by NCCA | Dec 5, 2024 | Billing, Insurance, Member News
BCBSNC On July 29, 2024, Health Network Solutions notified providers via email that BCBSNC plans to require prior authorization for most physical therapy codes for its fully insured plans starting October 1, 2024. Since then, the effective date was moved to...
by NCCA | Dec 5, 2024 | Billing, Insurance
Courtesy of Sheri Frost You cannot convert a patient to cash if their condition meets medical necessity based on the payer guidelines. If you do not receive the requested number of visits for prior authorization, then you must submit for more based on medical...
by NCCA | Sep 23, 2024 | Insurance
A new 2024 law requires most doctors of chiropractic to submit Beneficial Ownership Information (BOI) as part of the U.S. Corporate Transparency Act. This is typically an easy process but must be completed this year. See HERE for step-by-step...
by NCCA | Sep 23, 2024 | Billing, Insurance
Beginning Feb. 1, 2025, we’re adding the following GA modifier requirement for UnitedHealthcare commercial plan claims to our Charging members for non-covered servicesopen_in_new protocol. This requirement should help improve health care transparency by ensuring...
by NCCA | Sep 23, 2024 | Billing, Insurance
The updated codes for ICD-10 have rolled out. Time to locate the codes within your practice management software and update the data with the new code offerings after September 30, 2024. Be sure to inform all staff involved in charting, charge entry, or billing. Avoid...
by NCCA | Aug 22, 2024 | Insurance, Legislative News, Member News
Utilize the Patient Advocacy Flyer This flyer includes vital information about the prior authorization changes and guidance on how patients can advocate for themselves by contacting their insurance providers directly.It clearly instructs your patients on how to...
