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 | 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 | 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...
by NCCA | Jun 14, 2024 | Insurance
Providers will need to join the NC State Health Plan Network as a Clear Pricing Project (CPP) provider before member open enrollment September 30th. Please note – Current CPP providers will need to rejoin through Aetna for 2025. Go.Aetna.com/joincpp
by NCCA | May 15, 2024 | Employment, Insurance
Do you have the proper Workers’ Comp coverage? Did you know that the NC Workers’ Compensation Act applies to ‘all employers of one or more employees who are employed in activities which involve the use or presence of radiation.” Click here to...
