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/...
Updated ABN Were you aware that the Centers for Medicare & Medicaid Services (CMS) updated the Advanced Beneficiary Notice (ABN) form? The new form CMS-R-131 is mandatory as of 6/30/2023. Any ABN signed after 6/30/2023 that is on the previ...
New POS Code The Centers for Medicare and Medicaid Services (CMS) has created a new place of service code 27 to use when services are provided in a non-permanent location, effective October 1, 2023. If you provide services to patients ...
UHC Reauthorization Requirements Using a phased-in approach, United Healthcare has removed reauthorization requirements from many plans for many different services. Please see this listing from United Healthcare: https://www.uhcprovid...