ICD-10 Updates The Centers for Disease Control and Prevention (CDC) have finalized the 2023 release of ICD-10 codes. The codes will be in effect from October 1, 2022, through September 30, 2023. This year's update includes 1,176 new d...
CMS Physician Fee Schedule The Centers for Medicare and Medicaid Services (CMS) has updated the online look-up tool to include physician updates for multiple years. Here is the link: https://www.cms.gov/medicare/physician-fee-sched...
Virtual Card Payments Coming Soon Beginning February 3, 2023, United Healthcare (UHC) will stop mailing VCP (Virtual Card Payment) statements and instead offer them through their UHC Provider Portal for you to view and/or print as needed. ...
Medicare Processing Error According to Palmetto GBA, (CMS- Centers for Medicare & Medicaid Services MAC Processor), claims with dates of service January 1, 2023, and forward billed with a combination of POS codes 19, 22, 23, or 62 with CPTs 992...
NDC Updates Are you aware of the NDC changes coming from CMS effective July 1, 2023? Check out the article below for more details.
The impacted codes include:
NCD 20.4 - Implantable Cardiac Defibrillators (ICDs)
NCD 20.7 - P...
PHE Ends CMS (Centers for Medicare and Medicaid Services) has published an article and fact sheet explaining the impact on providers and patients if the PHE expires in May 2023 as scheduled. The fact sheet covers critical elements such ...
New ID Cards According to United Healthcare (UHC), a new wave of members will be transitioned to their new commercial claims processing system. All transition members will receive a new ID card beginning April 1, 2023. The members will have ...
Phase out of paper checks According to United Healthcare (parent company of Oxford Health Plan), they will discontinue the issuance of paper checks for claims payment for "many... Oxford plans in Connecticut, New Jersey, and New York" sometime i...
DME Claim Cap Beginning July 1, 2023, Medicare will begin limiting the patient's out-of-pocket cost to $35 for a month's supply of insulin used in an insulin pump. Medicare is advising to refrain from billing for supplies of insulin ...
No Surprises Act Curious about how the first year of the No Surprises Act has gone and what impact it has had on the healthcare market? Check out this article from the American Hospital Association. https://www.aha.org/news/headline/...