Urgent Care Blog

Multiple expiring Medicare statutory payment provisions lapsed on October 1, 2025, due to the absence of Congressional action. With the...

Denied Laboratory Services and Clinical Laboratory Improvement Amendments (CLIA)   NGS Medicare has been receiving calls from providers regarding denials for...

The claims issues log below includes the status of claims processing issues that have been identified. We are actively working...

PURPOSE:   The purpose of this bulletin is to issue updated handbook pages that include the requirements for prior authorization and...

Elevance Health (Anthem) will begin penalizing healthcare facilities in 11 states starting Jan. 1, 2026, for using out-of-network providers for...

Cigna and Aetna are drawing provider backlash for new payment policies that reduce reimbursements. Cigna is automatically "downcoding" six Evaluation...

In the last few years, the Centers for Medicare & Medicaid Services (CMS) has accelerated its long-term effort to strengthen...

Clinics need to find new streams of revenue to compensate for a fluctuating business environment. Here are three ways you...

In urgent care, speed has always been the measure of success. Visit volumes, throughput, and door-to-door times dominate the conversation...

The financial and reputational health of an urgent care practice depends on one simple principle: bill accurately and compliantly. Yet...

In anticipation of possible Congressional action, CMS has instructed all Medicare Administrative Contractors (MACs) to continue to temporarily hold claims...

To all providers:  On May 14, 2025, four PO boxes changed from the processing center in St. Louis, MO, to...