Providers

Making it Easier for Health Care Providers: An educational series

“Making it Easier for Health Care Providers” is a series of educational presentations about Humana’s claims payment policies. Please complete the survey at the end of each presentation to give us feedback and tell us what other topics are important to you. Additional materials will be added periodically.

Topics

Anatomical modifiers: Learn about Humana’s policy requiring the use of anatomical modifiers when submitting claims for commercial and Medicare Advantage members. This presentation includes a tip sheet you can print.

Medicare coverage determinations: Learn how Humana administers Medicare national coverage determinations (NCDs) and local coverage determinations (LCDs) for Medicare Advantage members. This presentation includes a tip sheet you can print.

Medicare preventive services: Learn about Humana’s policies for coverage of preventive services for Medicare Advantage members. Topics covered include initial preventive physical examinations (IPPE), annual wellness visits (AWV), annual preventive physical exams and well-woman exams. This presentation includes a tip sheet you can print.

Modifier 24: Learn about Humana’s policy requiring the use of modifier 24 when submitting claims for Medicare Advantage, commercial and select Medicaid members. This presentation includes a printable tip sheet.

Modifier 25: Learn about Humana’s policy on the use of modifier 25 when submitting claims for commercial, Medicare Advantage and select Medicaid members. This presentation includes a tip sheet you can print.

Modifiers 59 & X{EPSU} :Learn about Humana’s policy on the use of Modifiers 59 & X{EPSU} when submitting claims for commercial, Medicare Advantage and select Medicaid members. This presentation includes a tip sheet you can print.

Procedure-to-procedure code editing: Learn about Humana’s procedure-to-procedure code editing when submitting claims for commercial, Medicare Advantage and Medicaid members. This presentation includes a tip sheet you can print.