Billing & payment news for providers
- 01/27/2023: Related readmissions policy updates coming April 27
- 1/26/2023: Reprocessing Medicare inpatient claims
- 1/19/2023: Retiring level II audit appeals on Mar. 19, 2023
- 1/18/2023 New provider types accepted for hospice and home health claims
- 12/27/2022: Medicare therapy cap changes effective January 1
- 12/23/2022: Edits Checker tool gets an upgrade
- 12/23/2022: How we're addressing the 340B-Acquired Drugs ruling
- 12/23/2022: Update to secondary claim process
- 11/14/2022: 2023 commercial fee schedules are available
- 10/24/2022: Turning off four clinical edits
- 10/19/2022: Fixing a chemotherapy clinical edit error
- 09/15/2022: Visit our updated Medicaid Billing webpage
- 09/15/2022: Unspecified Codes clinical edit coming October 11
- 08/29/2022: Save remittance advice files within 90 days
- 08/16/2022: New clinical edit goes into effect Oct. 15, 2022
- 08/10/2022: New clinical edit coming Oct. 1, 2022
- 07/15/2022: Duplicate RAs in Filemart, slight paper check delays this week
- 07/13/2022: Legacy THC providers must wrap up claims, appeals by Dec. 31, 2022
- 07/12/2022: New clinical edits coming Sept. 15, 2022
- 07/12/2022: Medicaid claims rejection issue resolved
- 06/30/2022: New clinical edits announced in June 2022
- 6/03/2022: New clinical edits going into effect
- 06/03/2022: Medicaid claims rejection issue resolved
- 05/20/2022: New clinical edit and medical policy for pain management
- 05/19/22: New clinical edits for professional and facility claims
- 05/13/2022: We're working to resolve Medicaid claims being rejected incorrectly
- 05/09/2022: New billing guidance for follow-up colon cancer screenings
- 04/14/2022: New virtual care billing requirement or FQHCs and RHCs
- 04/13/2022: Reporting other insurance on Medicaid claims for vision, NEMT and MIHP providers
- 04/06/2022: Appeal vs claim inquiry: Steps for faster claim resolution
- 04/06/2022: Change to referring/ordering/attending editing for Medicaid claims
- 04/05/2022: Paper claim payments delayed
- 03/16/2022: Bill bilateral procedures separately starting Jun. 1, 2022
- 02/28/2022: Incorrectly denied DME claims will reprocess automatically
- 02/28/2022: Resubmit claims for Medicaid members with other insurance
- 01/31/2022: Anatomic modifiers required starting Apr. 1, 2022
- 01/19/2022: New COVID-19 vaccine CPT code for 5-11-year-olds
- 01/19/2022: Submitting claims for Medicaid members with other insurance
- 01/12/2022: Use POS 10 for virtual visits in the patient's home
- 12/15/2021: What makes a good appeal? Tips from our Reimbursement team
- 12/15/2021: Medicare therapy threshold changes effective Jan. 1, 2022
- HealthbyChoice payments coming in January |Provider News
- 12/02/2021: CMS is resuming standard sequestration
- 11/23/2021: Multi-panel lab tests for viral infections aren't covered
- 11/08/2021: Medicaid edit 21007 is a front-end rejection
- 11/05/2021: Chiropractors updated CMS LCD now in effect
- 11/02/2021: New payment policy for unbundled services going into effect Jan. 1, 2022
- 10/28/2021: Changes to COVID-19 vaccine and lab testing billing coming Jan. 1, 2022
- 09/01/2021: Changes to appeals process coming Nov. 1
- 08/18/2021: COVID19 treatment $0 cost share will end on Sept. 30, 2021
- 07/16/2021: MDHHS has updated the billing requirements for G2025
- 01/05/2021: Appeals tips for Medicare non-contracted providers
- 04/02/2018 Care management claims rejected in error
- 03/01/2018: New unlisted codes claims process for facilities
- 03/01/2018: Services reported on split claims
- 02/28/2018: Enteral nutrition therapy S9340 doesn't cover pre-mixed formula
- 02/21/2018: New remittance advice codes for Medicare/Medicaid dual-eligibles
- 02/05/2018: Pressure-reduction device auth change
- 01/26/2018: Care management claims processing changes
- 01/01/2018: 2018 Update for commercial/Medicare APC hospital rates
- 2017