2024 CMS Announcement
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Shift to Fax for Pre-Certification Approval Notifications Notice July 11, 2024 :-
In the coming weeks, HealthSun will implement a new procedure for the issuance of pre-certification approval
and denial notifications. We will transition away from mailing physical
approval and denial letters to instead issuing the notifications via fax to all providers and facilities.
Member notifications will not be impacted.This change is being made to provide more timely
approval and denial notifications to providers and institute a more efficient process overall.
We believe this improvement will expedite the notification process.
If you have any questions or concerns, please contact us at (877) 999-7776.
Monday- Friday, 8:00AM to 5:00pm. We will notify you when this change is ready to go live.
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Due to the Inflation Reduction Act, CMS has reduced the standard 20% coinsurance on specific drugs effective date of service April 1st , and has published the reduced coinsurance percentages in their Average Sales Price (ASP) files in the “Coinsurance Percentage” and “Notes” columns. These codes and percentages are subject to change quarterly.
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Provider Manual 2024
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Medicare Prescription Drug Inflation Rebate Program
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New Behavioral Health vendor effective 03/01/2023
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Medicare risk adjustment provider documentation and coding guide 2023
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Hurricane Ian Provider Bulletin
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HealthSun EXPRESS COVID 19 Medicare Telehealth FAQ
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Provider Bulletin TRC Discharge
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Electronic Prescribing - House Bill 831
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COVID-19
Adult Elective Surgery and Procedures Recommendations
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COVID-19
TeleHealth Waiver FAQ
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COVID-19
Frequently Ask Questions
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