A new survey of physicians finds they are still facing burdens meeting prior authorization requirements despite a voluntary 2018 agreement among payer groups to reform the practice. The survey was…
Some of the state’s most influential doctors’ groups are pressing the insurance commissioner to investigate a change that Blue Cross and Blue Shield of Texas is making to its emergency…
Recent survey results from the Workgroup for Electronic Data Interchange (WEDI) seem dire for physician practices, but the numbers may not tell the whole story. The WEDI survey, released amid…
For many months now, the AAFP has urged family physicians to prepare for this year's Oct. 1 deadline for implementation of the ICD-10-CM code sets for outpatient diagnostic coding. A…
Upcoming policy change will slash your payments by half.
Big changes are on the horizon if you participate with insurance provider Horizon Blue Cross Blue Shield (BCBS) of New Jersey.
In a recent memo, BCBS states that effective May 17,...
Include this term in Box 19 to indicate the type of implant. Question: One of our surgeons says we should use a total hip code for Birmingham resurfacing even if he doesn’t complete a total hip procedure; another physician says to use an unlisted code . What’s the correct answer? Washington Subscriber Answer: Both of your physicians could [...] Related articles:
New rules for consult coding straight from the AMA Meeting in Chicago — plus where your practice will gain and lose reimbursement. If you can’t figure out how to match a low level consult to an initial hospital care code, you’re not alone. Code 99251 doesn’t crosswalk to 99221, agreed William J. Mangold, Jr., MD, JD, Noridian [...] Related articles: