News & Articles
SENATE TAKES HISTORIC VOTE ON THERAPY CAP REPEAL
April 14th, Senate voted to approve a permanent fix for the sustainable growth rate (SGR) by a vote of 92 to 8. The bill now heads to the President’s desk for signature.As part of consideration of the SGR bill, Senators Cardin (D-MD) and Vitter (R-LA) proposed...Looking for meeting topic(s) suggestions
We had a great Annual Meeting that reviewed Billing administration, claims workflow, PQRS and Risk Management. If you missed the event, look in the document section for 2015 Annual Meeting notes and handouts. We also announced that we are looking for topics that you,...Compliance Requirements for Health Care Providers
Humana has recently posted a notice that all providers must complete a Compliance Training, on one of their sites. Please click on: https://www.humana.com/provider/medical-providers/education/whats-new/compliance-requirements to learn where to complete this...Highmark Blue Cross Blue Shield West Virginia (Highmark West Virginia) / Update to liability rejections Effective 4/20/2015
Posted on 02-19-2015 IMPORTANT CHANGES EFFECTIVE APRIL 20, 2015: PROVIDER ASSIGNMENT OF LIABILITYPROVIDER RESPONSIBILITY IDENTIFIED On January 1, 2014 the Committee on Operating Rules for Information Exchange (CORE®) in conjunction with the Blue Cross Blue Shield...UHC is requiring all Providers elect their electronic payment method in 2015
UnitedHealthcare-contracted providers, who have not yet enrolled in EPS, must elect their preferred electronic claim
payment method in 2015. Failure to do so, your election will default to Virtual Card Payments – current credit card processing fees will incur!
CAQH has a new look on March 2, 2015
CAQH has incorporated feedback from both provider and health plan focus groups into the development of CAQH ProView. A range of new features will make it easier for healthcare providers to make updates, reducing the time and resources necessary to submit accurate, timely data to organizations that require that information. Providers will be able to easily submit information through a more intuitive, profile-based design