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region/plan-specific news : California
Helping Magellan members after discharge
Magellan* is implementing Bridge to Home, a program that helps members make and keep the critical seven-day follow-up appointment after discharge from the inpatient setting.
Why Bridge to Home?
Engaging Magellan members beyond th . . .
Magellan Healthcare* is committed to upholding the highest standard of quality for our members, with a special focus on follow-up after hospitalization (FUH).
Studies have shown that patients who do not have a follow-up appointment after discharging from inpatient care ar . . .
Magellan Healthcare* appreciates your ongoing commitment to provide accurate information on your claims. Our health plan partners review claims data closely, including ICD-10 codes and medical records. This helps ensure that contractual obligations are met and members are . . .
As you may know, CalOptima began managing behavioral health benefits for Medi-Cal members in Orange County, effective Jan. 1, 2018. The only Medi-Cal plans that Magellan* will continue to manage are the dual-eligible Medi-Cal/Medicare plans through the One Care/One Care Co . . .
Yes. If you bill for Evaluation and Management (E&M) services, including the CPT codes ranging from 99211 to 99215, your medical records documentation must be in accordance with the E&M Guidelines of the American Medical Association (AMA) 1997.
In particular, the . . .
A new year can mean change, including changes to patients’ benefit plans. This is why it is imperative that you as the provider verify member eligibility and benefits for requested services, as well as confirming member copayments and deductibles, before care is provided.
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