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.

Newsletters items

Date Title
May 09 2018 CMS Outline for Concept of Direct Provider Contracting Innovation Model, Posts Comments on “New Direction” RFI
May 09 2018 CMS Releases New Medicare Advantage Data Resource
May 09 2018 New Medicare Cards: Providers Use MBIs Right Away
May 09 2018 New Physician Specialty Code “D3”
May 09 2018 New Hampshire New Health Care Tax Proposal to Help Pay for $36M Deficit
May 09 2018 New Hampshire House Committee Approves Amended Medicaid Expansion Legislation
May 09 2018 Virginia Senate Considers Medicaid Expansion
May 09 2018 New Jersey MCO Carve-In of MH, SUD Services for Certain Eligibility Groups
February 28 2018 Delaware – Highmark BCBSDE Coverage Criteria Revisions for Certain Medical Policies
February 28 2018 CMS Proposes Rule to Extend Short-Term Health Plans
February 28 2018 Aetna – Clinical Payment and Coding Policy Changes
February 28 2018 Humana – New Claim Numbers Expand to 15 Digits
February 28 2018 Humana – Updates to Preauthorization Requirements for Therapy Services
February 28 2018 UnitedHealthcare – Billing Notice for IV and SC Immune Globulin and Remicade
February 28 2018 UnitedHealthcare – Revision to the Procedure to Modifier Policy
February 28 2018 New Jersey – New State Bill Seeks Individual Mandate
January 31 2018 Wisconsin – Anthem Expands BadgerCare Plus, SSI Plans to Seven Additional Counties
January 31 2018 Ohio – New Legislation Impacts Electronic Prior-Authorization Requests
January 31 2018 Massachusetts – HPC Certifies 17 Health Care Organizations through New ACO Program
January 30 2018 2018 Value Modifier Results and Payment Adjustment Factor Released