Publications

Bulletins

EPNI communicates immediate policy and procedure changes through provider Bulletins. The provider Bulletins are contractually binding.

11/14/2007 P28E-07 EPNI Provider Policy and Procedure manual
11/21/2007 P29E-07 Billing for copies of medical records
12/07/2007 P27E-07 R1 Revised bilateral surgical reporting change
12/17/2007 P35E-07 2008 HCPCS code update
01/28/2008 P2E-08 Update to Attachment B: Definition of Outpatient Health Services Categories
03/18/2008 P5E-08 April 2008 HCPCS code update
03/19/2008 P6E-08 National Provider Identifier Update: Get it, share it, use it
04/28/2008 P8E-08 Standard Billing Formats
05/19/2008 P10E-08 National Provider Identifier Update: The NPI is here. The NPI is now. Are you using it?
06/12/2008 P13E-08 July 2008 HCPCS code update
06/23/2008 P15E-08 Patient account number requirements on CMS-1500 Form
09/11/2008 P18E-08 October ICD-9-CM and HCPCS code updates
09/22/2008 P21E-08 Update to Attachment B: Definition of Outpatient Health Services Categories
10/07/2008 P26E-08 Clarification of definitions
11/14/2008 P22E-08 Massage and manual therapy exclusion
01/12/2009 P1E-09 Update to Attachment B: Definition of outpatient health services categories
02/12/2009 P2E-09 EPNI Section 506 Medicare Modernization Act
03/04/2009 P4E-09 April 2009 HCPCS code update
04/08/2009 P10E-09 National Provider Identifier update
04/09/2009 P8E-09 Injection and infusion services restrictions
04/09/2009 P9E-09 Liposuction edit change
06/08/2009 P19E-09 July 2009 HCPCS code update
09/14/2009 P24E-09 October 2009 HCPCS and ICD-9 code updates
09/23/2009 P25E-09 Contract Health Service-eligible American Indians
12/21/2009 P31E-09 Hot and cold pack exclusion
02/22/2010 P9E-10 Timely filing limits for replacement claims and provider-submitted appeals
03/12/2010 P12E-10 April 2010 HCPCS code updates
04/16/2010 P15E-10 Update to Attachment B: Definition of outpatient health services categories
05/13/2010 P17E-10 Timely filing limits on claims
06/15/2010 P22E-10 Update to Attachment B: Definition of outpatient health services categories
06/15/2010 P23E-10 July 2010 HCPCS code updates

Quick Points

04/22/2008 QP2E-08 CMS-1450 Submission Errors Identified
08/22/2008 QP5E-08 CCStpa
09/26/2008 QP9E-08 EPNI network pricing for Indian Health Services members for Native American Tribes
11/10/2008 QP12E-08 Provider payment updates
12/18/2008 QP15E-08 Reproduction treatment
02/19/2009 QP2E-09 Claims processing for massage and manual therapy services
08/06/2009 QP18E-09 Post July 15 claim submission issues
09/04/2009 QP20E-09 Information on submitting COB information electronically
09/04/2009 QP21E-09 Information on sending attachments on electronic claim transactions
11/09/2009 QP23E-09 Information on submitting appeals, replacement claims and void/cancel claims
12/18/2009 QP26E-09 Units of Service validation begins on December 15, 2009
03/09/2010 QP5E-10 Reminders for submission of claim attachments and appeals
04/01/2010 QP6E-10 Provider-submitted adjustment requests
05/17/2010 QP8E-10 Understanding and correcting rejected electronic claim submissions
05/25/2010 QP9E-10 Clarification on replacement claims versus appeals

At your service. At your side.