MedCity News: CVS Health Exec: Payers Need to Stop Making Behavioral Health Providers Jump Through Hoops In Order to Participate in Value-Based Care
CVS Health Exec: Payers Need to Stop Making Behavioral Health Providers Jump Through Hoops In Order to Participate in Value-Based Care
Aetna®, a CVS Health® company (NYSE: CVS), is setting the pace for prior authorization reform, moving faster and further to simplify access to care for patients and providers.
Online Recruitment: What Behavioral Health Startups Get Wrong About Enrolling Therapists With Aetna, BCBS, and United
What Behavioral Health Startups Get Wrong About Enrolling Therapists With Aetna, BCBS, and United
Yahoo Finance: Aetna Provider Survey Reveals Optimism and Opportunities to Simplify Health Care
Now, I couldn't find Aetna's E/M policy, but I would be very surprised if they decided to deviate too much on that sense. Possible reasons for the denial: -The patient was seen by the same provider at a previous practice, within 3 years -The patient was seen by a similar credentialed provider from the same practice (fairly common denial reason)
We billed 99215 and G2212 (Prolonged out patient office visit) to Aetna (since provider spent more than 55 minutes) but they paid for 99215 and denied G2212 stating "This claim is being denied for one of two reasons: - We did not receive a claim for the primary service performed. Add-on codes...
Hello! Aetna has been denying our telehealth visits billed with modifier 93 when the video connection fails and the visit is completed as audio-only. (99214-93) I called and spoke with a representative who confirmed that Aetna is no longer accepting modifier 93. He advised us to use modifier 95...