Monday, October 5th, 2009
Connolly Healthcare, recovery audit contractor (RAC) for region C, recently updated its list of audit issues approved by the Centers for Medicare & Medicaid Services (CMS) and DCS Healthcare, region A RAC, posted new issues for the first time. The lists of issues under review give providers insight into what they should be looking for in their own internal audits. Read more »
Friday, May 1st, 2009
Providers submitting claims to Cigna: Make sure to read the private payer’s latest Professional Claims Code Editing and Documentation Requirements Guidelines. Effective April 27, the company now requires supporting documentation for some claims containing modifiers 25 and 59.
Friday, March 13th, 2009
The list of insurers agreeing to stop using a popular “usual and customary” database and contribute to a new independent database to determine the rate they pay out-of-network doctors and hospitals continues to grow. Read more »
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