Tagged with Aetna
Aetna Issues Letter to Providers: COVID-19 – Taking Action
Aetna has issued a letter to providers detailing the steps the insurer is taking to ensure beneficiaries have access to testing and treatment for COVID-19.
Aetna HCPCS Code Updates to Specific Drug Contract Service Groupings
Effective March 1, Aetna will implement code updates under which individual service codes will be assigned within contract service groupings. Changes to an individual provider’s compensation will depend on the presence or absence of specific service groupings within the contract.
Aetna Experimental and Investigational Labs Coverage Reminder
Aetna has issued a reminder for patient and provider regarding coverage of certain experimental and investigational laboratory tests.
Aetna Issues Notice of Pay Percent Reduction for Multiple Endoscopies
Aetna has issued a notice, informing providers that, at the end of this year, the insurer will adjust payment for multiple endoscopy procedures in the same family.
Aetna Issues Changes to National Precertification List
Aetna has released the latest updates to its National Precertification List, including updates to new-to-market drugs and site of care requirements.
Aetna National Precertification List Updates
Aetna has released the latest updates to its National Precertification List, scheduled to take effect this year through January 2020.
Aetna Wisconsin Issues New Preapproval Requirements for Members
Effective July 1, Aetna will require prior authorization for certain procedures under its Enhanced Clinical Review Program with eviCore healthcare.
Aetna Issues New Radiation Therapy Preapproval Requirements
Beginning July 1, Aetna will require authorization for its enhanced clinical review program with eviCore healthcare for certain outpatient radiation therapy services.
Aetna Makes Changes to National Precertification List
Effective September 1, Aetna will require precertification is required for certain new-to-market drugs.
Aetna Issues ASC and Ambulatory Payment Classification (APC) Code Edit Updates
Aetna has released updates regarding how the insurer will handle certain ambulatory surgical center (ASC) and ambulatory payment classification (APC) code edits under the ASC and APC payment methodologies.
Atena Updates Payment Process for Certain ASC and APC Code Edits
Aetna has posted updated information regarding how the insurer will handle certain Ambulatory Surgical Center (ASC) and Ambulatory Payment Classification (APC) code edits under the ASC and APC payment methodologies.
Aetna Changes to Commercial Drug Lists Begin on April 1
Effective April 1, Aetna will implement several updates to its pharmacy plan drug lists. These changes will affect all Pharmacy Management drug lists, precertification, quantity limits, and step-therapy programs.
Aetna Update for CPT II Codes for High Blood Pressure Measurements
Aetna has issued an update regarding the use of CPT II codes for HEDIS® high blood pressure measurements for patients diagnosed with hypertension.
Connecticut – Provider Termination Requirements
Aetna has posted a reminder regarding provider contract termination requirements in the state of Connecticut.
Aetna-CVS Health Merger Complete
Following its recent approval from the New York’s Department of Financial Services, the $69 billion merger between CVS Health Corp. and Aetna closed Wednesday, November 28. The two organizations say that the merger will immediately improve health-care outcomes and reduce costs.
Aetna Commercial Drug List Changes Begin on January 1
On January 1, Aetna will make updates to certain products on its pharmacy plan drug lists, including such products as granulocyte colony-stimulating factor (G-CSF) and epoetin alfa products.
Aetna NPL, Clinical Payment and Coding Policy Updates
Aetna has released its most recent updates to its National Precertification List (NPL), as well as several clinical payment and coding policy changes set to take effect over the coming months.
Aetna Updates Commercial Drug Lists
Effective July 1, Aetna will update its pharmacy plan drug lists. These changes will affect all Pharmacy Management drug lists, precertification, quantity limits and step-therapy programs.
Aetna NPL, Clinical Payment and Coding Policy Changes
Effective July 1, Aetna will implement changes to its clinical payment and coding policies as well as several changes to its National Precertification List (NPL).
Aetna Balance Billing Notice for Medicare Beneficiaries
Aetna has issued a notice reminding providers and billing professionals that Medicare beneficiaries under the Qualified Medicare Beneficiary (QMB) program should not be billed for cost sharing (balanced billing).