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Magnolia Prepay Review of Modifiers

Posted by & filed under Newsroom, Provider News.

Section 6507 of the Affordable Care Act (ACA) requires all Medicaid/Medicaid Managed Care Organizations to implement the National Correct Coding Initiative (NCCI) edits into their claim processing system. Centers for Medicare and Medicaid Services (CMS) developed the NCCI to help promote correct coding. NCCI’s consists of two main components:

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ATTN: OB Providers

Posted by & filed under Featured, Newsroom, Provider News.

Pregnant woman

Please click on the link below to access information that will be most important as we move forward in caring for Magnolia members.

ATTENTION OB PROVIDERS

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Provider Workshops

Posted by & filed under Newsroom, Provider News, Uncategorized.

Magnolia Health Plan cordially invites you to attend a Provider Relations Workshop about Magnolia Health Plan and the MississippiCAN Program.  If you are currently a  Medicaid Provider and would be interested in becoming a Magnolia Provider, we encourage you to attend.  Or, if you are currently a Magnolia provider and would like a refresher course on MississippiCAN, please join us.  A presentation and open discussion will include Billing, Claims, Authorizations and Credentialing.

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iPASS SUMMIT

Posted by & filed under Newsroom, Provider News.

 

Gain direct access to major healthcare payers. Learn tips to get paid more efficiently. Meet provider representatives to resolve individual claims issues. Hear presentations on new programs, policy changes, and claims submittal tips. All of this and more at the iPASS Summit, coming in April and May to Hattiesburg, Oxford, and Metro Jackson.

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Modifiers for Therapy CPT Codes

Posted by & filed under Newsroom, Provider News.

These codes are always therapy services, regardless of who performs them.  They always require therapy modifiers.

GP for PT

GO for OT

GN for SLP

CPT Codes: 92506, 92507, 92508, 92526, 92597, 92605, 92606, 92607, 92608, 92609, 96125, 97001, 97002, 97003, 97004, 97010, 97012, 97016, 97018, 97022, 97024, 97026, 97028, 97032, 97033, 97034, 97035, 97036, 97039, 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97530, 97533, 97535, 97537, 97542, 97750, 97755, 97760, 97761, 97762, 97799

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