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September 2007 Client Newsletter

NPI #’s

CMS delayed the release of the NPI number registry now until September 5, 2007. We will begin loading NPI #’s as soon as they are available.


Effective August 1, 2007 QualCare is the exclusive medical network for Humana commercial health plan members in NJ. QualCare participating providers are now able to serve members from both Humana's local and national accounts. All commercial members who reside in NJ and the surrounding states of Pennsylvania, Connecticut and New York will be identified by all three logos: Humana, ChoiceCare Network, and QualCare. You can obtain the claim preauthorization phone number from the back of the member’s insurance card.

PT/OT Audits

We recently learned that Medicare is beginning to do post payment reviews for PT and OT services. As with all audits, office notes are requested. To ensure no services are denied, Office Notes must be very specific and minutes for each procedure (if a time based) have to be documented clearly.
2007 Client Newsletter Archive