Question: Why can’t I see the deductible information for some patients when checking eligibility? Answer: Maria Chechina, CPC, Billing Department Supervisor at WCH […]

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Question: I’m spending lots of time completing paper superbills and sending them very late to my billing company. It causes late filing denials […]

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Question: What is a v-card? Answer by Violetta Saribekyan, CRMS The Virtual Card Payment allows you to deliver payments electronically using a secure, one-time-use […]

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There is an amendment to the authorization rules for podiatric services of the Medicaid, Essential and Metal Level Plans.  To know the specifics, […]

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Effective April 1, 2021, new codes will be added to the Prior Authorization List for some UnitedHealthcare Community Plan members. To know the […]

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Review MetroPlusHealth  PCP In-Office Laboratory Testing and Procedures List covered to PCPs. You need to be logged in to view the rest of […]

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Horizon BCBSNJ collaborates with eviCore healthcare to manage prior authorization and medical necessity determination (PA/MND) review of advanced imaging services, and effective April […]

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Empire BlueCross BlueShield policy language has been updated to apply a five percent multiple imaging reduction to the professional component of certain diagnostic […]

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Starting with dates of service on or after April 1, 2021, Empire BlueCross BlueShield has updated policy to reflect limitations for physical, occupational, […]

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Review Medicare criteria to consider a patient as a homebound patient. To find out details, read along! You need to be logged in to […]

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