CMS released a revised Prohibition on Billing Qualified Medicare Beneficiaries resource. 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.
This modifier is required when charging members for non-covered services. This modifier requirement is in addition to an already required consent (advance notice) process for some plan types. 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…
So, we have the official ‘heads up’ from HHS and OCR. It is time to move HIPAA Security up on your agenda of things to do in 2025. The OCR will be focused on Risk Assessments and therefore, to protect your clinic, it should be your focus as well. 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…
They are back! Each year we are encouraged to review any changes in diagnosis codes and most Medicare providers consult their local MAC. 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…
Starting February 1, 2025, United Healthcare Commercial Plans will require providers to append the GA modifier to procedure codes that are considered non-covered services. 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…
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.