Recent Blog Articles
Stay updated and in-the-know about the medical billing and healthcare industry as we explore its ever-changing landscape and post important information that professionals need to be current.
Compare website redesigned to help consumers search for physicians
Physician Compare, a website that allows consumers to search and compare information about hundreds of thousands of physicians and other health care professionals, has been redesigned to make the site easier to use and provide new information for consumers. The...
Medicare Updates Part B Claims Address
Part B Claims Novitas Solutions Attn: Part B Claims PO Box XXXX (replace the Xs with the PO Box number from the table below) Mechanicsburg, PA 17055-XXXX (fill in the +4 from the table below) Part B Claims CMS 1500 Claim Form (08/05) PO Box Zip +4...
BCBS Update-Audiologists/Podiatrists
Aug 16, 2013 Audiologist and Podiatrist Codes Updated Horizon Blue Cross Blue Shield of New Jersey recently updated our claim processing system to ensure that benefits are being applied appropriately for certain services when performed by an audiologist or...
Medicare Therapy Cap and Threshold 2013
Update to Medicare Therapy Cap and Threshold 2013 January 1, 2013 through March 31, 2013 -Annual per beneficiary therapy cap amount is $1900 for physical therapy and speech language pathology services combined and there is a separate $1900 amount allotted for...
2015 Modifier 59 Updates
2015 Modifier 59 -sub coding updates The -59 modifier is the most widely used HCPCS modifier. Modifier -59 can be broadly applied. Some providers incorrectly consider it to be the “modifier to use to bypass (NCCI).” This modifier is associated...
2015 Arthrocentesis Injection coding updates
2015 Arthrocentesis Injection coding updates Starting January 1, 2015 all providers will need to properly report Arthrocentesis procedures dependent if the procedure was performed with or without ultrasound guidance. Without Ultrasound Guidance:...
2017 Physical Therapy CPT Coding Updates
Physical Therapy Evaluation (97001) and Physical Therapy Re-evaluation (97002) codes have been deleted for 2017 and replaced with four new codes. The new evaluation codes 97161-97163 describe services that range in complexity from low to high and have a code...
Cigna Radiology Services Claim Submission
Beginning with dates of service 08/01/2014, claims for in-office radiology services should be sent directly to Cigna, using the address on the back of your patient's Cigna ID Card, or electronically using payer ID 62308. Historically these claims have been sent...
Medicare Functional Limitation Requirements
What are the Functional Limitation G- Codes? Beginning on January 1, 2013 in a testing phase and required as of July 1, 2013, therapists are required to report new G-Codes to report the functional limitation of their patients. This new set of G-Codes...