Industry News
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Top Denial Reasons
Payment delays, write-offs triggered by insurance denials and increasing patient financial responsibility represent serious obstacles to the growth and survival of medical practices. Reimbursement cycle
UHC Pre-Authorizations on “Buy & Bill” Drugs
A general warning to any practices that purchase drugs administered to patients and then bill the patients’ health insurance for reimbursement. We have recently seen
2019 Medicare Physician Fee Schedule
The 2019 Medicare Physician Fee Schedule goes into effect with service dates on and after January 1, 2019. The 2019 MPFS conversion factor is increasing
MultiPlan Contract Ammendment to Watch For
MultiPlan began sending notice of a contract amendment in December 2018 that will auto-enroll contracted practices with a third party service called Simplicity, effective March
UHC Adds New Claim Edit on Labs
United Healthcare initiated a national project as of September 1, 2018 in which all qualifying lab codes billed (with the QW modifier) are subject to
2019 MIPS Payment Adjustments
2019 represents the first year of MIPS payment adjustments (which tie back to 2017 performance data). Practices may see a positive or negative adjustment on
CMS Quality Payment Program
CMS has proposed changes to the 2018 Quality Payment Program (QPP) intended to reduce data entry and paperwork and increase the focus on patient care.
New Medicare ID’s (MBI)
The new Medicare cards using the Medicare Beneficiary Identifier numbers have been active since April 2018 and all 60 million active beneficiaries will have the
“As a small internal medicine practice, we are deeply indebted to HuTech for their support in applying for meaningful use and receiving payment! Without HuTech’s assistance, the medical home submission process would have been even more laborsome. HuTech’s education to our clinical and support staff on Allscripts’ EHR has developed efficiency and improvement in documentation. We thank them for their knowledge, dependability, and experience.”
– Advanced Practice Nurse in Illinois