by volcom2278 | Oct 24, 2019 | Uncategorized
by Nicoleta Rahovan Lead Coder CPC CANPC It’s October and as coders, we know this is the month when the ICD-10-CM for 2020 diagnosis codes are being implemented. Starting with October 1st DOS we need to make sure we correctly incorporate the updated 2020...
by volcom2278 | Sep 24, 2019 | Uncategorized
Anthem Effective October 1, 2019, Blue Cross will require providers to submit their charges within 90 days from the date of service. It is imperative that RCM get these cases as soon as possible to verify coverage and submit the claim within the 90 day window to...
by volcom2278 | Aug 4, 2019 | Uncategorized
Effective with dates of service on or after September 5, 2019, multiple Anthem plans announced they will initiate a prepayment clinical validation review process for claims with a number of modifiers, including 25 (Significant, separately identifiable...
by volcom2278 | Jul 16, 2019 | Uncategorized
Several changes over the past few years have made the act of collecting what was once considered “easy billing” significantly more challenging: AB72 rules GI reimbursement policies Surge of Medi-Cal members into PPO plans and HMO relationships Enrollment requirements...
by volcom2278 | Jul 15, 2019 | Uncategorized
NEW TIMELY FILING LIMIT FOR ANTHEM BLUE CROSS PROVIDERS Do you typically submit your cases for billing 60+ days following the date of service? You could be headed for hard times! Effective 10/1/2019, all claims must be received by Anthem no later than 90 days...
