Diagnosis Pointing

Diagnosis pointers link the diagnosis to the applicable CPT codes you are billing. For example, you can have three diagnoses on your claim, but each goes to only one of the CPT codes you are billing that day. This explains the reason you are performing the CPT code....

Medicare News: Revalidation Program & Records Requests

The Centers for Medicare and Medicaid Services (CMS) have announced important updates regarding the Medicare Revalidation Program and Medicare Records Requests. As the pandemic situation has improved, CMS is resuming its standard procedures to ensure compliance and...

Aetna Processing Double Copays

ANJC would like membership to know that we are aware of Aetna’s processing claims with double copays (for both $10 and $15 copays). We have reached out to our contact at Aetna and provided supportive Explanations of Benefits showing the double copay and are awaiting a...