Use the New Form CMS-855R for Reassignment of Medicare Benefits
CMS is releasing a revised Form CMS-855R for physicians and non-physicians practitioners to reassign their Medicare benefits. READ MORE
Indiana Medicaid Standardizes AutoPay List for Payment of Managed Care Emergency Claims
All Indiana Medicaid MCEs who choose to use a list of diagnosis codes to determine whether to cover emergency department claims must use a state-compiled standardized list beginning April 1, 2020. READ MORE
Indiana General Assembly Tackles Surprise Billing
While the U.S. House and Senate continue to debate possible solutions to surprise billing on the federal level, here in the Hoosier state the Indiana General Assembly has taken matters into their own hands with a new House bill recently approved by a 99-0 vote. READ MORE
Cigna Implements New Anesthesia Policies for Interventional Pain Management Procedures
Cigna recently announced new medical coverage policies for the use of anesthesia services for interventional pain management procedures. READ MORE
What to Do if a Medicare Patient’s MBI Changes
Providers who receive an eligibility error code on their Medicare claims should check to see if the patient’s Medicare Beneficiary Identifier (MBI) has changed.
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United Healthcare Increases Scrutiny of Professional Emergency Claims, Too
United Healthcare will begin evaluating all level 5 professional Emergency Department claims and potentially downcoding them or denying them for “inappropriate” coding. The new policy, which takes effect April 1, 2020, is part of the payer’s “continued efforts to reinforce accurate coding practices.” READ MORE
Straddling Three Years of MIPS: What You Need to Know Now about 2018, 2019, and 2020
With a new year comes a few months of straddling three different performance periods for the CMS’s Merit-based Incentive Payment System. Here’s a look at what you need to know now about the 2018, 2019, and 2020 MIPS performance periods. READ MORE
8 Things to Know about CPT Changes for 2020
Back in September 2019, the American Medical Association released the 2020 Current Procedural Terminology code set. Those changes will become effective on January 1, 2020. In this post, we highlight eight noteworthy ones. READ MORE
5 Things to Know about Indiana Medicaid for 2020
As we wrap up 2019, the Indiana Health Coverage Programs (IHCP) has released a variety of information Indiana healthcare providers need to know about billing Medicaid in 2020. We’ve created a short list of the top five things you should know. READ MORE
8 Things to Know about Medicare for 2020
As we wrap up 2019, the Centers for Medicare and Medicaid Services has released a variety of information healthcare providers need to know about billing Medicare for 2020. We’ve created a short list of the top eight things providers should know. READ MORE
