The Balance Sheet: Informing Your RCM Decisions

RCM Operations Lead: Katelynn Groenewold First look  When a customer walks into an urgent care, one of the first things...

The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management section of CPT.  Codes are...

Beginning Feb. 1, 2025, UHC is adding the following GA modifier requirement for their commercial plans. If you know or...

On November 1, the Ohio Department of Medicaid (ODM) announced four managed care organizations to serve as the Next Generation...

We blinked and it is November already. Holy Smokes! We are deep into the fourth quarter of 2024 and you...

Amount and/or Complexity of Data to Be Reviewed and Analyzed is one of three elements that determine the level for...

Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent...

RCM Coding Supervisor: Tricia Krueger, CPC Cigna Health will begin denying evaluation and management (E/M) codes and supporting Z codes...

Do I market my clinic to the insurance carriers as a primary care practice, an urgent care practice, or a...

Illinois: BCBS Illinois Acquires Cigna Medicare Business  Blue Cross and Blue Shield of Illinois entered into a definitive agreement to...

CDPHP: Issuing of EOBs during the Change Healthcare Service Outage  As a result of the Change Healthcare security issue and...

Sanford Health Plan: Change of Mailing Address  Sanford Health Plan has changed the mailing address for Medicare Advantage claims submitted...