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Hiring a Nurse Practitioner to Your Practice: What You Need to Know

If you’re looking for new nurse practitioner hires, you should know how reimbursement, credentialing, and billing works for their service rendered. Know more about this by reading along.

Business Corner
Business Corner
Your Questions Answered

It’s never easy to run your own medical practice. Read more to find out how Dr. Inna Pildysh made it possible with 12 years of experience under her belt.   
What’s new

Healthfirst Reimbursement Policy Updates: Allergy Studies, Allergen Immunotherapy and Diabetic Management Services
Healthfirst is updating reimbursement policies of Allergen Immunotherapy, Allergy Studies, and Diabetic Management Services starting March 1, 2020. Read along to know more details about these changes.
From ASH to AIM: Empire BlueCross’ Medicare Advantage Outpatient Rehabilitation Program Transition Information
Starting April 2020, Empire BlueCross will make a transition to AIM Specialty Health® when it comes to the utilization management of its Medicare Advantage Outpatient Rehabilitation Program. For more in-depth information regarding this change, it is best to read more.
Medical Policy Revision: Intraoperative Neurophysiologic Monitoring, Electromyography and Nerve Conduction Studies
Starting May 7, 2020, Horizon will first review the medical records for Intraoperative Neurophysiologic Monitoring, Electromyography and Nerve Conduction Studies before covering these services. If you offer these services, make sure to read along.
Changes in Allergy Testing and Non-Pharmacologic Treatment policy
Starting February 17, 2020, there are limits on Cigna’s allergy-testing coverage. To know more about the affected CPT codes, read along.
Beacon Adopts New Medical Necessity Criteria
This March 2020, Beacon Health starts to use the InterQual ® medical necessity criteria of Change Healthcare. However, there will still be exemptions in this criteria. Find out what these exemptions are by reading along.
New ICD-10-CM code for vaping-related disorder to be implemented
New ICD-10-CM code for vaping-related disorder to be implemented April 1, 2020. To know more about the new ICD-10-CM code, it is best to read along.
CMS Develops New Code for Coronavirus Lab Test
Starting with April 01, 2020, Medicare will begin processing the new code for Coronavirus Lab Test for dates of service on or after February 4, 2020. Know more by reading along.
New ICD-10-CM code for the 2019 Novel Coronavirus (COVID-19), October 1, 2020
ICD-10-CM Official Coding Guidelines - Coding encounters related to COVID-19. Know more by reading along.
Info for providers
 Info for providers
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2020