Learn how to speak the same language as your payer. Every part of the revenue cycle has an impact on reimbursement, as well as on each other. For example, it’s important for the person making the appointment to confirm whether authorization is necessary before services are rendered because the lack of authorization information at the ...
In Billing
Aug 5th, 2019
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, 2019, your Anthem Blue Cross and Blue Shield (Anthem) Provider Agreement(s) will be amended to require the ...
Communicating with patients about their medical bills doesn’t have to be a lesson in patience. “But my insurance says they’ll pay for it if you change the code!” That’s probably not what the payer said, but it’s what the patient heard. Patients’ out-of-pocket expenses are at an all-time high, causing them to scrutinize their medical ...
Jul 29th, 2019
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 50 when bilateral procedures are performed. The instructions from Novitas state that bilateral services should be ...
Jul 29th, 2019
July is a busy month for medical coders and billers because so many CPT and HCPCS Level II code changes are implemented July 1. It’s hard to keep track of all the changes, but it’s essential that you do to ensure your coding/billing is correct. Here are several coding and policy updates you will need ...