Greetings!
Please find below a list of important Neighborhood Health Plan updates. |
Provider Enrollment Updates
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New! Provider Enrollment and Credentialing Email Address
PEC@NHP.ORG
Beginning June 1, 2013, please submit the following Provider enrollment transactions to the new email address:
- Submission of HCAS forms
- Termination requests
- Effective date inquiries
- Requests to change PCP panel status
- Provider demographic changes
- Requests to become a participating provider
The HCAS form has been updated to reflect the new email address. Please submit transactions with the new form only to assist in the timely processing of your request.
Re-credentialing Inquiries
As a reminder, it is important to respond timely to credentialing and re-credentialing inquiries. Failure to respond timely may result in significant delays in processing your application and possible termination from the network.
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New Provider Service Line Prompts
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As previously communicated, we are making enhancements to our Provider Service Line (1-855-444-4NHP). The implementation date for the enhancements has changed from June 2013 to July 2013.
Beginning mid July 2013, when calling our provider service line, you will receive a prompt to enter your NPI number and the Member ID. These enhancements will assist with timely responses to your phone inquiries.
As a reminder, our provider portal ( NHPNet) remains available 24 hours a day, 7 days a week to provide access to many transactions within seconds and without a dependency on Provider Service staff.
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Wait Time Access Survey
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Reminder to Primary Care Providers
At Neighborhood Health Plan we find it important to understand our members wait time experiences at provider offices. We are asking Primary Care and Specialty practice sites to complete one survey per practice so we can improve our understanding of member wait time experiences as well as supply required reporting information to NCQA.
Please access the survey by clicking here or copying and pasting the link into your web browser. https://www.surveymonkey.com/s/Appointment_Access
We appreciate the care you provide to our members and thank you in advance for supporting this important effort. Please don't hesitate to email PRweb@NHP.org with additional questions. |
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Payment Policy Changes
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Neighborhood Health Plan (NHP) will be implementing the following payment policy changes for all lines of business effective August, 1, 2013:
After Hours Add on Code (99051)
Effective August 1, 2013, for all lines of business, NHP will no longer reimburse CPT code 99051 (services provided in the office during regularly scheduled evening, weekend, or holiday office hours, in addition to basic service). However, we will continue to reimburse CPT code 99050. High Tech Radiology Codes
Also effective August 1, 2013, to better align with industry standards, NHP will no longer reimburse the following radiology codes: - 0159T- Computer aided detection, including computer algorithm analysis, breast MRI
- G0219-PET imaging whole body; melanoma for non-covered indications
- G0235-PET imaging, any site, not otherwise specified
Bundled Codes/Services
Effective, August 1, 2013, for all lines of business procedures performed at the same time as a primary procedure (see list below) are considered inclusive to the primary procedure and will not be reimbursed separately.
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Code
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Description
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97010
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Hot or cold packs therapy
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92605
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Ex for nonspeech device rx
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96040
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Genetic counseling 30 min
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20936
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Sp bone agrft local add-on
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36000
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Place needle in vein
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94150
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Vital capacity test
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99374
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Home health care supervision
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20930
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Sp bone algrft morsel add-on
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15850
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Remove sutures same surgeon
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99024
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Postop follow-up visit
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92606
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Non-speech device service
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94005
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Home vent mgmt supervision
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G0269
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Occlusive device in vein art
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97602
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Wound(s) care non-selective
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98960
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Self-mgmt educ & train 1 pt
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92533
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Caloric vestibular test
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A4263
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Permanent tear duct plug
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A4270
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Disposable endoscope sheath
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99364
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Anticoagulant mgmt subseq
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99140
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Emergency anesthesia
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99091
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Collect/review data from pt
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92532
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Positional nystagmus test
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A4550
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Surgical trays
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99058
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Office emergency care
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99377
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Hospice care supervision
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99363
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Anticoagulant mgmt initial
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99071
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Patient education materials
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99367
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Team conf w/o pat by phys
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98961
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Self-mgmt educ/train 2-4 pt
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99078
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Group health education
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98962
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Self-mgmt educ/train 5-8 pt
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A4262
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Temporary tear duct plug
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Thank You!
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On behalf of all of us at Neighborhood Health Plan, we thank you for the excellent care provided to our members and the continued collaboration extended to our staff.
Provider Relations Department
Neighborhood Health Plan
prweb@nhp.org
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Your NHP Profile Information
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Please Note: the information above is based on data provided to NHP and voluntarily updated by the recipient. To update your contact information click here.
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