New Articles

  1. UHC to move to digital VCP statements beginning February 3, 2023

    Beginning February 3, 2023, United Healthcare (UHC) will stop mailing VCP (Virtual Card Payment) statements and instead offer them through their UHC Provider Portal for you to view and/or print as needed. Per United Healthcare, this change...
  2. Medicare changes rules with CMN and DIFs effective January 1, 2023

    Beginning with the date of service January 1, 2023, you no longer need to submit certificates of medical necessity (CMN) or durable medical equipment information forms (DIF) for Medicare patients. CMS has stated that if they are included, the...
  3. CPT 2023 - Are you ready?

    Each year, the AMA releases new and revised codes that reflect what is happening in medicine and upon feedback received from medical providers. New technology, new viruses/illnesses, and new understandings are all considered whe...
  4. United Healthcare (UHC): Reconsideration and Appeals

    Did you know that beginning February 1, 2023, you will be able to submit claim appeals and reconsiderations electronically through UHC's portal? According to UHC, this change will affect commercial and Medicare Advantage plans. It does ...
  5. Medicare to eliminate pre-auth requirements for some DME beginning Jan 1, 2023

    Effective January 1, 2023, Medicare is eliminating certificates of medical necessity (CMN) and durable medical equipment information forms (DIF) for some services. If either a CMN or DIF is submitted with claims for dates of service January...
  6. 2023 Clinical Lab Fee Schedule

    The Centers for Medicare and Medicaid Services (CMS) has released the 2023 Clinical Lab Fee Schedule. It includes mapping new CPTs for clinical lab testing and updates for costs subject to the reasonable charge payment. The files can be acces...
  7. CY 2023 Proposed Medicare Physician Fee Schedule

    Due to the massive (2,066 pages) size of the CY2023 Medicare Physician Fee Schedule, CMS has released a 12-page summary of the key provisions that you need to know. Comments can be made on the proposed fee schedule until September 6, 2022. The...
  8. Telehealth and Proposed CY 2023 Medicare Fee Schedule

    The Centers for Medicare and Medicaid Services (CMS) recently released its proposed CY 2023 fee schedule that included specific provisions related to telehealth. Highlights include: Extending services added to the Medicare Telehealth se...
  9. CMS 2023 Physician Fee Schedule Look up Tool

    The Centers for Medicare and Medicaid Services (CMS) has updated the online look-up tool to include physician updates for multiple years. Here is the link: https://www.cms.gov/medicare/physician-fee-schedule/search ...
  10. ICD-10 updates effective October 1, 2022

    The Centers for Disease Control and Prevention (CDC) have finalized the 2023 release of ICD-10 codes. The codes will be in effect from October 1, 2022, through September 30, 2023. This year's update includes 1,176 new diagnosis codes, 28 ...