Patient Financial Responsibility Form Example

Mar 11, 2020 | Insurance News

03/11/2020Patient Financial Responsibility Form Example With the continual expansion of utilization management many members have asked for information on how to create a form for patients to sign acknowledging that they may be financially responsible for care deemed...

Medicare Acupuncture Update

Mar 3, 2020 | ANJC News & Updates

We had previously advised membership that Medicare had begun covering acupuncture in certain specified situations as of Jan. 21, 2020.  Acupuncture is to be allowed for chronic low back pain for 12 visits with an additional eight if improvement is shown, with no more...

United to Require GP Modifier as of April 1

Mar 3, 2020 | ANJC News & Updates

After several delays, for dates of service on or after April 1, 2020, United Healthcare will require the GP modifier to be appended to any codes that are deemed “Always Therapy” codes according to CMS. These codes will include: 97012, 97016, 97018, 97022,...

Inovalon-Horizon Letters

Mar 3, 2020 | ANJC News & Updates

Many members have reported receiving a letter, phone call or both from Inovalon on behalf of Horizon. Inovalon is a company that has performed what are called Risk Adjustment Reviews for various carriers over the years. There are several companies that have done these...