Beginning August 1, 2013, precertification requirements will significantly change for HealthPlus Amerigroup. Physicians need to make staff members aware of the changes and the effective date since noncompliance may result in denied claims.Read the full notice from Amerigroup
The Tennessee Medical Association works to keep members abreast of changes in health insurance requirements and physician payment issues. Visit our Insurance Resource Center or contact the TMA Insurance Recovery Program for personal assistance or more information at 800-659-1862 or firstname.lastname@example.org.
Federal and state law, as well as state contract language, and Centers for Medicare & Medicaid Services guidelines, including definitions and specific contract provisions/exclusions, take precedence over these precertification rules and must be considered first when determining coverage.