Cigna Requires Medical Records for all E/M Services Billed with a 25 Modifier
Cigna requires medical records for all claims billed with a -25 modifier
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- Jul 15, 2022
- 2 min
Top Reasons Why Insurance Providers Deny Medical Claims
In this article, we will explore some of the top reasons why insurance providers deny medical claims.
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- May 28, 2022
- 2 min
Urgent Care Coding Updates for 2022
In this article, we'll discuss the most important coding changes that are scheduled for 2022 and tips for making the transition.
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Mary Pat Whaley, FACMPE
- May 21, 2022
- 2 min
Declaration of Blanket Waivers for SNFs
In a recent change to the way that skilled nursing facilities are regulated, the CMS has issued a declaration of blanket waivers for SNFs.
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- Mar 25, 2022
- 1 min
COVID-19 Monoclonal Antibody Billing Update
In January 2020, a public health emergency (PHE) was declared as COVID-19 spread around the world. Since the start of this pandemic, the...
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- Mar 18, 2022
- 2 min
Ways Risk Adjustment Coders Can Help
Having a documented diagnosis is an essential element when it comes to a patient's care in a risk-adjusted health plan. Such...
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- Mar 12, 2022
- 2 min
New Medical Billing Codes Introduced in 2022
There are new medical billing codes available as of February 2022 implemented by the Centers for Medicare & Medicaid Services to be used...
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- Jan 7, 2022
- 2 min
How to Minimize Coding Errors
Even with a robust coding process in place, it can be all too easy for coding errors to be made.
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Vanessa Higgins
- Jan 1, 2021
- 1 min
E/M Updates
More updates regarding E/M codes for 2021. Anthem Bluecross and Blueshield of Maine has provided the following latest guidelines: CPT...
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Vanessa Higgins
- Aug 13, 2020
- 1 min
E/M Changes for 2021
Finally, some good news! Evaluation and Management changes for 2021 include something many of our clients have struggled with for a long...
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Vanessa Higgins
- Aug 4, 2020
- 2 min
New ABN
There has been an update to the ABN. Effective 1/1/21, the new ABN should be used. The new ABN offers additional explanations, as well as...
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Vanessa Higgins
- Jun 21, 2018
- 2 min
Telehealth Movement is Gaining Traction
Telemedicine allows patients who may not have direct access to a specialist to receive the necessary medical services they need....
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Vanessa Higgins
- Jun 21, 2018
- 1 min
Acupuncture and Chiropractic Services Update
AARP Medicare Complete, UnitedHealthcare Dual complete and/or UnitedHealthcare Group Medicare Advantage update! Acupuncture and...
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Mary Pat Whaley, FACMPE
- Jun 12, 2018
- 2 min
Credentialing a Catch-22?
Credentialing new physicians can sometimes be a struggle and often a catch-22. The process cannot be started to early since some payers...
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Vanessa Higgins
- Jun 12, 2018
- 2 min
The Importance of the ABN
Why is using an Medicare Advance Beneficiary Notice of Noncoverage (The ABN) so important? An ABN is important because it allows a...
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Vanessa Higgins
- Mar 6, 2018
- 2 min
United Healthcare Acupuncture Updates
UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in...
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Vanessa Higgins
- Feb 24, 2018
- 2 min
Therapy Cap Repeal: What You Need to Know
Recently congress introduced new legislation that included a repeal of the 2,010-therapy cap, which President Trump signed. The American...
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Vanessa Higgins
- Feb 24, 2018
- 2 min
Anthem Reimbursement Policy Updates
Anthem has recently update some of its reimbursement policies, these new updates will either apply to professionals or facilities. Below...
1,541 views0 comments
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