SUDDEN HORIZON DENIALS

SUDDEN HORIZON DENIALS

January 7, 2025 Update Horizon completed a second internal report on December 30, 2025, and has begun the bulk adjustment process for the remaining affected claims. As part of this process, some claims will be excluded if they fall outside the finalized scope of the...
ICD-10 Coding Update 2026

ICD-10 Coding Update 2026

By Dave Klein, CPC, CPMA, CHC, ANJC Coding & Compliance Consultant The official ICD-10 updates for Fiscal Year 2026 go into effect October 1st, 2025. There were 553 code changes (487 new, 28 deleted, and 38 revised) and there were updates and clarifications to...
Insurance Carrier Updates: September 2025

Insurance Carrier Updates: September 2025

Important Notice Provider Directory Management—Ensure Your Directory Listings Are Accurate Under the No Surprises Act (NSA), health plans must maintain an accurate database provider website and verify the accuracy of the information at least every 90 days. The health...