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MedicaidReimbursementMedium impact

BT202491: Anesthesia claim payments to be mass adjusted

Indiana Medicaid (IHCP)·IN · Anesthesiology·Claims & Billing
Effective date
Jul 24, 2024
We identified it
Jun 19, 2026
Days to comply

Summary

IHCP identified that anesthesia claims for January 2024 services were paid using the incorrect 2023 conversion factor ($16.26) instead of the 2024 factor ($20.13). The system has been corrected and claims will be automatically mass adjusted with higher payments appearing on remittance advices starting July 24, 2024.

Action Required

Action needed
Starting July 24, 2024: Billing team should monitor remittance advices for adjusted anesthesia claims with ICNs/Claim IDs beginning with 52 (mass replacements). Verify that January 2024 anesthesia claims that adjudicated between Jan 1-13, 2024 receive proper reprocessed payments at the correct 2024 conversion factor rate. No action needed - adjustments are automatic.