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Medicare HMO's

  1. #1
    Question Medicare HMO's
    Exam Training Packages
    answered
    Last edited by Gemini18; 01-06-2010 at 11:33 AM.
    Karen, CPC
    Physician Chart Auditor

  2. #2
    Location
    Kansas City, MO
    Posts
    751
    Default MLM Number MM6740 Revised
    If you look at the MLM MM6740 Revised, it does state in the Provider Types Affected "It does not apply to Medicare Advantage or non-Medicare insurers." With that said, you still need to check with your plans that have the Medicare Advantage products. The information we have received for our area from UHC Medicare Advantage and Humana Medicare Advantage is they will follow CMS and not be accepting Consult codes. I believe you can find this information on their websites.
    Angela Jordan, CPC, COBGC, AAPC Fellow
    Senior Managing Consultant
    Medical Revenue Solutions, LLC
    AAPC National Advisory Board - Southwest
    AAPCCA BOD Chair 2012-2013
    angela@medicalrevenuesolutions.com

  3. #3
    Default
    Quote Originally Posted by amjordan View Post
    If you look at the MLM MM6740 Revised, it does state in the Provider Types Affected "It does not apply to Medicare Advantage or non-Medicare insurers." With that said, you still need to check with your plans that have the Medicare Advantage products. The information we have received for our area from UHC Medicare Advantage and Humana Medicare Advantage is they will follow CMS and not be accepting Consult codes. I believe you can find this information on their websites.
    Thanks Angela
    Karen, CPC
    Physician Chart Auditor

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