HUMANA Requires Pre-Authorization Effective August 29, 2024

Not sure if it is required for your procedure code? Check out the Prior Authorization Search Tool

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Should your Medicare patient receive an ABN on their first visit?

Should your Medicare patient receive an ABN on their first visit? The answer may surprise you…

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Optum/UHC Providers- New Submission Requirement

On September 1, 2024, UHC is implementing a change to United Healthcare & AARP Medicare Advantage plans. Chiropractors will be required to submit a Patient Summary Form (PSF) for certain members. All details are available in the Optum Provider Operations Manual which can be found at:

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Medicare Mastery Part 2: Complicated Compliance in Medicare

This session will cover all the new rules as well as everything you ever wanted to know about the topic.

Our members enjoy one hour of continuing education credit (in participating states) per quarter, and we foot the bill! Unfortunately, it's not included in your level of membership, but we'd be happy to provide you with more information on how you, too, can enjoy this and many other benefits in our Library or 1-on-1 training program. Click here to learn more.

Time to Update Your QMB Resources 

CMS released a revised Beneficiaries Dually Eligible for Medicare & Medicaid resource that may impact provider billing of Medicare patients who are considered as Qualified Medicare Beneficiaries (QMB).

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.

Do I Need to Save All of My EOBs?

Have you ever wondered how long you have to keep an EOB? If so, you join many offices in asking the same question.

We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for members. We'd love to help you come under our umbrella of care and protection with membership. Click here to learn more.