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Anthem Finalizes Beacon Health Acquisition

Anthem has recently finalized its acquisition of Beacon Health. This deal will allow for the expansion of critical behavioral health services, which will provide more care across the country. Read the article below for more information regarding the new changes that will come to Beacon and Anthem. Anthem, Inc. on Monday said it has finalized…


Cloned Notes

When we go to the doctor, someone puts notes into our file. If you see these notes, some entires might be strikingly similar. This is called cloned notes. Below in this week’s Industry Hot Buttons, we go over cloned notes and how they can be an issue. Read the article below to find out more!…


Saying Goodbye to Cofinity.net

You may have heard that Cofinity.net is being sunset and we’ll no longer be using directprovider.com. These sites have been replaced with a new secured provider portal at firsthealth.com, a self-serve center that’ll support your network needs by offering claim search functionality, a complete client list, access to news and updates, and much more. Read…


Trump Administration Details Hospital Spending Plans in FY21 Proposed Budget

The Trump Administration has released their healthcare spending proposal for FY21. These plans are said to foster cost transparency, break down barriers impeding choice and competition, and reduce regulatory burdens. Read the article below to learn more about the Trump Administrations hospital spending plans for FY21. Hospitals cuts proposed in the FY21 budget include $117 billion…


2021 E/M Changes – Start Planning Today!

2021 brings us monumental changes to Evaluation and Management coding and reporting!  Notable changes will include: Deletion of CPT code 99201, new time reporting guidelines and modifications to criteria for medical decision-making. The new guidance also includes a revision to the work relative value units (RVU) for E/M office visits to match up with the…


Ortho Note -Incomplete Diagnosis

As Risk Adjustment (RA) and Hierarchical Condition Category (HCC) coding continue to grow and become common practice it is important for not just coders, but also our clinicians to recognize its importance and the effect it has on reimbursement. Below is an example of a procedure and notes regarding coding and why our clinician must…