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Effective March 1, 2022, HealthFirst does not cover U0003 (COVID-19 Infectious agent detection by nucleic acid, high throughput technology) and 87635 (COVID-19 Infectious agent detection by nucleic acid) when either of those is performed on the same date of service by any healthcare provider.
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Did you know that in 2021 the Centers for Medicare & Medicaid Services (CMS) Open Payments Program expanded the definition…
Effective May 1, 2022, Magellan Rx Management will include dosage considerations when performing prior authorization/medical necessity determination reviews of several…
Starting January 1, 2021, Healthfirst has removed service limits on physical therapy (PT), occupational therapy (OT), and speech therapy (ST). Please…