by RCM STI | Jan 21, 2024 | RCM Newsletter
Humana Military Referral Change As of December 18, 2023, Humana Military will no longer provide basic referral status information through the call center. Providers must instead use provider self-service on HumanaMilitary.com or call the automated and interactive...
by RCM STI | Dec 21, 2023 | RCM Newsletter
Best Practices Moving into the New Year As the 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...
by RCM STI | Nov 21, 2023 | RCM Newsletter
Independence BCBS Upcoming Transition for Provider Payments You may receive notice that Independence is transitioning to a new claims processing platform starting in 2024. As part of this transition, they will be working with a new vendor to issue medical claim...
by RCM STI | Oct 21, 2023 | RCM Newsletter
2024 CPT Code Set Changes The annual update to the CPT code set created 349 editorial changes, including 230 additions, 49 deletions, and 70 revisions. With 11,163 codes that describe the medical procedures and services available to patients, the CPT code set...
by RCM STI | Sep 21, 2023 | RCM Newsletter
CareFirst BCBS Update to Audio-Only Services Effective Oct 1, 2023, CareFirst will only cover audio-only calls where mandated by law. Audio-only coverage will end for members in Virginia, while members in Maryland and DC will retain coverage. Providers may choose to...
by RCM STI | Aug 21, 2023 | RCM Newsletter
Fidelis Care New York Authorization Updates Fidelis Care has updated their Authorization Grids with the following changes that are effective starting August 1,2023. Medicaid Grid Update: Podiatry Services: Authorization is no longer required for podiatric services...
by RCM STI | Jul 21, 2023 | RCM Newsletter
Attention Providers that Prescribe Controlled Substances – New DEA Course Requirement Starting June 27,2023, any new or renewing DEA-registered practitioners must complete 8 hours of one-time training on the treatment and management of patients with opioid or other...
by RCM STI | Jun 21, 2023 | RCM Newsletter
Anatomical Modifiers Are you using all the appropriate anatomical modifiers to get your claims paid? Your insurance company may be looking for more than a RT/LT modifier, here is the complete list of anatomical modifiers: E1 Upper left eyelid E2 Lower left eyelid E3...
by RCM STI | Jun 21, 2023 | RCM Newsletter
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...
by RCM STI | May 21, 2023 | RCM Newsletter
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...
