Humana Outpatient Therapy Preauthorization List for 2025
Humana has published their Medicare Advantage and Dual Eligible Special Needs Plans Preauthorization and Notification list for outpatient physical and occupational therapy services for calendar year 2025. To access the list, log into your account and click
TRICARE Changes for 2025
In this article, I will answer the following questions regarding TRICARE and the upcoming changes that go into effect on January 1, 2025:
Humana Indiana Medicaid September 2024 Update
Humana Medicaid has implemented a new claim processing edit for therapy services for the state of Indiana. In this article, I will answer the following questions
Humana Resources
In this article, I will provide a variety of resources for providers who are and are not contracted with Humana for outpatient physical, occupational and speech therapy services.
TRICARE Changes are Coming
In this article, I will answer the following questions regarding TRICARE and upcoming changes:
Cohere to Manage Preauthorization for Humana in 2022
Beginning on January 1, 2022, Cohere will manage prior authorizations for outpatient therapy services for most Humana Commercial and Humana Medicare Advantage plans.
NCCI Edit Changes for Aetna, Cigna and Humana
Aetna, Cigna and Humana have all announced changes to their respective policies related to the National Correct Coding Initiative (NCCI) procedure-to-procedure (PTP) edits and the payment of a CPT code(s) that has had modifier 59 appended to it on the claim form. These positive changes would not have occurred without the advocacy of the American Physical Therapy Association (APTA). Aetna Aetna has informed Cigna According to Humana Humana has informed I hope you found this article and information helpful. Thank you for being a Gold Member!
Humana Releases Revised Telehealth Policy
Humana has released a revised telehealth policy for their commercial plans due to the COVID-19 public health emergency. In addition, Humana Medicare Advantage plans are applying the same coverage-related waivers to Original Medicare telehealth services that the Centers for Medicare & Medicaid Services (CMS) has announced in response to the COVID-19 PHE. To read this detailed revised telehealth policy, log into your Gold Member account and click I hope you found this article and Humana’s telehealth policy to be informative and helpful. Thank you for being a Gold Member!