New Medicare Health Insurance Cards

New Medicare Health Insurance Cards

Reminder by Beth Turnbaugh, Director of Billing Operations As of January 1, 2020, Medicare will not accept claims with the patient’s Health Insurance Claim Number (HICN) –patients’ social security number (SSN). They are requiring the new Medical Beneficiary Identifier...
Our Warmest Thanks

Our Warmest Thanks

Uncategorized by Gary Conway – President Dear RCM Clients – Another great year is quickly coming to an end. I’m feeling somewhat nostalgic as we celebrate the Holidays for our 36th year! All of us here at RCM are so very thankful to you.   It is, and has...
2019 Year End

2019 Year End

volcom2278 by Lori Gutierrez – Vice President It’s hard to believe another year is coming to an end, but here we are. There is a saying, the older you get the faster it goes. Some liken it to a roll of toilet paper, the closer you get to the end the faster the roll...
Coding Alert – Diagnosis Descriptions

Coding Alert – Diagnosis Descriptions

Coding Alert – Diagnosis Descriptions 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...
Reminders

Reminders

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...
Prepayment Clinical Validation Review Process

Prepayment Clinical Validation Review Process

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...