RCM eNews – May 2023

Beacon Health Options Name Change As of March 1, 2023, Beacon Health Options new name is Carelon Behavioral Health. This name change does not change any contract or reimbursement and will not change coverage for your patients. This is a new healthcare services brand...

RCM eNews – May 2023

Beacon Health Options Name Change As of March 1, 2023, Beacon Health Options new name is Carelon Behavioral Health. This name change does not change any contract or reimbursement and will not change coverage for your patients. This is a new healthcare services brand...

RCM eNews – April 2023

Aetna – You Can Now Send Electronic Claim Attachments! Aetna is ready to receive your electronic claim attachments using the X12N 275 transaction. Right now, they are working with four vendors: Change Healthcare, Waystar, PNT Data, and SSI. If you submit claims...

RCM eNews – March 2023

Aetna Market Fee Schedule Update – April 15, 2023 Starting April 15, 2023, Aetna is adjusting their standard fee schedule (the Aetna Market Fee Schedule, or AMFS) for all plans in your Aetna service area. This change affects those services for which which they...

RCM eNews – February 2023

Federal Public Health Emergency Extended The PHE has been extended again and is now set to expire April 11, 2023. With each PHE extension, numerous flexibilities and waivers remain in effect, including Medicare telehealth coverage. Please note that not all waivers...

RCM eNews – January 2023

Best Practices Moving into the New Year As a new year approaches, here are some reminders to support a healthy revenue cycle: Verify Patient Eligibility and Benefits – Many patients will have new insurance at the start of the year. Keep claim denials at bay by...