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 E/M service on...
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. ...
by volcom2278 | Dec 21, 2018 | Uncategorized
We are pleased to announce that RCM’s QPP submissions were successful and all of the providers that we submitted 2017 QPP measures to CMS via our Registry will receive either a small upward payment adjustment or have achieved a neutral score. This score will be...
by volcom2278 | Nov 30, 2018 | Uncategorized
Effective with dates of service January 1, 2019 Blue Cross is requiring a Prior Authorization for MAC Gastrointestinal Endoscopic Procedures. View Here It is extremely important that anesthesiologists either receive a copy of the authorization indicating their...
