NEWS RELEASES:   

April, 2010

In order to be compliant with changes made by Medicare January 1, 2010, OHC has updated its current OHC Fee Schedules including the OHC Standard Reimbursement Schedule. Please contact Provider Relations for more information.

In accordance with above, here is a link to CPT codes not previously listed in the OHC Standard Fee Schedule per Medicare’s latest update.

April, 2009

Effective 5/1/09 OHC will be checking the place of service code listed on each claim to determine the correct payment level for each CPT code.

This means many procedure/surgery codes will now have two reimbursements associated with each CPT code, a facility rate and a non facility rate. In order to determine the correct reimbursement, payors/OHC will need to look at the place of service code to determine the correct amount to reprice or pay.

Providers who do procedures/surgeries in their own offices may be entitled to additional payment for the cost of equipment and other technology they are using to perform the service. These are generally considered payable as “non facility services”.

Providers who do procedures in a facility setting, i.e. hospital or surgery center may not be entitled to additional revenue because they are only providing the professional component to the service. The cost of the equipment and other technology is reimbursed to the facility. These are referred to as “facility services”.

For additional information, please contact OHC Provider Relations at 1-800-554-0027.  

April, 2009

In order to be compliant with changes made by Medicare, OHC has updated its 2009 Fee Schedules. Please contact provider relations for more information. 

April, 2008

In order to be compliant with changes made by Medicare, OHC has updated its 2008 Fee Schedules. Please contact provider relations for more information. 

November, 2007

Members are now able to create their own customized directories in their network by selecting one or more counties from the list. These directories also incorporate the preferred providers and network-wide provider's methodology that is on the provider search pages. . 

November, 2007

GOOD NEWS - We have listened and responded to your suggestions about the OHC website.
Here are the new enhancements:

Mile radius-Searches can now be done by zip code and mile radius from 5 to 100 miles. This search is from the middle of the selected zip code.

Provider office directions-Once a search is completed, there is an opportunity to drill down further on any provider by “clicking” on their name. This will provide the provider’s address and phone number. Then there is a selection to view a map and obtain directions to the provider’s office.

OHC now has preferred providers. These are providers who have been selected for their quality and pricing in their respective specialties. These providers will appear first on any network search for their designated specialty.

OHC now has network-wide providers. These are providers who can provide their services to any member in the OHC network regardless of their address. 

August, 2007

Starting in October 2007, there will be some enhanced features to the Provider Search and Directories area. Members will be allowed to search by county and by mile radius in additional to the current search criteria. Members will also be able to create their own customized directories in the directories area of our Website. Check back soon for these new changes. 

August, 2007

Effective 9/1/2007, all new physical therapists must be a part of the Ohio Physical Therapy Network to join the OHC network. If you are currently in the network, you will be grandfathered in. OPTN's number is 800-636-6786. Their fax is 614-457-1564. 

March, 2007

In order to be compliant with changes made by Medicare, OHC has updated its 2007 Fee Schedules. Please contact provider relations for more information. 

February, 2006

Ohio Health Choice (OHC) has named Bryan Kennedy its new president following a two-month national search. 

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October, 2005

Ohio Health Choice, one of Ohio’s largest statewide PPO networks, is under new ownership effective October 21, 2005. Summa Health System, one of the largest organized delivery systems in Ohio, joins Mercy Medical Center in Canton in ownership of Ohio Health Choice. 

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