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The Balance Sheet: Informing Your RCM Decisions
Refresher: Guidelines for E/M Coding
Hard to believe that the new E/M guidelines have been in place for urgent care for four years. These guidelines...
Blog
Feb Industry Notes: Medicare Updated MBIs/Member IDs Causing Rejections
According to a CMS press release, a security vulnerability in the MOVEit software used by Wisconsin Physicians Service Insurance Corporation (WPS)...
Blog
How To Register a Medicare Beneficiary
At the end of every year, Medicare beneficiaries pick the insurance they want for the next year at open enrollment....
Blog
Importance of Registration
RCM Operations Lead: Katelynn Groenewold First look When a customer walks into an urgent care, one of the first things...
Blog
What’s New in Telemedicine for 2025?
The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management section of CPT. Codes are...
Blog
Nov Industry Notes: UHC – New GA Modifier Requirements
Beginning Feb. 1, 2025, UHC is adding the following GA modifier requirement for their commercial plans. If you know or...
Blog
Nov Industry Notes: Ohio – Four Managed Care Plans Selected for Next Generation MyCare Plans
On November 1, the Ohio Department of Medicaid (ODM) announced four managed care organizations to serve as the Next Generation...
Blog
Payer Contracts: Looking Forward to 2025
We blinked and it is November already. Holy Smokes! We are deep into the fourth quarter of 2024 and you...
Blog
How Does Data Reviewed Work When Coding E/M?
Amount and/or Complexity of Data to Be Reviewed and Analyzed is one of three elements that determine the level for...
Blog
The Quandary of Opening an Urgent Care Without Contracts
Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent...
Blog
Cigna: New Z Code Policy Requires Additional Provider Documentation
RCM Coding Supervisor: Tricia Krueger, CPC Cigna Health will begin denying evaluation and management (E/M) codes and supporting Z codes...
Blog
How Should I Credential? Primary Care vs. Urgent Care
Do I market my clinic to the insurance carriers as a primary care practice, an urgent care practice, or a...
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