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Fraud and Abuse

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Provider Notifications
ACA Primary Care Fee Increase
ACA allows for eligible Primary Care Physicians to receive increased reimbursement for certain Primary Care codes for the period of January 2013 - December 2014. Providers MUST attest they are eligible for this increase. Click here to access the website established by EOHHS for the attestation process which includes a fee schedule and FAQs about this federal program. Only providers who attest are eligible for this increase. Please call Neighborhood at 1-401-459-6020 if you have any questions.

Prior Authorization Criteria
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