VA Update!

Providers who render services to veterans within the Patient Centered Community Care (PC3) network can resolve referral and claim issues until September 30, 2022. If your PC3 is managed by Tri-West, they have set up a process to submit retroactive referrals.    Per VA, “ Any referrals for services between June 6, 2019, and March 31, 2021, that were not created and/or accepted by TriWest before the contract end date will now be accepted by TriWest…

New Credentialing Process for VA Providers

On April 1, 2022, the VA will utilize a new Credentials Verification Organization (CVO) to credential non-Community Care Network (CCN) providers. If you are a CCN provider, you may not need to do anything.

Medicare Cuts Are Back On!

Due to the pandemic, the Protecting Medicare and American Farmers from Sequester Cuts Act was placed on hold. This has been lifted as of April 1st and will result in a 1% payment reduction effective April 1, 2022 to June 30, 2022 on Medicare Fee For Service claims.

2021 Evaluation and Management (E/M) Coding | The Rest of the Story

While there were known gray areas in the AMA literature, we have done what KMC University always does… we get the answers you need. With all of the weight being in the Medical Decision Making, we want to make sure you understand the key elements and criteria for proper E/M code selection.