PERM Audit Update

PERM Audit Update

The Payment Error Rate Measurement (PERM) audit has commenced and will examine sampled claims from July 1, 2021, through June 30, 2022. Providers with a sampled claim will receive a medical record request letter from NCI Information Systems, Inc., and are required to...
Vermont Medicaid Banner

Vermont Medicaid Banner

To access Full Banners, please visit: http://vtmedicaid.com/#/bannerMain January 28, 2022 Change to VT Medicaid Admission Notification Form for Inpatient and Detoxification Services The Department of Vermont Health Access (DVHA) has updated the VT Medicaid Admission...
COVID-19 Public Health Emergency Extension

COVID-19 Public Health Emergency Extension

As of January 16, 2022, the US declaration of a Public Health Emergency has been extended until April 16, 2022. This means that all accommodations put in place–such as telehealth and waivers–will remain for another 90 days. Source:  US extends...
Blue Cross Blue Shield Place of Service Codes

Blue Cross Blue Shield Place of Service Codes

There have been mixed reports about place of service codes from insurance companies. Our Insurance Chair, Milton Marasch, has received word from Blue Cross Blue Shield Vermont in regards to how new CMS policies will affect their place of service does. A representative...
Audio-Only Telehealth Services

Audio-Only Telehealth Services

We encourage members to review insurance coding announcements from your various insurances on any coding changes for audio-only telehealth services.  For instance, MVP has just announced Modifier V3 and Place of Service (POS) code 99 (“other”) for plain...