In This Issue: Waystar Clearinghouse Medicare Conversion Factor Increase Prolonged Services Timetable 2024 UHC: Prior Authorization Crosswalk UHC: New Jersey Medicaid - CPT Code Change for Breast Milk Storage Bags UHC: Update your One Healthcare ID to Maintain Portal Access NYS Reimbursement for Adverse Childhood Experiences Screening Read more online hereRead More
In This Issue: CMS Suspends Appropriate Use Criteria for Advanced Diagnostic Imaging (AUC) Program Medicare Preventive Services Updates Medicare POS 10 Mass Claim Adjustment Complex & Chronic Care Code G2211 Usage Guidelines from NGS United Healthcare Diagnosis Requirement for Molecular Tests Availity Portal for Horizon BCBS of NJ, Braven Health, and Horizon NJ Health NYS…Read More
In This Issue: Excellus BCBS Updated NDC/HCPCS Codes When Billing for Depo-Provera® Excellus BCBS: Preauthorization Removed for Additional Procedure Codes Effective February 1, 2024 How to Use the Office & Outpatient E/M Visit Complexity Add-On Code G2211 Telehealth Modifier 95 & Place of Service Codes CMS Policy Update- Surgical Dressings for Lymphedema KX Modifier on…Read More
In This Issue: Humana Military Referral Change Excellus BCBS Tips for Claim Adjustment Submissions CareFirst BCBS Authorization Edit Update Upcoming changes to certain transactions within PEAR PM Aetna Senior Supplemental Insurance to Use New Payment Processor Global Surgery Billing Federal Independent Dispute Resolution (IDR) Process Administrative Fee and Certified IDR Entity Fee Ranges Final Rule…Read More
In This Issue: Independence BCBS Upcoming Transition for Provider Payments Cigna Digital Provider Newsroom Excellus BCBS New Dual Special Needs Plan (D-SNP) Excellus BCBS Reimbursement for eVisits United Healthcare Medicare Part B Step Therapy Prior Authorization United Healthcare Benefits for FedEx Employees 2024 Medicare Premiums and Deductibles CMS Annual Model of Care (MOC) Training No…Read More
In This Issue: 2024 CPT Code Set Changes New CMS Provider Types in 2024 CMS Part B Mass Claim Adjustments for Overpayments Medicare Open Enrollment Updated mRNA Vaccines for Patients 6 Months and Older Excellus BCBS Preauthorization Change Humana to exit Employer Group Commercial Medical Products NYS Medicaid Self-Disclosure Program Requirements Read more online hereRead More
In This Issue: CareFirst BCBS Update to Audio-Only Services Medicare Part B 2023-2024 Seasonal Flu Vaccine Pricing CMS: PECOS 2.0 Excellus BCBS Medical Records Collection Initiatives NGS: Attention OPPS Providers with Provider-Based Department(s): Permanent Edit Implementation Begins on/after 8/1/2023 New York State 2023 Cultural Competency Training Requirements United Healthcare Paperless Reminder and Updates United Healthcare…Read More
In This Issue: Fidelis Care New York Authorization Updates Martin’s Point Referral and Authorization Updates NGS Medicare Webinars Wellcare of New Jersey is now Fidelis Care Wellcare Medicare Billing Reminders Read more online hereRead More
In This Issue: Attention Providers that Prescribe Controlled Substances – New DEA Course Requirement New JZ Claims Modifier for Certain Medicare Part B Drugs Medicare Secondary Payer Accident-Related Diagnosis Codes: How to get Paid Gender-Specific Services: Billing Correctly and Usage of the Condition Code/Modifier CMS Tobacco Cessation Telehealth Guide Colonial Penn Life Insurance Company &…Read More