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News
Aetna Policy and Practice Updates
Recent News
- New Groups Effective Jan. 1, 2011
Published: - ICD-10 Update
Published: - CIGNA Address Change
Published: - V-Pay Cards
Published: - Include Patient Date of Birth on Claims
Published: - SL Modifiers
Published: - Midlands Choice EDI Contacts
Published: - Aetna Electronic Funds Transfer (EFT)
Published: - Aetna Electronic EOBs
Published: - Aetna Signature Administrators “Cheat Sheet”
Published: - Aetna Alternatives to Paper for When EDI Isn’t Practical
Published: - Aetna Corrected/Voided EDI Claims
Published: - Aetna Clinical Payment, Coding and Policy Changes
Published: - CIGNA Changing Name
Published: - Delegated Payer Claims
Published: - Access to Information During the Credentialing Process
Published: - United Security Life and Health Insurance
Published: - Changing To Online Newsletter
Published: - CIGNA Online Remittance Reports Available in 2011
Published: - Supporting Documentation for CIGNA Electronic Claims
Published: - CIGNA's Use of Modifiers 59 and 25
Published: - CIGNA Code Auditing
Published: - ICD-10 Code Translator
Published: - 5010 Update
Published: - New Aetna Radiology Preauthorization Requirements
Published: - Great-West Website Has New Look, Upgraded Features
Published: - Aetna Out-of-Network Benefit
Published: - Aetna Offers Multi-Payer Transactions via NaviNet at No Charge
Published: - Changes to 2011 Aetna Precertification List
Published: - Aetna Publishes CT Scan, MRI and Ultrasound Payment Policy
Published: - Mennonite Mutual Aid Announces Name Change
Published: - Paper Claims Must be Typed
Published: - Aetna Review of Hospital Acquired Conditions
Published: - Newsletter Readership Survey
Published: - TRISTAR Acquires American Administrators
Published: - Aetna Signature Administrators
Published: - Printed Directory Being Phased Out
Published: - Staff Achieves Clean Claim "Gold Standard'
Published: - BMI Administers Federal Plan in Iowa
Published: - ICD-10 Readiness
Published: - Principal LMHP Coverage
Published: - Principal and Magellan
Published: - OTC Reimbursement Requirements Changing
Published: - Aetna Policy and Practice Updates
Published: - CIGNA/Great-West Global Maternity Reimbursement Policy
Published: - CIGNA Modifier 59 Update
Published: - Out-of-Pocket Cost Estimator for Aetna Members
Published: - Aetna Laboratory Provider Change
Published: - New Online Directory Feature
Published: - American Family
Published: - BMI Administers Federal Insurance Plan in Iowa
Published: - New TPA for Creighton Student Plan
Published: - Aetna Policy and Practice Updates
Published: - Online Claims Save Time and "Green"
Published: - Aetna Payment Estimators Help Determine Patients’ Costs
Published: - 5010 Preparation Under Way
Published: - CIGNA ID Card Brochure
Published: - Groups Access Network through Sanford Health Plan
Published: - Webinar Invitation List
Published: - Five Steps to a Successful Appeal
Published: - Rehabilitation Order Issued for American Community
Published: - Great-West Accesses Midlands Choice in South Dakota
Published: - Highlights of 2010 CPT Changes
Published: - South Dakota Group Accesses Midlands Choice Network
Published: - CIGNA and Great-West Healthcare Precertification
Published: - Aetna Student Health Plans Addresses Have Changed
Published: - Aetna Online Resources
Published: - Keep Us Up to Date on Demographic Changes
Published: - NaviNet Link Includes Access to Both Aetna and CIGNA
Published: - Nebraska Law Impacts Lab Billing
Published: - New Great-West ID Cards
Published: - Questions About Our Website?
Published: - News Archives
Aetna regularly adjusts its clinical, payment and coding policy positions as part of its ongoing policy review processes.
| Procedure | Effective Date | Change |
|---|---|---|
| Anesthesia/Pain Management | 3/1/2010 | Aetna currently denies an anesthesia service when billed with a pain management service; modifier 59 will not override this edit. |
| Durable Medical Equipment (DME) Rentals | 6/1/2010 | Aetna pays for all DME rentals on a monthly basis, with the following exceptions: E0192, E0194, E0277, E0372, E0202, E0935, E0936, E2402. Any codes not found on the above list will only be paid once per month, regardless of the units billed. Custom-made DME will never be paid as a rental. These codes will only be paid as a purchased item. |
| Injection Procedures Billed with CT/MRI | 6/1/2010 | Effective June 1, 2010, when a physician bills 23350 and 73200, 73218, and 73221, 23350 will be denied. Modifier 59 will not override this edit. |
| Vertebroplasty | N/A | In December, Aetna communicated that it will consider vertebroplasty, kyphoplasty and vesselplasty experimental and investigational. This change to the policy has been put on hold. Any changes will be communicated in a future newsletter. |
