Mar 3, 2020 | ANJC News & Updates, Industry News
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,...
Mar 3, 2020 | ANJC News & Updates, Industry News
Insurance Update: Medicare to Cover Acupuncture for Chronic Low Back Pain By Matt Minnella, Director of Insurance and Regulatory Affairs CMS announced on Tuesday that Medicare will cover acupuncture for chronic low back pain for dates of service on or after Jan. 21,...
Mar 3, 2020 | ANJC News & Updates, Industry News
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...
Mar 3, 2020 | ANJC News & Updates, Industry News
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 ...
Mar 3, 2020 | ANJC News & Updates, Industry News
Fall Edition 2019 – Vol. 15 No. 4 CLICK HERE FOR A PDF VERSION Premier Supporter Gold Sponsor Silver Sponsors Bronze...
Mar 3, 2020 | ANJC News & Updates, Industry News
As previously reported, United Healthcare had planned to require the GP modifier to be added to all “therapy codes” as of September 1, 2019. Per the United Healthcare September news bulletin, this policy will be “delayed to give care providers more...
