HEALTHCARE NEWS
Stay Informed: Latest Updates and Insights in Healthcare!
Medicare Physician Fee Schedule 2012 update.
5/6/2012
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. Despite the “delay”, your fee schedule wil...
Blue Shield pays $2M to settle recession case
5/6/2012
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 Blue Shield's recession prac...
CDC: One-in-two Americans will have mental health issue
5/6/2012
HEALTHDAY NEWS - 9/8/2011A 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 lifetime. The cost of mental illness, including treatment and lost productivity, was roughly ...
Reminder: Technical Component of Advanced Diagnostic Imaging Accreditation Requirements Effective Sunday, January 1, 2012
5/6/2012
National Government Services 01/04/12Suppliers 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 terminology (CPT) codes attached ...
Medicare Updates Hep B Admin Code Guidance
5/6/2012
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)
5/6/2012
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 Total Care (HMO SNP),
to New Jersey residents who are eligible for both Medicare and Medicaid coverage.
This $0 p...
Harvard Pilgrim pays members to use cheaper treatments
5/6/2012
Massachusetts-based Harvard Pilgrim has started paying patients $10 to $75 each time they get medical tests at a lower cost provider.
Under Harvard Pilgrim's SaveOn program, when members get referrals from their doctors, they can call the insurer's "clinical concierge" line that directs ...
Provider Enrollment Revalidation Effort
5/6/2012
National Government Services 01/04/12
Are you looking for more information on the Provider Enrollment revalidation effort? The Centers for Medicare & Medicaid Services (CMS) has recently added to their list of Frequently Asked Questions (FAQs) specific to...
