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
ABINSIGHT December 2012
Anesthesia Billing would like to wish everyone a Happy New Year. With the start of a new year, this is the time to evaluate your practice and make changes as … Continue reading
Blue Cross Blue Shield of Kansas – additional 1.5% in reimbursements
Blue Cross Blue Shield of Kansas is adding anesthesia providers to the 2013 Professional Providers Quality-Based Reimbursement Program. Under this program if you meet certain requirements, you can qualify for … Continue reading
Coventry of Kansas (including Preferred Health Systems)
Coventry Health Care of Kansas and Preferred Health Systems will implement a new prior authorization process for procedures related to elective outpatient pain management services. This requirement will apply to … Continue reading
WPS Medicare and Nerve Block for Peripheral Neuropathy (Iowa, Kansas, Missouri, and Nebraska)
Policy Update effective 10/16/2012 for Nerve Blocks for Peripheral Neuropathy: Indications and Limitations of Coverage and/or Medical Necessity Nerve blocks cause the temporary interruption of conduction of impulses in … Continue reading
News Release – Health Reform to Require Insurers to Use Plain Language in Describing Health Plan Benefits, Coverage
FOR IMMEDIATE RELEASE February 9, 2012 Contact: HHS Press Office (202) 690-6343 Health Reform to Require Insurers to Use Plain Language in Describing Health Plan Benefits, Coverage People in … Continue reading