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 Beth Turnbaugh - Director of Billing Operations | 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 Nicoleta Rahovan Lead Coder CPC CANPC | 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 Shauna Brown Client Services and Contracts Manager | 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 Shauna Brown Client Services and Contracts Manager | 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...
by Shauna Brown Client Services and Contracts Manager | Jul 15, 2019 | Uncategorized
As your billing and practice management organization, RCM feels your pain at every critical turn. It has been our mission to support our clients through the changes that affect their practices, offer creative solutions, and work collectively to resolve any issues. ...
