Notification Number: 1276
Effective date: 1/26/2013
Notification date: 10/26/2012
Category: Correct Coding
Topic: Routine Nursing Included in Room and Board
Claim edits do not supersede the necessity to obtain preauthorization. Preauthorization requirements are still applicable. Modifiers should be used when appropriate to accurately represent the services rendered. The use of modifiers may impact Humana’s application of these edits. For additional information, consult professional coding resources.
*All edits previously posted on Humana.com/providers for fully insured commercial Humana members may be applied to self-funded members, when requested by the self-funded group.