Medically unlikely edits were updated across DME, outpatient hospital services, and more.
Medically unlikely edits were updated across DME, outpatient hospital services, and more.
The cost of interpreter services now surpasses prescription drug expenses, which has sparked much concern across different stakeholders.
The update includes a revised MUE value for certain HCPCS codes, retroactive to October 1, 2024.
The change was proposed due to the increased availability of Certified Spanish interpreters.
Stakeholders voiced concern around language surrounding interpreters, contracting requirements, and telehealth.
WordBrige went live on January 2nd, while the CTS Lanugage Link will remain active through February.
The proposed bill would have required prior authorization on treatments above $1,500, instead of $1,000.
Interpreters claim they are owed $380,000 for services provided to injured workers at self-insured businesses.
