Dec 16, 2024 | Insurance News, News for Members, The Back Channel
Please review the most recent update for Medicare’s Fee Schedule for 2025. If Congress does not act, there will be an approximately 2.0-2.8% decrease in reimbursement, depending on the code. Additionally, the 2025 deductible went up to $257. Murphy-Led Legislation to...
Oct 14, 2024 | Insurance News, News for Members
As of October 1, 2024, healthcare providers must now implement the latest updates to the ICD-10-CM code set. This year, the changes are significant, with 301 code modifications, including 252 new codes, 36 deletions, and 13 revisions. The total number of codes now...
Sep 9, 2024 | Insurance News
September 9, 2024 Update: The ANJC received an update from our counterpart at Horizon that the issue of incorrect rejections for paper claims has been internally resolved. According to Horizon’s investigation, the rejections were a result of an external vendor’s...
Aug 22, 2024 | Insurance News
August 22, 2024 Update: In an ongoing effort to clarify the Prior Authorization policy set to be implemented on September 1, 2024, UHC has provided the following update regarding place of service for all Physical therapy (PT), Occupational therapy (OT), Speech therapy...
Aug 21, 2024 | Insurance News
While it seems most members have been able to transition from Navinet to Availity for their Horizon Provider Portal needs, there may come a time when a provider might need additional support or assistance in navigating the Availity Platform. Horizon and Availity have...
Aug 13, 2024 | ANJC News & Updates, Insurance News
By Dina Brown, ANJC Director of Insurance & Government Affairs Multiple Therapy Procedure Reduction Policy: This policy describes how UnitedHealthcare aligns with CMS and reduces reimbursement for the practice expense portions of certain therapy procedures that...
