HEALTHCARE NEWS
Stay Informed: Latest Updates and Insights in Healthcare
EHR Systems: Enhancing Interoperability and Usability in Healthcare
7/11/2024
In the fast-paced world of healthcare, Electronic Health Records (EHR) systems have become indispensable. These digital versions of patients' paper charts offer a comprehensive view of patient histories, improving the efficiency and quality of care. However, as the demand for better healthcare servi...
How to Get Credentialed with Insurance Companies
6/4/2024
Getting credentialed with insurance companies is an essential step for healthcare providers who wish to accept insurance from patients. This process involves verifying a provider’s qualifications and ensuring they meet the standards set by the insurance company. Here’s a step-by-step gui...
Provider Credentialing with CredyApp: A Guide to Efficient Provider Verification Credentialing software
5/31/2024
Credentialing processes in healthcare organizations are continually evolving to ensure patient safety and quality care delivery. Here are some updates and best practices:Digital Transformation: Many healthcare organizations are transitioning from manual, paper-based credentialing processes to ...
2013 CPT Coding Changes for Psychiatrists and Behavioral Health Providers
6/27/2023
2013 brings big coding changes for prescribers and non-prescribers alike. On the psychiatry front, perhaps the most notable change is the elimination of the med-management code 90862. The 908XX psychiatric code series (90807 and 90817, for example) which covered therap...
Major Therapy Reimbursment Changes Starting October 1st, 2012!
6/27/2023
Starting October 1, 2012, claims for patients who meet or exceed $3,700 in therapy expenditures will be subject to a manual medical review. For outpatient therapy services that exceed $3700 there will be an advanced approval process that will be implemented in three distinct phases. Providers will b...
Final date for the implementation of ICD 10 would be moved forward.
6/27/2023
As part of President Obama’s commitment to reducing regulatory burden, Health and Human Services Secretary Kathleen G. Sebelius today announced that HHS will initiate a process to postpone the date by which certain health care entities have to comply with International Classification of Diseas...
Medicare Physician Fee Schedule 2012 update.
6/27/2023
INTERNET 12/30/2011
The Temporary Payroll Tax Cut Continuation Act of 2011 (H.R. 3765) signed by President Obama on December 23, 2011, provides for a 60-day delay in the 27.4% cut in Medicare physician reimbursement scheduled to take effect on January 1, 2012. ...
Blue Shield pays $2M to settle recession case
6/27/2023
Blue Shield
Blue Shield of California is paying $2 million to settle allegations that it improperly stopped covering members when they became sick and required expensive treatment.
The insurer decided to settle a 2008 suit, in which the Los Angeles City Attorney's Office alleged...
Open Meetings for Local Coverage Determinations
6/27/2023
INTERNET - 9/8/2011
In accordance with the Centers for Medicare & Medicaid Services (CMS) directive to include information and opinions from members of the general public as part of the local coverage det...
Reminder: Technical Component of Advanced Diagnostic Imaging Accreditation Requirements Effective Sunday, January 1, 2012
6/27/2023
National Government Services 01/04/12
Suppliers of the technical component of Advanced Diagnostic Imaging that are billing with a service date on or after Sunday, January 1, 2012, must evidence an active accreditation date for diagnostic imaging of current procedural term...
Medicare Updates Hep B Admin Code Guidance
6/27/2023
Effective for claims processed with dates of service on or after Jan. 1, 2011, Outpatient Prospective Payment System (OPPS) providers should report HCPCS Level II code G0010 Administration of hepatitis b vaccine for the administration of hepatitis b vaccine, rather than CPT® 90471 Immunization ...
Horizon Medicare Blue TotalCare (HMO SNP)
6/27/2023
Horizon Blue Cross Blue Shield.January 1, 2012
Effective January 1, 2012, Horizon Healthcare of New Jersey, Inc. will offer a Special Needs Plan (SNP), Horizon Medicare Blue TotalCare (HMO SNP),
to New Jersey residents who are eligible for both Medicare and Medicaid coverage.
This $0 pre...
CDC: One-in-two Americans will have mental health issue
6/27/2023
HEALTHDAY NEWS - 9/8/2011
A report from the CDC says that about 25% of Americans experienced mental illness in the past year, and experts project that about half will suffer a form of mental illness in their ...
Doc groups blast $320B Medicare, Medicaid cuts in 2013
6/27/2023
In response to yesterday's release of the White House budget proposal, provider groups are quickly blasting the President's proposed $320 billion cuts to Medicare and Medicaid, fearing repercussions for hospitals and their patients.
First announced in September, the federal plan targets $3.8 tri...
CMS Starts Immediate Recoupment for Overpayments
6/27/2023
The Centers for Medicare & Medicaid Services (CMS) is implementing an immediate recoupment process for demanded overpayments. As it stands, Medicare contractors begin recoupment of an overpayment on day 41 from the date of the initial demand letter. Effective July 1, 2012, however, providers can...