Anthem and UnitedHealthcare Running Billions Behind in Payments

Anthem and UnitedHealthcare Running Billions Behind in Payments

Anthem and UnitedHealthcare are among the list of major insurers who are running billions of dollars behind in payments to hospitals and doctors. New reimbursement rules, computer problems, and mishandled claims have caused insurers to fall so behind in their payments, continue reading below to learn more! Anthem Blue Cross, the country’s second-biggest health insurance company, is behind…

Tele-behavioral health services

Advocates Press CMS to Make Permanent Rural Tele-behavioral Health Services

Telehealth became a great resource during the pandemic by allowing individuals to still access healthcare, and advocacy groups are urging for the continued use of these tele-behavioral health services. Rural communities have been greatly impacted by the help of tele-behavioral health services and would benefit greatly from their continued use, continue reading below to learn more! Twenty advocacy groups have…

no surprises act delayed

No Surprises Act Provision Delayed

The No Surprises Act has been deferred until further notice by the Departments of Health and Human Services. The act requires providers and facilities to provide good faith estimates for their insured payments, continue reading below to learn more! The Departments of Health and Human Services, Labor, and Treasury will defer enforcement of the No…

Care Management Services Guidelines and CY2022 Proposed RVU Changes

Care Management Services: Guidelines and CY2022 Proposed RVU Changes

Per the most current Federal Register CMS has proposed significant RVU/Fee increases for Chronic Care Management service (CCM) in CY 2022. The following table shows the 5 CCM CPT codes with the proposed increase in RVU/Fees for CY 2022, followed by the current Care Management Service and Coding guidelines. Many practices undervalue Care Management services…