21-640 See What News is Online for August 2021
Date: 09/08/21
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The table below outlines communications posted in the Provider Library in August 2021. The table includes the posting date, material number and title, type of notice, applicable audience and counties, and a summary of the communication.
Date posted | Number and title | Type of notice | Audience | Lines of business |
|---|---|---|---|---|
August 6, 2021 | 21-575m, Reminder about Balance Billing Members for Covered Services | News & Announcements |
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Summary: This communication was developed to remind providers that balance billing members for covered services is not permitted. The update covers collection action for non-payment and the exception allowed for non-covered services.
Date posted | Number and title | Type of notice | Audience | Lines of business |
|---|---|---|---|---|
August 26, 2021 | 21-607m, Changes to Medical Record Review and Corrective Action Plan Verification | Regulatory |
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Summary: This communication notifies providers that they have the option to participate in virtual or in-person medical record reviews and corrective action plans (CAPs)/critical error closures and verifications. The virtual option does not apply to facility site reviews. An attestation is given to providers when scheduling an audit with instructions on the requirements. The attestation must be signed and returned.
Additional information
If you have questions regarding the information contained in this update, contact CalViva Health at 1-888-893-1569.