Recently, the Centers for Medicare & Medicaid Services discovered an error in the implementation of the 2019 Merit-based Incentive Payment System (MIPS) payment adjustment –

A current lawsuit is winding its way through federal court that accuses Anthem and its Blue Cross entities of paying patients directly in an effort

US Chief Magistrate Judge Joseph Spero issued his decision Tuesday against United Behavioral Health, a unit of UnitedHealthcare, saying the insurer created internal policies that

A recent article from Modern Healthcare reports that about 1 in 7 Illinois patients who were admitted to an in-network hospital received at least one

In the March 2019 Network Bulletin, United Healthcare announced a policy revision under which consultation services will no longer be reimbursed. The CPT codes impacted

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

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

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 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