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Improving the Health of Your Practice

Revenue Management

Aultman MSO offers comprehensive accounts receivable management services, along with reporting capabilities.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

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Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

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Coding & Compliance

With the implementation of ICD-10-CM, Aultman MSO is here to help with the transition.

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Credentialing

Let the Aultman MSO credentialing specialists provide credentialing services for you and help to ease the enrollment process.

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Information Systems

Aultman MSO provides local information systems support to all clients with one number to call for any system-related problems.

Learn More

Consulting & Education

Aultman MSO is committed to providing a variety of education opportunities for providers and their staff.

Learn More

Coding & Compliance

Aultman MSO has a staff of certified coders here to answer your questions, along with an offering of ICD-10-CM educational classes for your office.

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Credentialing

Aultman MSO is here to assist providers with the preparation and maintenance of initial insurance credentialing paperwork.

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Medicaid Vaccination Billing Update

With the many changes in Medicaid billing regulations, we are providing an update on the procedures to charge out vaccines and administration codes to the various Medicaid payers.  We are providing this latest update on correct vaccination billing to help you receive the proper reimbursements.  Medicaid periodically changes their billing rules for various services and as we receive communication from them we will provide you with updates.  As a general rule, we have been notified that administration code 90461 is not an acceptable code to charge out to Medicaid payers, and in some instances, the entire claim will fail because of the inclusion of 90461 on the voucher.

The revised rules we have been informed of for charging out vaccines are as follows:

ALL MEDICAID/HMO PLANS, except UHCCP, bill out the vaccination, followed by one 90460 administration code for each shot.  

Example:    

  • 99392 – Preventative Visit, established, age 1-4    
  • 90633 – Hep A Vaccine ped/adol 2 dose                        
  • 90460 – Immunization administration 1st/only component    
  • 90700 – Dtap vaccine < 7 years im     
  • 90460 – Immunization administration 1st/only component

UHCCP- UHCCP requires the vaccinations to be billed out and then ONE administration billed out on the voucher with the number of units needed for each vaccine given.

Example:    

  • 99392 – Preventative Visit, established, age 1-4    
  • 90633 – Hep A Vaccine ped/adol 2 dose    
  • 90700 – Dtap vaccine < 7 years im    
  • 90460x2 – Immunization administration 1st/only component

Please feel free to use this as a reference when billing out vaccinations for a minor patient.  If you have any questions regarding this update or its effects on your practice, please do not hesitate to contact your MSO biller.

Updates

Medicare 60-Day Repayment Rule

02-25-16

On February 12, 2016 the Centers for Medicare and Medicaid Services (CMS) published a final regulation regarding the 60 day repayment rule.

EFFECTIVE JAN. 1, 2016: MEDICARE ADVANCE CARE PLANNING SERVICES

12-03-15

Beginning on Januray 1st, 2016 physicians and other practitioners will be able to bill out two separate CPT codes for advance care planning (ACP).

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