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Eligibility Verification: Most Neglected Process of your revenue cycle management (RCM)
Meet WCH: Nozima Kholmukhamedova
AETNA to introduce a variety of new claim edits effective December 1st, 2021
What is a non-renewal?
Medicare to introduce revisions to Chapters 13, 18, and 32 in its Claims Processing Manual as of October 29th, 2021.
Understanding the new requirements of surprise billing
FIDELISCARE: The majority of ultrasound studies no longer require prior approval starting October 1st, 2021
Everything that you need to know about the most recent ICD-10 updates
AETNA: New claim timely filing requirements for out-of-network providers
EMBLEMHEALTH to introduce a new Medicare Advantage plan in 2022
I am not receiving any payments from an insurance company due to a so-called negative balance on my account. What should I do?
Horizon Blue Cross Blue Shield of New Jersey to introduce a new reimbursement policy
HEALTHFIRST to update its reimbursement policies for strapping, casts, and splints
FIDELISCARE: Authorization requirements have been eased due to a Statewide Disaster Emergency in New York
UNITEDHEALTHCARE: Unlicensed medical students will no longer be reimbursed for services performed on Medicare advantage plan patients, as defined by the CMS
FIDELISCARE no longer handles authorizations for yet another batch of procedures
EMBLEMHEALTH: Effective October 1st, 2021, EmblemHealth is expanding its list of covered behavioral health services for its Medicaid patients
MEDICARE warns providers about an incorrect billing of flu shots
MEDICAID OF NY now covers applied behavior analysis services
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For Provider
Everything that you need to know about the most recent ICD-10 updates
FOR PROVIDER
Medicare to introduce revisions to Chapters 13, 18, and 32 in its Claims Processing Manual as of October 29th, 2021.
Horizon Blue Cross Blue Shield of New Jersey to introduce a new reimbursement policy
WHAT'S NEW
CMS restarts the Targeted Probe and Educate program
AETNA: New claim timely filing requirements for out-of-network providers
HEALTHFIRST to update its reimbursement policies for strapping, casts, and splints
HEALTHFIRST: Authorization requirements have been revised for certain medications effective October 1st, 2021.
UNITEDHEALTHCARE: Unlicensed medical students will no longer be reimbursed for services performed on Medicare advantage plan patients, as defined by the CMS
MEDICARE warns providers about an incorrect billing of flu shots
WHAT'S NEW
AETNA to introduce a variety of new claim edits effective December 1st, 2021
FIDELISCARE: The majority of ultrasound studies no longer require prior approval starting October 1st, 2021
EMBLEMHEALTH to introduce a new Medicare Advantage plan in 2022
FIDELISCARE: Authorization requirements have been eased due to a Statewide Disaster Emergency in New York
FIDELISCARE no longer handles authorizations for yet another batch of procedures
EMBLEMHEALTH: Effective October 1st, 2021, EmblemHealth is expanding its list of covered behavioral health services for its Medicaid patients
MEDICAID OF NY now covers applied behavior analysis services
YOUR QUESTIONS ANSWERED
FAQ
What is a non-renewal?
FAQ
I am not receiving any payments from an insurance company due to a so-called negative balance on my account. What should I do?
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