Post written by : abilling
Important Update: PQRS – Are you reporting the required codes to ‘dodge’ future Medicare payment adjustments/reductions?
ABI recently learned it is not required you report on at least 50% of your 2013 Medicare claims, as originally thought and reported to you, to keep from receiving a … Continue reading
PQRS – Are you reporting the required codes to ‘dodge’ future Medicare payment adjustments/reductions?
Formally called PQRI, nothing much else has changed except the name. This reporting program is designed to promote eligible providers to report on quality information and uses for incentive payments … Continue reading
BCBS of Kansas New Credentialing Requirements
BCBS of Kansas has not historically required any provider be credentialed in order to be participating. When adding a new provider to a group, we simply had to fax them … Continue reading
Coventry (including Preferred Health Systems) Rounding Down Anesthesia Time Units
ABI recently learned Coventry is rounding down partial anesthesia time units of 4 minutes or less (i.e. if an anesthesia case is 19 minutes, we bill 2 time units; however, … Continue reading
HHS Update to CRNA Administration of Pain Management
WPS released an update to the CRNA administration of pain management. We thought we would share with you that update. Certified Registered Nurse Anesthetist (CRNA) Practice and Chronic Pain Management … Continue reading
Face-to-Face Requirement for Evaluation & Management (E&M) Services
WPS Medicare recently (end of March) released the below information through their WPS Medicare ENEWS. We would like to bring this to your attention for review. Although this was submitted … Continue reading
Charges Marked As ‘Insurance Only’
Just as a friendly reminder, you are legally obligated to collect any insurance assigned patient responsibilities, including coinsurance, deductible and/or copay. You should not take ‘insurance only’ for ANY patient. … Continue reading
Pain Management Pre-Authorization Requirements
Each insurance company has a pre-authorization list for services requiring pre-authorization prior to services being rendered. We highly suggest you look at these lists for each payer on a regular … Continue reading
Pain Management – New KanCare Pre-Authorization Requirements
As you know, KanCare is now well underway with the new payors. As a reminder, you need to verify what procedures need to pre-authorized. One area that DOES need to … Continue reading
TriCare – West Region Switches Intermediaries April 1, 2013
TriCare, West Region (to include, but not limited to: Kansas, Missouri, Nebraska, Colorado, and California), will transition to and be managed by United Healthcare Military & Veterans effective April 1, … Continue reading