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As we all know, medical billing and coding evolve every day. Here we highlight recent items of interest for medical billing, practice management and proper reimbursement for physicians, ASCs, behavioral health agencies and hospitals.

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Newsletters

As we all know, medical billing and coding evolve every day. Here we highlight recent items of interest for medical billing, practice management and proper reimbursement for physicians, ASCs, behavioral health agencies and hospitals.

Date Title
January 15 2020 CMS Releases 2021 Medicare Advantage Risk Adjustment Payment Changes
January 15 2020 Year-End Spending Bills Include Millions toward Key Radiology Research Efforts
January 15 2020 Clinical Laboratory Data Reporting Delayed
January 15 2020 CMS Issues Advanced Alternative Payment Model Incentive Payment Advisory
January 15 2020 CMS Awards 10 States with $50 Million to Combat Opioid Use Disorder
January 15 2020 Ohio to Transition to Single List of Preferred Medicaid Drugs
January 15 2020 Pennsylvania Implements Preferred Drug List
December 30 2019 CMS to Move Forward with Site-Neutral Payment Policy Following Judge’s Ruling
December 30 2019 CMS Issues Payer Guidance for Dually Eligible Beneficiaries Receiving Medicare Opioid Treatment Services
December 30 2019 Aetna HCPCS Code Updates to Specific Drug Contract Service Groupings
December 30 2019 Anthem BCBS Upcoming Prior Authorization Requirement Changes for Certain Services
December 30 2019 Humana Updates Requirements for Injectable Drugs and Biologics Step Therapy for Medicare Advantage Plans
December 30 2019 UnitedHealthcare New Enhancements Facilitate Streamlined Prior Authorization
December 30 2019 Ohio UHC Genetic and Molecular Lab Testing Notification/Prior Authorization Requirement
December 30 2019 Wisconsin Anthem Issues Coding Behavioral and Emotional Disorders Provider’s Guide
December 30 2019 House & Senate Pass Budget Bill to Repeal ACA Insurance Tax, Delay DSH Cuts
December 30 2019 Analysis Suggests Non-Reporting Hospital Outreach Labs at Risk of Huge PAMA Penalties
December 30 2019 Cigna Preventive Care Services Policy & Precertification Updates
December 12 2019 New York Expanded Medicaid Coverage for Mental Health Professionals Vetoed
December 12 2019 Maine Boosts Substance Use Treatment through Medicaid Expansion
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