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 | 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 | Feb 13, 2024 | Billing, Insurance
By Dynamic Chiropractic Office visit codes 99202-99205 and 99212-99215 have been revised to remove the time “range” in minutes from each code. Instead, billing based on time requires a single “minimum time threshold” to meet or exceed. Most carriers appear to prefer...
by NCCA | Jan 23, 2024 | Billing
By Dr. Ray Foxworth | ChiroHealthUSA Recently, in a Facebook group, the question arose about whether it was okay for the associate doctor in a practice to bill for services under the owner’s NPI number. The range of responses surprised me and made me aware that...
