UnitedHealthcare/Optum Discount Plan

02/05/2020UnitedHealthcare/Optum Discount Plan In mid-January Optum sent a notice to providers of a new discount plan program.  The plan allows any UnitedHealthcare members who either have exhausted their benefits for chiropractic and complementary and...

United to Require GP Modifier as of April 1

01/30/2020United 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...

Medicare to Cover Acupuncture for Chronic Low Back Pain

01/22/2020Medicare to Cover Acupuncture for Chronic Low Back Pain 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...

Inovalon-Horizon Letters

11/27/2019Inovalon-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...

2020 Medicare Fee Schedule

11/18/20192020 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...

New Horizon Medicaid Pre-Auth Process

09/18/2019New Horizon Medicaid Pre-Auth Process As of Sept. 1, 2019, Horizon NJ Health, Horizons’ Medicaid subsidiary, is no longer accepting faxed pre-authorization requests.  There is an online process that must be utilized to request care.    Horizon...