From medicine to business and wellness
The Risk Adjustment Data Validation (RADV) program is mandatory to remain compliant with the Health and Human Services (HHS). To facilitate the audit program, UnitedHealthcare must provide supporting documents for their members’ medical encounters.
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From Jan. 1, 2021, there will be new health plans built around Empire BlueCross BlueShield (“Empire”) Blue High-Performance Network. Read…
Empire BlueCross BlueShield (Empire) will update the Modifiers Impacting Adjudication code list to not allow reimbursement for CPT® code 99211…
Effective March 1, 2022, healthcare providers will have to obtain prior approval to administer three specific injections. The following medications…