decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 7 (July)
Expansion of Highmark
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Article Overview
This brief update covers Highmark’s expansion from a Pennsylvania-only Part B carrier to a multi-state Medicare contractor and the transition to Medicare Administrative Contractors. It is relevant to ophthalmology practices watching for local coverage determination changes, documentation expectations, and jurisdictional updates during the Medicare contractor transition.
Why This Topic Matters
Providers in affected states need to know which Medicare contractor governs their claims and whether local coverage policies are changing. The article highlights transition activity that could affect documentation and coverage review for ophthalmology services.
What You Will Learn
- How Highmark’s Medicare jurisdiction expanded
- Why LCD consolidation is being watched by ophthalmology practices
- What the Medicare contractor transition means for providers
- Where transition-related LCD resources were posted
Who Should Read This
- Ophthalmologists
- Physician coders
- Medical billing staff
- Practice managers
- Medicare billing specialists
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