Consultation codes no longer reimbursed by Centers for Medicare & Medicaid Services (CMS) (07/23/2010)

Effective January 1, 2010, CMS no longer reimburses for consultation codes. The savings realized by CMS due to this determination will be redistributed among existing evaluation and management (E&M) services. CMS also adjusted its reimbursement for the surgical global period to reflect the higher value of office visits during the global period.

Regence adheres to CMS determinations; therefore, as we update our reimbursement to incorporate Medicare’s 2010 RVUs, consultation codes will no longer be eligible for reimbursement.

Additional form now required for TRICARE credentialing (7/22/2010)
Physicians and other health care professionals who would like to join the TriWest/TRICARE panel of network providers are now required to complete a TRICARE Supplemental Credentialing Questionnaire (PDF) in addition to the Practitioner Credentialing Application.

Learn more about our credentialing process.

Asuris TruAdvantage™ claims update (7/14/2010)
On July 14, we will begin processing Asuris TruAdvantage claims that have been pended for services paid under the Medicare Physician Fee Schedule (MPFS) for dates of service on or after June 1.

If you have submitted claims, they are in our system, but you may not be able to view them in the Provider Center immediately. We are processing all claims as quickly as possible. Please do not resubmit claims for Asuris TruAdvantage members. Duplicate claims will inflate the inventory and cause additional delays in processing.

For past announcements, please view the What's New archive.