In May 2022, Cigna announced that it would begin requiring the submission of medical records for all claims billed with E/M codes 99212-99215 and a modifier 25 to support an additional separately billable service or procedure on the same date of service. The original Cigna announcement indicated this new rule would go into effect on…
With 2023 nearing, Medicare is planning and getting ready to start implementing its new policies which include possible pay cuts for physicians. These will include expanding the realms that they offer even though they are being met with opposition and concerns about ideas that could use polishing. Continue reading to learn more about what’s to…
Although there is no clear prediction for the markets in the coming year, insurance companies are still planning on widening their clientele and trying to increase profits. Not only are they growing in terms of location but also the kinds of health benefits that they will offer to these Medicare users. Continue reading to learn…
Recently new billing codes were added for providers to better their system but errors discovered within them have stopped them from being as effective. Not only does this make things harder for the patients but also for the providers who could be benefitting. Continue reading to learn more. Physicians left a large amount of money…
Colorado recently became one of the first states in the nation to offer a state-specific coverage plan that will reduce health care costs and allow citizens to have improved access to more reasonable care. Depending on how successful this is, it could mean more policies like this in more states around the US. Continue reading…
The current state of the U.S. specialty health care system is in need of improvements. Being that a large percentage of medical visits are for specialists, the efficiency of the system could be improved for the sake of customers and physicians. Continue reading for four potential solutions and the challenges that could follow. Specialists dominate…
Because of the hardships physicians have faced in the past few years, many of them are experiencing issues like burnout and exhaustion. In order to attempt to better this, the American Medical Association has developed a plan with ideas to bring morale back. Continue reading to learn more about these developments. The American Medical Association…
The American Medical Association conducted a survey in late 2021. The results of this 1,000 physician survey show that prior deals made with payers are not being upheld. Continue reading to learn more about the authorization reforms and what this means for insurers. Health insurers are not holding up their end of the bargain on…
As Medicare Advantage expands, it is important to be aware of the advantages and disadvantages that it presents. Varying from the kinds of providers patients can see to the privatization of conventional Medicare, there are different factors that will have different effects on everyone. Continue reading to learn more. Participants, supporters, and opponents weigh in…
Since 2014, Lisa French has been disputing the accusations that she was informed and agreed to the hospital’s “chargemaster” rates which allowed them to charge her incorrectly for a procedure at the time. This past week, the courts ruled in her favor. Continue reading to learn more about the incident. After Lisa French’s doctors warned that…