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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…
DetailsWhen 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!…
DetailsYou 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…
DetailsFebruary is Heart Health Awareness Month, so we all wear red and talk about our hearts, but what are we doing every day to make sure we are keeping it healthy? How many hours each day, week, month do we each spend at our desks without so much as a break to get water? If…
DetailsThe 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…
DetailsIn a recent release of 2018 benchmarks regarding modifiers 76, 77 and 79, the data of payment vs denials is staggering. For instance, a total of 159 codes reported with 91 and 249 codes that were reported using modifier 77 all had a 100% denial rate. Compared to the 952 codes that were denied when…
Details2021 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…
DetailsAs 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…
DetailsDuring the State of the Union address, President Trump discussed the price transparency rule and slammed Medicare for all. Below are some of the main points President Trump made during the speech which included drug pricing plans, association health plans, and more. Read below for more information! President Donald Trump delivered his third State of…
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