• New Enhanced Reimbursement Program for Providers

    Superior HealthPlan is offering enhanced reimbursement to Providers for performing well-child exams for qualifying Superior STAR and CHIP Members. Program Details Providers will receive $25 for each qualifying well-child exam performed on Superior Members between November 1, 2014 and December 31, 2014. The qualifying exams are: well-child exams for adolescents 12-21 years of age and…

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  • STAR+PLUS Nursing Home Update

    Starting March 1, 2015, people in nursing facilities covered by Medicaid will get their basic health services (acute care) and long-term care services through the STAR+PLUS Medicaid managed care program. People who get both Medicaid and Medicare (dual eligibles) will get their basic health services through Medicare and their long-term care services through STAR+PLUS Medicaid….

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  • Reminder: NCCI Edits followed on Vaccine Administration and Preventive Medicine E/M Visits

    Superior follows the National Correct Coding Initiative (NCCI) procedure-to-procedure edits for claims with immunization administration, preventive medicine evaluation and management (E/M) procedure codes billed on the same day. Claims that are submitted with a procedure code for an immunization administration and a preventive medicine E/M visit may have modifier 25 appended to the preventive medicine…

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