEDIS)—includes clinical components, which are measured using data […]
Attention Be Healthy Providers: Requirement to submit NDC information on claims for HNE Be Healthy (MassHealth) Providers
Posted on January 3, 2013
Please click on the link below for important information regarding MassHealth requirement effective 2/1/2013. NDC Provider Notification Click the link below for the listing of HCPCs codes that will require NDC numbers Copy of HCPCS requiring NDCs
Formulary Update
Posted on December 27, 2012
Please click on this link to view a recent notice regarding updates to our online formulary. 2013 Formulary Letter
Pediatricians: Improving your scores on Weight Assessment, Counseling for Nutrition and Physical Activity for Children and Adolescents
Posted on December 20, 2012
In the face of multiple priorities and limited resources, leaders in the medical field may also notice a growing imperative to improve patient experiences and a growing demand among patients for an enhanced service experience. Patients interested in greater participation in their own health care is placing further pressure on the health care systems to […]
Last chance to take the Provider Technology Adoption Survey-Responses Due 12/31/12
Posted on December 11, 2012
HCAS IT Adoption Survey news article redraft 11 30 2012