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Medicare 2% Payment Adjustment (Sequestration) Changes

Dec 16, 2021 | Services

Thursday, December 16, 2021 Medicare FFS Claims: 2% Payment Adjustment (Sequestration) Changes The Protecting Medicare and American Farmers from Sequester Cuts Act impacts payments for all Medicare Fee-for-Service (FFS) claims: No payment adjustment through March...

2022 – Medicare Physician Fee Schedule published

Nov 16, 2021 | Medicare

First Coast Service Options, Inc., the current Medicare Administrative Contractor (MAC), has published the 2022 Physician Medicare Fee schedule. 2022 Conversion Factor With the budget neutrality adjustment accounting for changes in relative value units (RVUs), as...

Medical Cost Disputes to Be Settled by Arbitrator

Oct 5, 2021 | Services

Health insurers and medical providers who can’t agree on the cost of a treatment or service will soon be settling their differences through an independent resolution system that will render decisions that shape billions of dollars in healthcare spending.d On September...

Medicaid ROPA requirement

Sep 22, 2021 | Medicaid

Effective 10-1-21: Medicaid Claims will Deny if Referring, Ordering, Prescribing, and Attending Providers are Not Enrolled Effective October 1, 2021, Florida Medicaid Claims will Deny if Referring, Ordering, Prescribing, and Attending Providers (ROPA) are Not...

BlueCross BlueShield – Submitting over 12 Diagnosis

Aug 31, 2021 | Medicare

How to Submit Claims with Additional/Supplemental Diagnoses If your practice management system limits the number of diagnoses, you can submit a supplemental claim to capture all diagnoses for Risk Adjustment and Healthcare Effectiveness Data and Information Set...

BCBS-FL switching Out Legacy Claim Status with Availity

Jun 4, 2021 | Health Insurance, Services

BlueCross BlueShield of Florida is Switching Out Legacy Claim Status withAvaility’s All Payer Application On June 19, 2021, Florida Blue’s Go to Legacy App button will disappear fromAvaility®1. To check the status of a claim, you will have one option, Availity’s All...