by RCM STI | Apr 21, 2023 | RCM Newsletter
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...
by RCM STI | Mar 21, 2023 | RCM Newsletter
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...
by RCM STI | Feb 21, 2023 | RCM Newsletter
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...
by RCM STI | Jan 21, 2023 | RCM Newsletter
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...
by RCM STI | Dec 21, 2022 | RCM Newsletter
CMS – 2023 Incident-to Billing for Behavioral Health Services CMS has announced a change to the incident-to billing guidelines for behavioral health services to address the need for improved access to these services in the 2023 Medicare Physician Fee Schedule Final...
by RCM STI | Nov 21, 2022 | RCM Newsletter
Medicare 2023 Deductible Information On September 27, 2022, CMS released the 2023 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2023 Medicare Part D income-related monthly adjustment amounts. Click here for further...
