WisABA End of Year Updates

December 27, 2018

Hello members!

 

Your WisABA EC has been busy! We have some exciting updates to share with you.

Our updated website is up and running.  Special thanks to the hard work of our website committee.  Please visit the new website and apply to renew your membership for 2019 here.

 

Remember, memberships are annual and expire on December 31 of each year!

Updates to ForwardHealth CPT Codes

 

Effective January 1, 2019, ForwardHealth will be moving to a new CPT code set. ForwardHealth has published an update to their provider guidelines with relevant information to the code update. All providers are strongly encouraged to review the publication from ForwardHealth as soon as possible here.

 

Members of WisABA’s Executive Council met with ForwardHealth to gather additional information regarding the updates to the CPT codes to help provide additional information regarding the transition to our membership. We are excited to continue to work with ForwardHealth leadership and their openness to collaborate on continued areas identified for improvement with the benefit.

 

The main takeaway points from our meeting are below:

  • ForwardHealth has started to complete the code and unit conversions for members with ForwardHealth as the primary payer who have authorizations spanning 2018-2019.  

  • WisABA encourages you to check your portal to ensure that the conversion was made and that the math was done correctly.

  • Any new authorizations starting in 2019 for members with ForwardHealth as the primary payer will be issued with the new CPT codes.

  • The new fee schedule is expected to be posted by January 1, 2019.

  • If anything doesn’t look right or you need assistance, contact provider services or your field representative.

 

Please note that provider services will be tracking all questions and issues, so ForwardHealth recommended contacting provider services so that issues and questions can be tracked.

 

We hope you have a happy holiday season!

Best,
The WisABA EC

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