Emily Pasternak
Alaska's 80th Percentile Rule Repealed
I wanted to share what information I have on the repealing of the 80th Percentile Rule as of October, 2023 including direct links, FAQs,...
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Emily Pasternak
- Oct 3
- 1 min
New Mass Superbill
For providers needing to submit multiple office or home visits at once, you can use the electronic superbill form or print and fill the...
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Emily Pasternak
- May 23
- 1 min
Medicaid Birth Verification Forms and Contact Information
Medicaid offices are no longer accept provider birth verification forms, and instead request members to contact the public assistance...
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Emily Pasternak
- Mar 30
- 1 min
Notice of Proposed 80th Percentile Regulation Change in Alaska
Please visit the links below for a complete overview of the proposed changes to 3AAC 26.110. http://notice.alaska.gov/209678...
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Emily Pasternak
- Dec 14, 2022
- 1 min
Billing After Hours
There are some codes available to bill for after hours services. Medicaid will reimburse for code 99050 with records. These codes should...
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Emily Pasternak
- Dec 1, 2022
- 1 min
Medicaid & Provider Licenses
If you are renewing your professional licenses this year, Medicaid will require a copy of your updated license copies by no later than...
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Emily Pasternak
- Dec 1, 2022
- 1 min
December Hours & Closures
Regular in-office hours are 10-4 Monday - Thursday. Days and Times I will be out-of-office: December 26th - Christmas Day Observed...
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Emily Pasternak
- Nov 7, 2022
- 1 min
Newborn PKU Pricing Increase
Effective 11/25/2022 the AK NB Screening fee will increase from $159.50 to $190.50. I have sent an email to Everyone letting you know...
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Emily Pasternak
- Oct 3, 2022
- 1 min
Medicaid Coverage for Pregnancy, Postpartum & Newborns
I wanted to do a special announcement for all Medicaid providers and families about Denali Care's Pregnancy and Newborn coverage. A lot...
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Emily Pasternak
- Sep 28, 2022
- 2 min
Alaska Medicaid Provider Self-Audits Due 12/31/2022
If you have not already received your audit report from me, you can expect it within the next few weeks. I will provide the full...
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Emily Pasternak
- May 5, 2022
- 1 min
Medicaid Travel Authorizations
If you have a Medicaid patient who may require travel reimbursement (out-of-area or within their community), they may be eligible for...
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Emily Pasternak
- Mar 30, 2022
- 2 min
2022 Provider Contract Updates
A summary of updates and an opportunity for feedback was emailed to everyone on March 10th, 2022 for the following: Incomplete patient...
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Emily Pasternak
- Jan 20, 2022
- 1 min
Federal No Surprises Act
I have sent out an email on 1/20/2022 regarding some changes to help implement protections from the Federal No Surprises Act. Effective...
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Emily Pasternak
- May 1, 2021
- 1 min
Individual Vs. Global Billing Tree
I get questions about when individual or global codes are appropriate a lot so I figured I would make an easy reference for future use!...
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Emily Pasternak
- Apr 5, 2021
- 1 min
Medical Necessity and Justification
Definition*: Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that...
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Emily Pasternak
- Mar 10, 2021
- 1 min
Global Vs. Individual Billing
Global billing for contracted midwives with "carve outs" can result in higher payment for services from major insurance companies like...
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Emily Pasternak
- Mar 10, 2021
- 1 min
New Patient Vs. Established Patient
By CPT definition, a new patient is “one who has not received any professional services from the physician, or another physician of the...
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Emily Pasternak
- Nov 30, 2020
- 1 min
Patient Balance Adjustment Waiver
Providers wishing to adjust or "write-off" patient balances must sign and submit the waiver on a case-by-case basis to your biller. The...
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Emily Pasternak
- Sep 16, 2020
- 1 min
Incomplete Claims & Patients
A common delay for claims this year has been missing patient information resulting in claims. This usually happens when the patient is...
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