Anthem BCBS takes a cue from CMS regarding payments for clinical pathology New rules look at modifier and place of service, essentially cutting payments Billing for anatomic pathology is unchanged The states of Indiana, Kentucky, Missouri, Ohio and Wisconsin are...
It seems our latest audit has caught a glitch in Medicare Immunohistochemistry (IHC) payments. We found that Cahaba GBA, which serves as the Medicare administrative contractor for Alabama, Georgia, and Tennessee, is denying claims for CPT code 88341 as multiples,...
By Jessica Jankowski, Senior Practice Manager Vachette Pathology Since January 2014, there are more and more issues coming out of the woodwork with FSH billing and reimbursement. Earlier this year, we saw United Health Care (UHC) create their own application of an...
By: Mick Raich, former President, RCM Solutions We have worked with 86 different revenue cycle entities over the past 12 years. From hospital CBO’s to large national firms to small firms with only two clients. There are certain trends we see whenever a billing firm...
In January 2014, we identified a high number of denials from Florida Medicaid, “provider not credentialed/invalid provider.” Upon review of certain Medicaid claims and calls to Medicaid Florida, the Medicaid Florida system was incorrectly denying claims for...
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