In This Issue: NYS Workers Compensation CMS-1500 Mandate Medicare Providers & Suppliers: Report Managing Employees Update - CMS Delay of Skin Substitutes Effective Date NGS Spring 2025 Virtual Conference NGS Written Inquiries Process Martin’s Point Referral Requirements / ProAuth System Implementation Excellus BCBS: Understanding Subrogation Claim Indicator OA-20 Aetna Changes to Coverage for Specialty Medications…

In This Issue: Telehealth Flexibilities Extended Aetna: Psychiatric Diagnostic Evaluation Update Aetna: FIT/FOBT Code Update Aetna: New Credentialing Requirement for Physician Assistants (PAs) Aetna: Claim and Code Review Program (CCRP) Highmark Updated Reimbursement Policies Fidelis Care New York Claim Status Letters Fidelis Care New York Authorization Grids NYS Medicaid Over-The-Counter Changes Read more online here

In This Issue: Medicare Telehealth Flexibilities CMS Global Period Services - HCPCS Code G0559 Important Update for Part B Providers – New NCCI Lookup Tool New Medicare Part B Redetermination Notice Initiative - Implementation Delayed United Healthcare - Claim Denials and Rejections United Healthcare - Electronic Reconsideration and Appeal Submissions Requirement Highmark BCBS - Electronic…

In This Issue: United Healthcare Provider Portal Authentication Action Needed by March 6, 2025 United Healthcare- New York Medicaid Compliance United Healthcare - Medicare Advantage: Update to Prior Authorization Requirement for Outpatient Therapy and Chiropractic Services CMS Policy Update for Visit Complexity Add-On Code G2211 National Government Services: Medicare Contractor New Redetermination Notice Initiative Aetna…

In This Issue: Best Practices for the New Year Congress Extends Telehealth Waivers Telehealth Coding Changes Aetna Reimbursement for Modifiers SA and SB Excellus Blue Cross Blue Shield News NYS Medicaid: Lump Sum Payments for 1% Across-The-Board Increase Coding and Billing Guidance from NGS Medicare for Allergen Immunotherapy CPT 95165 Medicare Global Surgery Important Information…

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…

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…