April 10, 2019 Per the new policy, Anthem will deny an E&M service with a modifier 25 billed on the day of a related procedure when th...
April 10, 2019 According to a notice issued to approximately half of its PPO network, the plan will be increasing payment for the more...
April 02, 2019 It’s been nearly a decade since Medicare has accepted claims for either outpatient (99241-99245) or inpatient (99251-99...
April 01, 2019 April 9, 2019, marks the beginning of Health Care Decisions Week, which culminates on April 16 with National Health Car...
March 29, 2019 Physicians are reminded that their Medicare billing privileges will be deactivated if they fail to respond to Medicare ...
March 06, 2019 Confusion about when to append CPT® modifier 50 Bilateral procedure, versus HCPCS Level II modifiers LT Left side and ...
March 05, 2019 UnitedHealthcare (UHC) has announced that it will no longer reimburse consultation services for commercial product li...
March 04, 2019 Implementation of the new state law that requires security prescription forms to have a uniquely serialized number law ...
February 27, 2019 The first episode—and Management Coding discusses the rationale for 2019 Physician Fee Schedule policy changes affectin...
February 20, 2019 The California Medical Association will provide updates as more information becomes available.
February 15, 2019 More than one-quarter of physicians (28 percent) report the prior authorization process required by health insurers for...
February 05, 2019 The MTUS guidelines are based on the principles of evidence-based medicine and treatment guidelines developed by the Am...
February 04, 2019 CMA has developed a number of resources to help physicians navigate this new law.
January 30, 2019 Insurers, including government payors such as Medicare and Medicaid, reimburse only those services or procedures that t...
January 30, 2019 New ID cards containing the new ID number were mailed to all affected members in late December.
January 25, 2019 Flawed implementation of a new state law that requires all security prescription forms to have a uniquely serialized ...
January 24, 2019 The California Department of Health Care Services (DHCS) has confirmed that the 2019 CPT/HCPCS updates have been load...
January 24, 2019 The plan filed requests in late 2018 with the DMHC to transfer its enrollees to other delegated groups and the request ...
January 18, 2019 The California Medical Association (CMA) online health law library contains nearly 5,000 pages of up-to-date legal in...
January 16, 2019 The Centers for Medicare and Medicaid Services (CMS) has now completed the process of mailing new Medicare cards to ben...
January 14, 2019 The new UHC policy—originally scheduled for implementation on Jan. 1—requires prior authorization for advanced imaging ...
January 03, 2019 California physicians have a powerful ally when it comes to dealing with problematic payors—the California Medical Asso...
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