United to Require GP Modifier as of April 1

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

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...

2020 Medicare Fee Schedule

The 2020 Medicare Part B fee schedule and deductible have been released.   Standard Premium: $144.60 a month  (what the Medicare beneficiary pays/month) Deductible: $198.00 a year (up from $185 last year) Coinsurance: 20 percent   Area           Code          ...