Eff: May 25, 2023 - Cigna will now require submission of medical notes when a 25 modifier is used on a claim.
Due to the federal "transparency in coverage" rule, BCBSVt is now requiring all providers to obtain and start utilizing an Employer Identification Number (EIN) for billing.
Medicare has released the results of the CMS Final Rule 2019. They have announced that the changes to the E/M coding will be effective for Calendar Year 2021. Currently these codes will remain the same.
All physicians who hold an active medical license in Massachusetts must enroll in Mass Health either as billing or non-billing providers – in order to maintain their licensure.
CMS will begin mailing new insurance cards in April 2018, replacing all Medicare cards by the April 2019 congressional deadline.
In order to protect patient records, all offices should have a formal record retention policy in place. This policy should include..
Medicare beneficiaries will often purchase "Medigap" insurance polies to cover their co-payment and deductible costs after Medicare. However, starting in 2020 Medigap plans will no longer...
The new system is designed to offer features that will increase the ease of use and functionality for providers.
Effective January 1, 2015 - Medicare has 4 new HCPCS modifiers to define subsets of the modifier 59 "Distinct Procedural Service". Learn More...
September 23, 2013 is the date that medical practices and other covered entities must update their Notice of Privacy Practices (NPP) to patients in order to be compliant with the HIPAA Omnibus rule enacted in March 2013.
On March 1, 2013, Congress passed the 2% Medicare Sequestration. This will effect all claims starting April 1, 2013
As of April 1, 2013, Medicare increased the Multiple Procedure Payment Reduction for selected therapy services to 50% in all settings.
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