New Professional and Facility Claim Code Edits Coming
Humana will be updating our claim payment systems to better align with correct-coding initiatives, Centers for Medicare & Medicaid Services (CMS) guidelines, national benchmarks and industry standards regarding professional and facility claims.
These changes will occur via a phased approach with implementations and Web postings on the following dates:
Dates Available to View on Humana.com
|January 18, 2014||October 18, 2013|
|April 5, 2014||January 3, 2014|
|June 21, 2014||March 21, 2014|
|September 13, 2014||June 13, 2014|
|November 8, 2014||August 8, 2014|
A detailed list of the changes is available on the provider section of Humana.com 90 days prior to the implementation date, as indicated in the above grid. To review these changes, visit https://www.humana.com/provider/medical-providers/education/claims/processing-edits.