In This Issue: CMS: Avoid Duplicate Payments for Medical Services Authorized by the Veterans Health Administration CMS: Expanded Diabetes Screening Claims for 82947 Returned in Error CMS: Discarded Drugs & Biologicals List Update 2025 Medicare Parts A & B Deductibles Humana Military Mandatory Enrollment in Electronic Funds Transfer (EFT) by January 1, 2025 United Healthcare…Read More
In This Issue: CMS CY 2025 Physician Fee Schedule Final Rule Reminder Medicare Beneficiary Eligibility Not Offered on the IVR Digital-only authorization case status for Wellpoint New Jersey Excellus BlueCross BlueShield Update to Telemedicine and Telehealth United Healthcare Update on Prior Authorization Resources for Outpatient Therapy and Chiropractic Services Coding Resources from United Healthcare Read…Read More
In This Issue: Influenza Vaccine: CMS Holding Claims for CPT Code 90658 Billing Errors on 2024/2025 Influenza Season Claims Updated COVID-19 Vaccines for 2024-2025 Season Reminder from Excellus BlueCross BlueShield- Annual Well-Woman Exam Billing Requirement New Medicare Advantage PPO Plans in Maryland Effective 1/1/2025 CDPHP Issuing Official Explanation of Payments ICD-10 Code Set Update Effective…Read More
In This Issue: Annual Flu Vaccine Pricing from CMS Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations Policy United Healthcare Community Plan Prior Authorization Updates New GA modifier Requirement for United Healthcare Commercial Plans Excellus BCBS Tips for Using CPT Code +99459 Excellus BCBS Mandatory Code Submissions for Pre/Postpartum Services Optum Implementing New Protocol…Read More
In This Issue: Medicare Physician Fee Schedule Proposed Rule for CY 2025 Highmark’s Provider Portal- Availity Excellus BCBS August News CareFirst Updated Requirements for Inpatient and Observation Admissions CIGNA Digital Precertification Correspondence United Healthcare Community Plan of New York NPI and Taxonomy Code Requirements AmeriHealth commercial NY Access and National Access New ID Cards Excellus…Read More