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Claim filing to be required within 90 days: Currently, APP is processing claims allowing timely filing of 180 days from date of service. With the end of the COVID Public Health Emergency, Advocate Physician Partners (APP) will revert back to its historical timely filing rules of 90 days effective August 1. Claims with dates of service August 1 and forward will be subject to the 90 days timely filing rule. APP will reject any claim with a received date greater than 90 days from the date of service of August 1 and forward. If you receive a timely filing denial and want to dispute it, submit an appeal with proof that you submitted the claim within 90 days from date of service.
Mandatory Education reminder: If you’ve not yet completed your mandatory assignments, do so before the deadline of June 19 to maintain compliance. Learn more.
Clinical Integration updates: View the latest program updates including Meridian Medicaid fluctuations, Meridian Medicaid removed from TCM measures, expanded 2023 measure sets for cardiac electrophysiology and interventional cardiology, and more.
Population health outreach: We are conducting the following patient outreach on your behalf to support quality outcomes and close quality care gaps. Learn more.
Pharmacy & Therapeutics May updates: Review the latest Pharmacy and Therapeutics ambulatory and regional committees’ decisions. View Summary.
Updated COVID bivalent vaccine is available: Effective immediately, we will begin administering the updated COVID bivalent vaccines to patients 6 months and older at specific Medical Group clinics and Aurora pharmacies. Patients can schedule their shot by contacting our Call Center at 866-443-2584 or calling their doctor’s office. See vaccine recommendations:
- Only bivalent vaccine doses are authorized for use in the U.S. to protect against COVID.
- A complete COVID vaccination for the general patient population, 6 years and older, is one bivalent dose regardless of monovalent vaccination history. Immunocompromised patients should consult with their doctor.
- Children 6 months to 5 years still require two or three doses depending on the vaccine manufacturer.
- Patients 65 and older are eligible for a second dose if their first bivalent dose was received at least four months ago.
Telehealth licensing requirements: The COVID Public Health Emergency is over, which means licensing requirements now revert to current state guidelines. Any clinician who provides care via telehealth must be licensed in the state where the patient is located at the time of the visit. Learn more.
ACL Labs Update: ACL Labs is no longer calling physicians and APCs on positive MRSA screening tests, VRE screening tests or clostridiodes (Clostridium) difficile tests. They will continue to send these results through Epic which can be viewed by patients on the LiveWell app. Learn more.
Join Cancer Condition Management and Documentation Webinar: Learn more about PHI measures and condition management and documentation for active cancer, adjunct therapy and the history of cancer from Pranjal Shah, MD and Yasser Said, MD. View recordings and slides from previous webinars on APP Pro.
Active Cancer, Adjunct Therapy and History of Cancer Webinar
Friday, July 21
8:00-8:40 a.m. with Pranjal Shah, MD – Register | Join the webinar
12:15-12:55 p.m. with Yasser Said, MD – Register | Join the webinar
Blood supply is critically low: As summer begins, there is an increased concern about blood product availability. Consider donating and be very conservative with blood products. In stable patients, give one unit and check laboratory values before ordering a second. Register for an upcoming blood drive.
Stay safe and compliant with these policy updates: Check out the latest policies with guidelines governing Benzodiazepine and Z-drug prescribing, stimulant prescribing and outbreak investigation.
Advancing Research:
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