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Emergency Use Authorization (EUA) for the Janssen Biotech Inc.’s COVID 19 Vaccine

The New Patient Health Care Records ‘Blocking Rule’

HealthFirst: The transition of the Pharmacy Benefit from Managed Care to Fee-for-Service

What is MUE and why is it important?

Why Do You Need To Evaluate Your Insurance Contracts?

Should there be a delay with Medicare claims processing for my patients with dates of service on or after April 1, 2021?

HealthFirst: Medications Requiring Prior Authorization Under the Medical Benefit

Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency

COVID-19 FAQs on Medicare FFS Billing for Vaccine Administration

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What is Comparative Billing Report?

EmblemHealth: LabCorp is now part of EmblemHealth’s network

Empire BCBS: New provider directory indicator for telehealth services

Medicare NGS: Service-specific post-payment review of Psychotherapy

Medicare NGS: Prescription drug management clarifications

UnitedHealthcare: Physician Assistants, Nurse Practitioners, and Clinical Nurse Specialists reimbursement policy updates

UnitedHealthcare: Chronic Care Management Services Updates

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Home Care Services: Our New Area of Expertise
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What is Comparative Billing Report?
Information for Providers
 COVID-19 FAQs on Medicare FFS Billing for Vaccine Administration
Information for Providers
Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency
Information for Providers
 Emergency Use Authorization (EUA) for the Janssen Biotech Inc.’s COVID 19 Vaccine
Information for Providers
The New Patient Health Care Records ‘Blocking Rule’
Feature story
Why Do You Need To Evaluate Your Insurance Contracts?
Business Corner
What is MUE and why is it important?
Your Questions Answered
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For Provider

  • Medicare Part B Payment for COVID-19 Vaccines and Certain Monoclonal Antibodies during the Public Health Emergency

  • What is Comparative Billing Report?

FOR PROVIDER 

  • Emergency Use Authorization (EUA) for the Janssen Biotech Inc.’s COVID 19 Vaccine

  • COVID-19 FAQs on Medicare FFS Billing for Vaccine Administration

WHAT'S NEW

  • HealthFirst: Medications Requiring Prior Authorization Under the Medical Benefit

  • EmblemHealth: LabCorp is now part of EmblemHealth’s network

  • Aetna: Third-Party Claim and Code Review Program

  • Medicare NGS: Prescription drug management clarifications

  • UnitedHealthcare: Chronic Care Management Services Updates

WHAT'S NEW

  • HealthFirst: The transition of the Pharmacy Benefit from Managed Care to Fee-for-Service

  • Healthfirst: HF Medicare Plans will not cover COVID-19 vaccine administration

  • Empire BCBS: New provider directory indicator for telehealth services

  • Medicare NGS: Service-specific post-payment review of Psychotherapy

  • UnitedHealthcare: Physician Assistants, Nurse Practitioners, and Clinical Nurse Specialists reimbursement policy updates

YOUR QUESTIONS ANSWERED 

FAQ

What is MUE and why is it important?

FAQ

Should there be a delay with Medicare claims processing for my patients with dates of service on or after April 1, 2021?

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  • Reports of medical procedures done without consent must be investigated
  • Obesity and Hypertension in the Time of COVID-19
  • CMS Advancing Seniors’ Access to Cutting-edge Therapies and Technology in Medicare Hospital Rule

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