Cigna requires medical records for all claims billed with a -25 modifier

In this article, we will explore some of the top reasons why insurance providers deny medical claims.

In this article, we'll discuss the most important coding changes that are scheduled for 2022 and tips for making the transition.

In a recent change to the way that skilled nursing facilities are regulated, the CMS has issued a declaration of blanket waivers for SNFs.

In January 2020, a public health emergency (PHE) was declared as COVID-19 spread around the world. Since the start of this pandemic, the...

Having a documented diagnosis is an essential element when it comes to a patient's care in a risk-adjusted health plan. Such...

There are new medical billing codes available as of February 2022 implemented by the Centers for Medicare & Medicaid Services to be used...

Even with a robust coding process in place, it can be all too easy for coding errors to be made.

More updates regarding E/M codes for 2021. Anthem Bluecross and Blueshield of Maine has provided the following latest guidelines: CPT...

Finally, some good news! Evaluation and Management changes for 2021 include something many of our clients have struggled with for a long...

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...

Telemedicine allows patients who may not have direct access to a specialist to receive the necessary medical services they need....

AARP Medicare Complete, UnitedHealthcare Dual complete and/or UnitedHealthcare Group Medicare Advantage update! Acupuncture and...

Credentialing new physicians can sometimes be a struggle and often a catch-22. The process cannot be started to early since some payers...

Why is using an Medicare Advance Beneficiary Notice of Noncoverage (The ABN) so important? An ABN is important because it allows a...

UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in...

Recently congress introduced new legislation that included a repeal of the 2,010-therapy cap, which President Trump signed. The American...

Anthem has recently update some of its reimbursement policies, these new updates will either apply to professionals or facilities. Below...