Anthem has updated its professional reimbursement policy. This policy change requires that claims with physical medicine services 97010-97799 will require modifier GP. The modifier is required for dates of service after April 1, 2021. Any PT now billed to Anthem Read more…
Are you aware of the 2021 Medicare fee schedule update? On December 27, the Consolidated Appropriations Act, 2021 modified the Calendar Year (CY) 2021 Medicare Physician Fee Schedule to… https://www.youtube.com/watch?v=TNkTCW3jtgw Welcome to your billing and coding weekly solutions by H.J.Ross Read more…
Itâs official: California workersâ compensation has a new Medical-Legal Fee Schedule (MLFS). These new fees and codes took effect on April 1, 2021. This will affect all QMEâs of course, but also a provider who is providing a report for Read more…
How will your practice be impacted by the 21st Century Cures Act? All healthcare providers are affected by the 21st Century Cures Act, which goes into effect April 5, 2021. Welcome to your billing and coding weekly solutions by H.J. Read more…
CMS is temporarily holding claims from providers in anticipation of legislation that will extend the suspension of the 2 percent Medicare sequester. The Med Learn Network Connects newsletter from March 30 stated that CMS has âinstructed the Medicare Administrative Contractors Read more…
This act specifies that clinical notes collected in an electronic format must be made available in that format and made available free of charge to patients. Practices may continue using paper charts, and if you do not use electronic records, Read more…
Are you aware there are CPT codes no longer covered by Cigna? Effective March 15, 2021, Cigna will no longer pay for claims that include… Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your Read more…
Are you aware of VA rate changes for 2021? As of January 1, 2021, the US Department of Veterans Affairs (VA) phased in a new approach for its community care fee schedule payment rate calculations that better align VA to Read more…
JUST A REMINDER!!!  97026 & 97016 CIGNA WILL STOP PAYING THESE CODES Effective March 15, 2021, Cigna will NO LONGER pay for Heat Lamp 97026 & Vasopneumatic Devices 97016. It is effective for claims with dates of service on or Read more…
Are you aware of rate and deductible changes for Medicare? This year Medicare rates were to have been reduced by 10% for all services other than E&M codes. https://www.youtube.com/watch?v=N8ODdqbySuo Welcome to your billing and coding weekly solutions by H.J.Ross Company Read more…