by Lorraine Molinari | 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...
by Lorraine Molinari | 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...
by Lorraine Molinari | Apr 22, 2021 | Services
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the sequestration payment adjustment percentage of 2% applied to all Medicare Fee-for-Service (FFS) claims from May 1 through December 31, 2020. The Consolidated Appropriations Act, 2021,...
by Lorraine Molinari | Apr 1, 2021 | Services
Updated Tuesday, March 30, 2021 In anticipation of possible Congressional action to extend the 2% sequester reduction suspension, we instructed the Medicare Administrative Contractors (MACs) to hold all claims with dates of service on or after April 1, 2021, for a...
by Lorraine Molinari | Mar 12, 2021 | Services
Updated March 9, 2021 On Nov. 1, 2019, the Centers for Medicare and Medicaid Services (CMS) finalized a historic provision in the 2020 Medicare Physician Fee Schedule Final Rule. This provision includes revisions to the Evaluation and Management (E/M) office visit...
by Lorraine Molinari | Jan 3, 2021 | Services
The Coronavirus Aid, Relief, and Economic Security (CARES) Act suspended the paymentadjustment percentage of 2% applied to all Medicare Fee-For-Service (FFS) claims from May 1through December 31. The Consolidated Appropriations Act, 2021, signed into law on...
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