VA Fee Schedule Released

Payer updates will be rolling out over the next few weeks. It is vital that your team take the proactive approach to billing for services rendered in the clinic. To access this post, you must purchase Library Membership | 3-Month Subscription, Library Membership | Annual Subscription, Membership Trial, Advanced Library Membership, 30 Day Library Quick Access, KMC University Rapid Solutions Membership or Rapid Solutions Student Membership.

Payer Updates

Medicare Part B Deductible for 2026

Medicare has announced the 2026 Part B annual deductible: $283, up from $257 in 2025. 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.

Payer Updates

Medicare Advantage (MA) Changes for 2026

Unlike years prior, Medicare beneficiaries will have less options when it comes to Medicare Advantage plans. Although not yet confirmed, it appears Anthem, UHC and Aetna are drastically reducing their Medicare Advantage plans. 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…

Payer Updates

Regence Blue Cross Blue Shield Denials

We understand these challenges can be time-consuming. However, staying informed and engaged is the best way to ensure proper reimbursement. 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…

Payer Updates

OPTUM New Prior Authorization Process

In order for “providers to begin treatment the same day as the member’s initial consultation when clinically appropriate and ensure additional care is provided promptly” they have revised the authorization requirement. 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…

Payer Updates

Updated QMB Billing Resource

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.

Payer Updates