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Vanessa Higgins
Apr 19, 20233 min read
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, 20222 min read
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, 20222 min read
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, 20222 min read
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, 20221 min read
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 17, 20222 min read
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, 20222 min read
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, 20222 min read
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.
53 views0 comments
Vanessa Higgins
Jan 1, 20211 min read
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, 20201 min read
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, 20202 min read
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, 20182 min read
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, 20181 min read
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, 20182 min read
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...
19 views0 comments
Vanessa Higgins
Jun 12, 20182 min read
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...
2,449 views0 comments
Vanessa Higgins
Mar 6, 20182 min read
United Healthcare Acupuncture Updates
UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in...
1,038 views0 comments
Vanessa Higgins
Feb 24, 20182 min read
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, 20182 min read
Anthem Reimbursement Policy Updates
Anthem has recently update some of its reimbursement policies, these new updates will either apply to professionals or facilities. Below...
1,787 views0 comments
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