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No is a request for information In all things inter-personal, No means No. In managed care contracting, No is a request for information. In other words, if you have a reasonable request which makes sense, don’t take no for an answer. It may take time, it may take a different approach but stay on it,…
DetailsAs many of you have been following this story, a new update has been released regarding the Anthem payment cut. Read the latest update below, including quotes from Anthem Executive Vice President and Chief Clinical Officer, Craig Samitt. The company had planned to reduce by 25 percent payments for evaluation and management services reported with…
DetailsRecent news released by The Colorado Medical Society shares the response from Anthem regarding the reduction of payment for services that are provided on the same day. Read below for more information on the correspondence between CMS and Anthem: The Colorado Medical Society, American Medical Association and other state medical societies have been actively advocating…
DetailsLeading insurance company, Aetna has been under investigation for insurance claim reviews by former medical director for the company. Health insurance is a tough industry to navigate to ensure proper charges and reimbursement but RT Welter is ready to help! Contact us today to see how we can help your practice so you can get…
DetailsNew information has been released by the Centers for Medicare and Medicaid Services, for new medicare cards, being sent beginning April 1, 2018. To help you prepare for the transition to the Medicare Beneficiary Identifier (MBI) on Medicare cards, review the new information about remittance advices.
DetailsRT Welter & Associates is excited to present our new Code Spotlight! Each month, RT Welter & Associates will spotlight a unique CPT or ICD-10 code to profile and discuss practice applications of the code, as well as pertinent guideline reminders. Correct CPT and ICD-10 Codes with modifiers and units: 27658 (LT modifier) – Repair,…
DetailsFederal funding to run through September 2023 Denver, CO – Congress approved a long-term, six-year funding extension for the Children’s Health Insurance Program known as Child Health Plan Plus (CHP+) in Colorado. CHP+ covers more than 75,000 kids and nearly 800 pregnant women in Colorado. The Department of Health Care Policy and Financing (Department) will…
DetailsIn the new 2018 Quality Payment Program (QPP) Final Rule, the Centers for Medicare and Medicaid Services (CMS) has outlined a wide range of changes to its value-based care programs. Are you and your EHR vendor prepared? 2018 marks the second year of the Merit-Based Incentive Payment System (MIPS), and the requirements are…
DetailsHospitals across Colorado must begin posting self-pay prices Monday for the most common procedures and treatments they offer — a potential first step in bringing more cost transparency to a sector whose pricing ambiguity has frustrated consumers and public officials alike. The move is mandated by Colorado Senate Bill 65, a 2017 measure from Republican…
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