KMA President Bruce Scott, MD sent a letter to Anthem Health Plans of Kentucky President Kennan Wethington regarding a recent change in coding policy announced by Anthem concerning the use of Modifier 25. The new policy, published in the February 2019 Anthem Kentucky Provider Newsletter, says Anthem will deny an E/M service with a modifier 25 billed on the day of a related procedure, when there is a recent service or procedure for the same or similar diagnosis on record.
Category Archives: Medical Blog
Posted February 18, 2019 We’re almost two months into 2019, and I know many of us are working hard to make sure the resolutions we declared several weeks ago don’t fall by the wayside. With each passing day, it seems like these things just get harder, especially when work, family and community obligations start to compound. It’s completely understandable. But I wanted to take a second to remind you that with the start of the new year comes the opportunity
Posted February 14, 2019 Link to MPPA February 2019 newsletter Starting in March 2019 the KY MPPA newsletter and public release notes regarding KY MPPA, will be available on the KY MPPA website. KY MPPA will no longer be emailing them directly to you unless you have subscribed on the Listserv to receive. To continue receiving the KY MPPA newsletter and other valuable information from the Department for Medicaid Services follow this link to complete your subscription registration: Subscribe to
Posted February 11, 2019 The Kentucky Online Gateway (KOG) is used by Medicaid patients to manage their Medicaid services, learn about online classes, employment opportunities and more with a single sign-on. Beginning April 1, 2019, physicians will use KOG to connect to the Kentucky All Schedule Prescription Electronic System (eKasper). To prepare for this change physicians must take the following actions to ensure uninterrupted access to eKASPER: Register at: https://kog.chfs.ky.gov/public/requestaccount/ Provide a unique email address prior to April 2019. Delegate
Posted February 4, 2019 The following is an update from the Cabinet for Health and Family Services regarding the implementation of the Kentucky HEALTH program. The phased-in approach for the implementation of Kentucky HEALTH has been extended to allow additional time for beneficiaries to prepare for any changes to accessing healthcare benefits. The extension is part of the program’s efforts to provide additional support for beneficiaries who will need to meet new requirements. For more information, please see the Updated Kentucky
Posted January 30, 2019 Organizations to focus on five target health areas The Kentucky Medical Association (KMA) and the Madison County Health Department (MCHD) have announced a strategic partnership that will allow the organizations to combine resources to tackle five key health issues where Kentuckians rank behind the rest of the country. KMA and MCHD will work towards identifying solutions to barriers impacting smoking, diabetes, obesity, drug abuse and flu/pneumonia. These issues are the focus areas of KMA’s AIM for
Posted January 28, 2019 KMA member physician and state Senator Ralph Alvarado, M.D. has been selected by Governor Matt Bevin as his candidate for Lieutenant Governor. Gov. Bevin is seeking re-election in 2019. Alvarado, of Winchester, was elected to the General Assembly in 2014, becoming the body’s first Hispanic member. He is the current chair of the Senate Health and Welfare Committee. A former KMA board member, Alvarado was one of two recipients of KMA’s inaugural Advocacy Award in 2018.
Posted January 24, 2019 With the 2019 Kentucky General Assembly underway, KMA President Bruce Scott, M.D. provides an overview of the Association’s top legislative priorities and urges members to stay engaged to ensure this year is a success for physicians and patients across the Commonwealth. Click here to register for KMA’s 2019 Physicians’ Day at the Capitol To sign up for KMA text message alerts, text “KMA” to 50457
Posted January 23, 2019 The Commissioner of the Kentucky Department of Workers’ Claims (DWC) has promulgated an administrative regulation (803 KAR 25:270) adopting the ODG by MCG Health pharmaceutical formulary for use in the treatment of work-related injuries and occupational disease. The adoption and implementation of a formulary was mandated by House Bill 2 during the 2018 session of the General Assembly. Drugs listed in the formulary are assigned “Y” or “N” status. Drugs assigned “Y” status may be dispensed