Highmark Health Emergency Billing Guidelines

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Highmark Updates Tied to End of Public Health …

(1 days ago) WEBOn January 30, 2023, the federal government announced that the COVID-19 public health emergency (PHE) would expire on May 11, 2023. In response to the COVID-19 pandemic and pandemic-related laws, Highmark implemented many policies and flexibilities …

https://content.highmarkprc.com/Files/NewsletterNotices/SpecialBulletins/sb-post-phe-provider-communication.pdf

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2021 Provider Manual - Highmark Health Options

(7 days ago) WEB7.2 Highmark Health Options Specific Billing • Specialty/Fee -For Service Providers 253 • Highmark Health Options Members with Medicare 254 • Subrogation 256 • Early and …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/provider-resources/2021_06042021_Provider_Manual_VF.pdf

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Highmark Reimbursement Policy Bulletin

(1 days ago) WEBBulletin Number: RP-020. Subject: Preventive Medicine and Office/Outpatient Evaluation and Management Services Effective Date: January 15, 2018 End Date: Issue Date: …

https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-020.pdf

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Public Health Emergency Ending: Updates for Providers

(5 days ago) WEBOn January 30, 2023, the federal government announced that the COVID-19 public health emergency (PHE) will expire on May 11, 2023.. In response to the COVID-19 pandemic …

https://hnenybs.highmarkprc.com/pnews/pn-4-2023/public_health_emergency_ending_updates_for_providers.html

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EE-0222-2022 FQHC Billing Guidelines 042522 - Highmark …

(5 days ago) WEBProviders will be reimbursed for one encounter code per day, with the exception of a medical and a mental health encounter billed on the same day on a separate claim …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/providernews/providerannouncements/hho-fqhc-billing-guidelines-042522.pdf

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Clinical Practice Guidelines - Highmark Health Options

(3 days ago) WEBClinical Practice Guidelines. Clinical Practice Guidelines can be used to help direct care based on best available evidence based practices in order to reduce inappropriate …

https://www.highmarkhealthoptions.com/providers/guidelines-resources.html

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New and Updated Reimbursement Policies

(9 days ago) WEBUPCOMING. IMPORTANT: With the public health emergency (PHE) coming to an end, the following reimbursement policies (RPs) will have Telehealth and Virtual Health …

https://hbcbs.highmarkprc.com/pnews/pn-4-2023/new_and_updated_reimbursement_policies.html

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RP-037 Emergency Evaluation and Management Coding …

(1 days ago) WEBRP-037. Emergency Evaluation and Management Coding Guidelines August 27, 2018 End Date: Issue Date: Source: August 27, 2018 Reimbursement Policy. Applicable …

https://content.highmarkprc.com/Files/ClaimsPaymentReimb/ReimbPolicies/rp-037.pdf

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Reimbursement Policy - Highmark Health Options

(1 days ago) WEBHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, 1 A. Emergent Criteria – Emergency Department criteria requires the …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/PractitionerAndFacilityEmergencyDepartmentReimbursement-HHO-DE-RP-1126.pdf

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Provider Resource Center

(7 days ago) WEBHighmark Updates Tied to End of Public Health Emergency. On January 30, 2023, the federal government announced the expiration of the COVID-19 public health …

https://hnenybs.highmarkprc.com/COVID-19/COVID-19-Coronavirus-Information-For-Providers

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Reimbursement Policy - Provider Resource Center

(7 days ago) WEBEach reimbursement policy includes information pertaining to all Highmark markets as indicated in the header, with state specific variations indicated within the policy bulletin. …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Reimbursement-Policy

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Documentation Guidelines for Evaluation and Management Services

(7 days ago) WEBNursing Facility Service codes (99304-99310, 99315, 99316) Home or Residence Service codes (99341, 99342, 99344, 99345, 99347-99350) Except for Emergency Department …

https://hbs.highmarkprc.com/Claims-Payment-Reimbursement/Documentation-Guidelines-for-EM-Services

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New and Updated Reimbursement Policies

(9 days ago) WEBPopulation Health University Emergency Department Utilization Module Now Available; Mental Health Awareness Month; Highmark Seeking Members for the Medical Review …

https://hbcbs.highmarkprc.com/pnews/pn-2-2022/new_and_updated_reimbursement_policies.html

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Emergency Department Room Claim Audits

(1 days ago) WEBHighmark will review the diagnoses submitted as well as the services performed to determine the appropriate level of care for the visit on a scale of one (1) through five (5). …

https://hnenybs.highmarkprc.com/pnews/pn-2-2023/emergency_department_room_claim_audits.html

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Disclaimer - Highmark Health Options

(8 days ago) WEB1 Disclaimer Highmark Health Options’ medical claims payment and prior-authorization policy is a reference resource regarding payment and coverage for the services …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/medical-payment-policies/Telemedicine_Policy_COVID19.pdf

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Highmark Blue Shield: Medical Policy Selection

(2 days ago) WEBHighmark's medical policy guidelines address both clinical and claim payment reimbursement issues. These guidelines address hundreds of medical issues, including …

https://www.highmarkblueshield.com/content/dam/highmark/en/highmarkblueshield/member/medicalpolicy/hbs-medical-policy-selection.html

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Provider Resource Center

(8 days ago) WEBPlease see Highmark’s Provider Manual, Chapter 2, Unit 5 for more information regarding the services that may be provided through this modality and other guidelines. For …

https://hbs.highmarkprc.com/COVID-19/Telemedicine-and-Virtual-Visits

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2024 Preventive MedRXweblines - hbcbs.highmarkprc.com

(4 days ago) WEBFor 2024, Highmark’s Preventive MedRXweblines feature these changes: Anxiety Screening for Pregnant Women. The U.S. Preventive Services Task Force (USPSTF) …

https://hbcbs.highmarkprc.com/pnews/pn-1-2024/2024_preventive_health_guidelines.html

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COVID-19 Advisory for New Jersey Dental Professionals

(5 days ago) WEBMailing Address: P.O. Box 45005 Newark, NJ 07101 (973) 504-6405. The overarching obligation of the New Jersey State Board of Dentistry is to protect the public’s health, …

https://www.njconsumeraffairs.gov/den/Documents/COVID-19-ADVISORY-FOR-NEW-JERSEY-DENTAL-PROFESSIONALS.pdf

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web EE-0177-2022 FQHC Billing Guidelines Fax Blast 030422

(1 days ago) WEBHighmark Health Options is an independent licensee of the Blue Cross Blue Shield Association, an association of independent Blue Cross Blue Shield Plans. FQHC …

https://www.highmarkhealthoptions.com/content/dam/digital-marketing/en/highmark/highmarkhealthoptions/providers/providernews/providerannouncements/fqhc-billing-guidelines-032022.pdf

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About Us - Hackensack Meridian Health

(7 days ago) WEBPalisades Medical Center is one of 18 hospitals in the Hackensack Meridian Health Network. Located on the Hudson River waterfront in North Bergen, N.J., Hackensack …

https://www.hackensackmeridianhealth.org/en/locations/palisades-medical-center/about-us

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Observation Services - Fidelis Care

(3 days ago) WEBMedicaid Guidelines Effective April 1, 2013, New York State Medicaid, including Medicaid fee-for-service (FFS) and Medicaid Managed Care plans, expanded coverage of …

https://providers.fideliscare.org/downloads/Observation%20Services%20081815%20-%20Finalv2.pdf

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