Key Ways Providers Can Prepare for New Surprise Billing Rules

Key Ways Providers Can Prepare for New Surprise Billing Rules

Providers should be preparing now for new surprise billing rules slated to take effect next year under the No Surprises Act. Starting January 1, 2022, healthcare providers will be subject to a new surprise billing law that makes it illegal for providers to bill...
January 1, 2020 co-pays temporarily suspended by DHS

January 1, 2020 co-pays temporarily suspended by DHS

The Wisconsin Department of Health Services (DHS) will temporarily suspend Medicaid and BadgerCare Plus member co-pays for dates of service on and after January 1, 2020. Per federal law, members enrolled in most forms of Medicaid may not be charged premiums and...
New Medicare Card: Claim Reject Codes After January 1, 2020

New Medicare Card: Claim Reject Codes After January 1, 2020

Get paid. Use Medicare Beneficiary Identifiers (MBIs) now. If you do not use Medicare Beneficiary Identifiers on claims (with a few exceptions) after January 1, you will get: Electronic claims reject codes: Claims Status Category Code of A7 (acknowledgment rejected...
Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

Anthem BCBS is offering reimbursement for the use of CPT Category II Codes

These CPT Category II codes can be billed once per member per service per calendar year. The CPT Category II codes are:  3117F – for patients who have congestive heart failure; heart failure disease-specific structured assessment tool completed. Provider completes...