For Healthcare Providers

August 2009

Cement Masons and Plasterers

Effective June 1, 2009, members of the Cement Masons and Plasterers Local 518 Welfare Fund began accessing the Midlands Choice network.

Be Sure to Ask for Current ID Cards

August and September are busy months for groups moving to new payers. These are especially important months for verifying that patients are presenting current cards so that delays can be avoided in processing claims.

Following Guidelines Helps Keep Claims Moving

Billing staff at Beatrice Community Hospital and Health Center follow a few simple guidelines to achieve an exemplary record of clean claims.

Efficient Staff Finds that Proactivity Pays

If the billing department of the Family Medical Center of Hastings published a book about submitting Midlands Choice claims, the word "proactive" would be in its title.

Assurant Offers Online Information

Assurant Health's online resource includes 24/7 access to eligibility, benefits and claim information.

Payers Add EFT Capabilities

For quicker receipt of claims payments, use of payers’ Electronic Funds Transfer (EFT) capabilities is highly recommended, including those that have become available during the past year.

NCCI Implementation Planned

Effective October 1, 2009, Midlands Choice will implement National Correct Coding Initiative (NCCI) edits when repricing physician claims.

Principal Radiology Pre-Certification Program

Effective September 1, 2009, Principal is asking physicians to pre-certify CT/CTA scans, MRIs/MRAs, PET scans and nuclear cardiology.