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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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
February 26 2020 Anthem Ohio Clinical Laboratory Improvements Amendments
February 26 2020 CMS Announces Plans to Change Prior Authorization Rules
February 26 2020 HIPAA Rules Modifications for Sending Records to Third Parties
February 26 2020 CMS Develops New Code for Coronavirus Lab Test
February 26 2020 UnitedHealthcare Implements Enhancements to Procedure to Modifier Policy
February 26 2020 New York Updates Quality Measures for Medicaid Managed Care Organizations in the Value Based Payment Program
February 26 2020 Cigna Clinical, Reimbursement, and Administrative Policy Updates
February 26 2020 Aetna HCPCS Code Updates to Specific Drug Contract Service Groupings
February 12 2020 House Ways and Means Releases Surprise Billing Proposal
February 12 2020 CMS Releases 2021 MA and Part D Advance Notice Part II
February 12 2020 CMS Announces New Medicaid Initiative to Limit Drug Coverage, Keep Rebate Obligations
February 12 2020 FDA Issues Gene Therapy Guidances
February 12 2020 CMS Publishes FY 2022 SNF APU Overview Table
February 12 2020 Florida Bill Would Require ‘Essential’ Providers to Contract with Medicaid Plans or Lose Supplemental Payments
February 12 2020 Maryland Owes Millions of Dollars to Mental, Behavioral Health Providers
January 30 2020 Anthem CT Outpatient Facility Edit Implementation
January 30 2020 CMS Issues Quarterly Update to the NCCI PTP Edits
January 30 2020 CMS Issues Additional Guidance on D-SNP Integration Requirements
January 30 2020 UHC Issues New ED Professional E/M Policy
January 30 2020 UHC Radiology Program Procedure Code Changes

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