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Mutual News September 2024 Newsletter
Medical Mutual of Ohio·OH · Physical Therapy, Occupational Therapy, Chiropractic +2 more·Mutual News Newsletter
Effective date
Nov 1, 2024
We identified it
Jun 20, 2026
Summary
Medical Mutual is implementing multiple significant changes: transitioning prior authorization for physical therapy, occupational therapy, speech therapy, and chiropractic services from eviCore to Cohere Health on Nov. 1, 2024, implementing new Multiple Procedure Payment Reduction policy for outpatient surgical procedures effective Dec. 15, 2024, and updating fee schedules with quarterly J-code updates and semi-annual immunization fee updates.
Action Required
By Nov. 1, 2024: Billing and authorization teams must register at www.coherehealth.com/register and stop submitting PT, OT, speech therapy, and chiropractic prior auths through eviCore. Switch all these services to Cohere Health platform. By Dec. 15, 2024: Review new Multiple Procedure Payment Reduction policy (RP-202410) for outpatient surgical procedures and update billing system with new fee schedules available Sept. 15 on Provider Portal. Contact Cohere Health at 1-855-482-3649 for support.