Answered by Arslan Suleymanov, medical reimbursement specialist, editor-in-chief of WCH Insights: According to the New York State laws, a physician may employ or […]
Answered by Elina Sabilova, Billing Department supervisor:Recently, one of our clients, a physical therapist, has treated a patient who had been recovering from […]
The Workers’ Compensation Board is currently developing a new online business information system, OnBoard, in an effort to replace the Board’s legacy paper-based […]
Starting from February 1, 2022, FidelisCare no longer requires prior authorization for behavioral health services defined as Personalized Recovery Oriented Services (PROS). The […]
Recently, UnitedHealthcare has faxed letters to primary providers who have current Patient-Centered Medical Home (PCMH) status. In those letters, the payer outlined the […]
Effective May 6, 2022, UnitedHealthcare will no longer mail any letters related to authorizations and clinical decisions. Instead, healthcare providers are encouraged to […]
UnitedHealthcare has recently introduced new clinical guidelines for surgical and pain management services. Healthcare providers should expect to receive pre-payment requests for medical […]
Starting from the dates of service on or after February 1, 2022, UnitedHealthcare requires prior approval for physical, occupational, and speech therapy services […]
FidelisCare has recently introduced several new remittance explanation codes for services rendered to Wellcare Dual Access plan members. These numeric codes are used […]
Effective March 1, 2022, Aetna does not reimburse for office consultation services regardless of a patient’s plan. These services typically include 3 components: […]
