Medicare AdvantageAdministrativeMedium impact
Mutual News Q2 2023 Newsletter
Medical Mutual of Ohio·Family Medicine, Internal Medicine, Cardiology +1 more·Mutual News Newsletter
Effective date
Aug 1, 2023
We identified it
Jun 20, 2026
Summary
Medical Mutual's Q2 2023 newsletter announces a new Incident to Billing Reimbursement Policy effective August 1, 2023, updates to multiple Provider Manual sections including prior authorization and clinical review processes, and introduces partnership with Strive Health for enhanced CKD/ESRD member services starting July 1, 2023.
Action Required
By August 1, 2023: Review and implement new Incident to Billing Reimbursement Policy (RP-202303) available at MedMutual.com/Provider under Policies and Standards. Update Provider Manual procedures for claims overview, prior authorization, and clinical review processes. Consider using CPT-CAT II codes 3074F-3080F for hypertension blood pressure documentation to improve HEDIS measure reporting and reduce chart review requirements.