by NCCA | Dec 19, 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 | 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 | Nov 26, 2024 | Billing, Insurance
Courtesy of ChiroHealthUSA Recently, Healing Place Medical, P.C. and its owner, chiropractor Dr. Gregory Thomas White Jr., had to pay $170,000 to settle allegations of improper billing. The issue? They were accused of billing Medicare for treatments involving the...
by NCCA | Nov 25, 2024 | Billing
The North Carolina State Health Plan will transition to Aetna, its new third-party administrator effective January 1, 2025. Additional information including the fee schedule can be found here. NCCA member, Liz Nieland, has compiled general CPT Codes that are billable...
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...
