Medicaid
Iowa Medicaid, which includes the IowaCare program, is administered by the Iowa Medicaid Enterprise (IME). The Iowa Medical Society represents physician interests in these programs year round but especially during the Iowa legislative sessions.
IME clarifies facility/non-facility physician payment changes
In follow-up to an article in the August 19, 2011 IMS Advocate, IMS has obtained clarification regarding the Iowa Medicaid Enterprise's (IME) change in payment policy for physician fees to align with Medicare policy for certain services performed in a facility setting versus in a non-facility setting. Beginning September...
Read the full story
Iowa Medicaid encourages providers to test Version 5010
All covered entities under HIPAA must be ready to implement the Version 5010 transaction standards on January 1, 2012. A critical step to reaching this milestone is testing Version 5010 transactions prior to going live. With less than four months until the transition, it is time to do external testing with business partners,...
Read the full story
Iowa Medicaid retrospective audits use CCI edits
In early February, several medical practices brought to the attention of IMS the preliminary request of tentative overpayment (PROTO) letters they had received from the Iowa Medicaid program. Those overpayment letters are focused on CCI edits and allege that audit reviews performed by Medicaid's contractor...
Read the full story
Iowa Medicaid to pay for interpreter services
On July 1, Iowa Medicaid began reimbursing for interpretive services provided to patients who are Medicaid or hawk-i members. For the services to be covered, they must be provided by a qualified interpreter who is employed or contracted by the provider. For more information on qualifications and billing, go to the Iowa Medicaid Enterprise (IME) site to read Informational Letter No. 811.
