medical billing news

Fetal Coding: Aetna Updates Clinical Policy Bulletin for Fetal Echocardiograms

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May 8, 2012 On April 24, 2012, Aetna updated Clinical Policy Bulletin (CPB) #0106 for fetal echocardiograms. If you render any maternal-fetal services, or likewise do the medical billing for any speciality that accepts commercial insurance, you should make yourself familiar with Aetna’s Clinical Policy Bulletins. These CPB’s clearly define Aetna’s standards regarding medical necessity […]

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HHS Press Release: HHS Announces Intent to Delay ICD-10 Compliance Date

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February 16, 2012 On February 16, 2012, U.S. Department of Health and Human Services (HHS) Secretary Kathleen Sebelius announced that HHS intends to delay the compliance date for ICD-10. Currently, the compliance deadline stands at October 1, 2013 (which is already a two-year delay from the original date outlined in the January 2009 final rule).

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Incentive Payments for Maryland Physicians that Practice in Underserved Areas

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February 2, 2012 The state of Maryland is considering a proposal for the creation of “health enterprise zones.” These “health enterprise zones” would consist of rural and urban regions in Maryland in which the population has notably underserved medical needs; primary care physicians and healthcare providers who practice in these regions would then be eligible

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Billing Update for Anesthesia Providers: Not-Otherwise-Classified (NOC) Codes

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January 31, 2012 On January 30, 2012 Medicare amended its Not-Otherwise-Classified (NOC) code set to remove unspecified anesthesia codes (CPT’s 00100 through 01996) from the list of codes that require a specific description to be supplied in order to pass 5010 edits. While this change may seem minor, it is indeed good news for medical

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Medicare continues to expand preventive services

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January 23, 2012 Medicare’s recent policy changes reflect a heightened awareness of the value of preventive care. The newest changes include reimbursement to providers that offer alcohol misuse counseling, cardiovascular screenings, depressions screenings, and obesity screening and counseling. Additional preventive services that Medicare currently covers include annual wellness visits, abdominal aortic aneurysm screenings, bone mass

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iPad apps for Physicians

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January 19, 2012 While our medical billing team keeps on the cutting edge of technology developments on our end of the healthcare reimbursement cycle, we also want our physicians to share in the wealth of available technological resources. Smart phones and tablets are becoming widely used in healthcare, and many applications are being designed specifically

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Relevant news for Carefirst Bluecross Blueshield Providers

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January 16, 2012 As we launch into 2012, Carefirst has several new updates to their plans and policies: Carefirst recently launched its new insurance plan, HealthyBlue 2.0. For information on how to recognize this plan and how to properly bill for services, healthcare providers can sign up for free training with Carefirst. Visit www.carefirst.com/providers and

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