Tag - reimbursement code

Provider Alert!

Provider Alert! Update to Renal Dialysis Revenue Codes Eligible for Reimbursement

Date: March 24, 2021 Attention: PCPs and Nephrologists Effective Date: March 23, 2021 Providers should monitor the Texas Children’s Health Plan (TCHP) Provider Portal regularly for alerts and updates associated to the COVID-19 event.  TCHP reserves the right to update and/or change this information without prior notice due to the evolving nature of the COVID-19 event. Call to action: Texas Children’s Health Plan (TCHP) would like to make network providers aware of updates for some of the renal dialysis revenue codes. How this impacts providers:...

Provider Alert!

Provider Alert! Update: Reimbursement Code for Sports and Camp Physicals

As spring training and sports begin, it’s an ideal time to ensure that all members are receiving their Texas Health Steps check ups timely. Texas Children’s Health Plan wants to remind our pediatric providers about sports physicals as value-added services. Members aged 5 - 19 (STAR & CHIP), 5 – 20 (STAR Kids) who have had a Texas Health Steps check up in the last 12 months will be eligible for one annual sports and school physical delivered by their Primary...

Update to reimbursement code for sports and camp physicals

Effective: For dates of service beginning January 1, 2017 As a value added service to CHIP and STAR Members under 21, Texas Children’s Health Plan will reimburse code 97169 – Athletic Training Evaluation, low complexity. This code is only reimbursed for sports and camp physicals when a member has also had a THSteps or well child visit within the previous 12 months. (Code 97169 will be the only code that is accepted for reimbursement, use of any other Athletic Training...