Children Under 3

We continue working with Aetna on a variety of issues including Medicare crossover claims and denials for care given to children under three.  We have sent requested information to Aetna on both these issues and will update members as soon as we have more...

HIPPA & Microsoft Windows

Microsoft has announced that they will be ending their extended support of Windows 7 operating systems on January 14th, 2020. After this date, Microsoft will no longer release updates and important security patches for Windows 7 operating systems. This means that the...

Medicare Fee Schedule

Effective January 1st, 2020 you must bill all Medicare claims with the new Medicare Beneficiary Identifier (MBI) number. We are currently in a transition period and you can bill either the legacy HCIN or the MBI until December 31st, 2019. Starting January 1st,...

96/97 Modifier

The KAC is working on issues providers are having with Humana Commercial plans.  One area we have had consistent complaints with is the 96/97 modifiers.  Humana has informed us that these modifiers are only necessary when it is...

Prior Authorization

    Humana has reinstated the prior authorization requirement on the first date of service.  This went into effect starting October 1, 2019.  Please remember to obtain authorization at the start of care and not after the eighth...