Working with HMSA
Home IV Anti-Microbial Therapy – Administrative Information
Guidelines for home IV anti-microbial therapy administrative information, including billing codes, claims submission requirements, and drug billing guidelines.
Hospice Care
Learn about HMSA hospice care guidelines, coverage information, eligibility requirements, and provider billing resources for end-of-life care services.
Hospital Room/Ancillary Services
Review HMSA guidelines for hospital room and ancillary services, including coverage information, billing requirements, and reimbursement policies for providers.
Immunizations - HPH/HMO Commercial
Review HMSA immunization coverage, billing requirements, coding guidance, and reimbursement information for vaccines and preventive care services.
In Vitro Procedures Requiring Documentation If Not Precertified
Review HMSA requirements for in vitro procedures that may require supporting documentation when not precertified, including claim review criteria.
Incentive Programs
Explore HMSA incentive programs, including rewards, quality initiatives, and provider incentives designed to improve care and patient outcomes.
Incident to Services
Learn HMSA's guidelines for incident-to services, including billing requirements, provider responsibilities, and claim submission considerations.
Intravenous Therapy - Common Therapies
Overview of common intravenous (IV) therapies, including hydration, pamidronate (Aredia), and IVIG, with guidance on appropriate use, indications, and billing considerations.
Locum Tenens
Learn HMSA guidelines for locum tenens arrangements, including billing requirements, substitute physician services, and claim submission rules.
Mandated Benefits
Review HMSA mandated benefit requirements, including state and federal coverage mandates, eligibility considerations, and provider guidance.