• Outpatient Therapy Services Require Modifier

    Therapists must use the appropriate modifier when billing CeltiCare Health:   Modality Modifier Physical Therapy GP Occupational Therapy GO Speech Therapy GN   Outpatient rehabilitation services billed without a modifier or the appropriate modifier can have their claims “Pended” or “Denied” until CeltiCare Health receives corrected claim information. For more information, please contact CeltiCare Health…

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  • Important Updated Information for Prior Authorization

    Standard Authorization Decision : 14 calendar days Prior authorization decision is no later than 14 calendar days after receipt of the request for services, with a possible extension not to exceed 14 additional calendar days. Expedited Authorization Decision: 3 business days Prior Authorization must be made in no later than three (3) business days after…

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  • CMS ICD-10 Readiness Assessment

    The Centers for Medicare and Medicaid Services (CMS) is requesting that providers complete an ICD-10 Provider Readiness Assessment. The assessment can be found at: https://www.surveymonkey.com/s/ICD-10_Provider_Readiness_CMS The assessment is open until February 10, 2014. The purpose of the assessment is for CMS to gauge the current state of overall ICD-10 readiness among providers and to assess…

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