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 ...
In CMS
Apr 10th, 2019
Medicare Advantage (MA) enrollees have additional telehealth benefits thanks to a final rule released by the the Centers for Medicare & Medicaid Services (CMS). Telehealth Expanded Under New Rule Starting in 2020, Medicare Advantage enrollees will be able to access providers through electronic devices such as their computers, computer pads, and smart phones from their ...
Apr 4th, 2017
In an ongoing effort to strengthen the Medicare Advantage and the Prescription Drug Program by supporting flexibility, efficiency, and innovation, the Center Medicare & Medicaid Services (CMS) released final updates to the Medicare Advantage and Part D Prescription Drug Program for 2018. The final policies are similar to the proposal released in February’s 2018 Advance Notice ...
Jan 25th, 2017
The Centers for Medicare & Medicaid Service (CMS) have grown tired of Medicare Advantage provider directories’ errors, ordering 52 payers to fix them within 30 days. That’s good news for patients, and for the providers who must answer their questions. A recent CMS study revealed that of 5,832 providers, only 53.1 percent of the information about providers and ...
In CMS
Nov 9th, 2016
The Centers for Medicare & Medicaid Services (CMS) has released the Medicare Physician Fee Schedule (MPFS) 2017 Final Rule, which sets the MPFS conversion factor at $35.8887 (up slightly from $35.8279 in 2016). The conversion factor accounts for a a budget neutrality adjustment of 1.0050, a 0.5 percent update factor required by MACRA, and a ...