Anthem Changes Timely-Filing Deadlines

Anthem has sent out a notice to all providers who have signed non-Medicare or Medicare Advantage contracts with them, stating: “Effective for all commercial and Medicare Advantage Professional Claims submitted to the plan on or after Oct. 1, … For more, read here: AAPC Blog Related Posts:Anthem Pays Largest HIPAA FineAnthem Investigator Charged with Fraud

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Reporting Bilateral Services: Conflicting Information Causes Confusion

Payer-specific rules — especially rules that vary for every claim — not only make collecting revenue difficult, but also add to the cost of collection of monies earned by the physicians. A blog clarifies Novitas’ instructions for reporting modifier … For more, read here: AAPC Blog Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…Compliance Services2021 Physician Fee Schedule Final Rule – Prolonged ServicesCMS Proposes Add-on Codes for E/M ServicesSpeaking ServicesRequirements for Reporting Allergy Services Are…

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98point6 Wants to be Amazon Prime of Primary Care

A Seattle company looks to make primary care as easy as buying something off of Amazon.com. 98point6 is a Seattle start-up brain child of Rob Schwietzer who scaled Amazon Prime from thousands to millions and CEO Robbie Cape from Microsoft. 98point6 … For more, read here: AAPC Blog Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…How to Document E/M with Counseling and Coordinating CareIs Direct Primary Care the Answer?3 Issues in 2019 Virtual CareBundled Payments Reduce Care Cost

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Medicare Part D Prescription Drug Model to Change in 2020

There are big changes on the horizon for the Medicare Part D prescription drug model, and they’re going to affect medical coders. The current reimbursement system and payment model for Part D creates incentives for plans to push patients to the … For more, read here: AAPC Blog Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…CMS Goes After Medicare Advantage OverpaymentsPrevent Medicare Claims Denials in 2020Changing the Way Medicare Pays DoctorsAppeals Backlog Gone in 4 Years: Medicare

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Technology Outlook in Health: 2019

A lot of things are happening on the technology front in healthcare. These changes will impact medical coding and billing, compliance, and practice management. Health Technology – Amazon It starts with Amazon’s announcement that they are going to join… For more, read here: AAPC Blog Related Posts:E/M Documentation for Teaching Docs Changes July 1, 20193 Issues in 2019 Virtual CareE/M: 2019 Proposed Physician Fee Schedule – Next Steps

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Anthem Rescinds Modifier 25 Payment Reductions

Anthem has sent a letter to the AMA to announce they are rescinding the policy reducing payment for physicians when billing an E/M with a modifier 25 and a procedure that has zero or 10 global days. Anthem was planning on taking a 25 percent reductio… For more, read here: AAPC Blog Related Posts:Anthem Pays Largest HIPAA FineCMS Proposes Payment Changes to Endoscopic Sinus CodesNo Changes to E/M Payment Until at Least 2021Anthem Investigator Charged with FraudAnthem Changes Timely-Filing DeadlinesCMS Proposes a Single E/M Payment, Streamlined Doc…

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