ICD-10 Changes- Effective October 1st  

Be sure that you have updated your computer’s diagnosis list if these are codes your practice uses! 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

New Medicare Beneficiary Identifiers Due to Breach

CMS announced, “Patient’s Medicare Beneficiary Identifier (MBI) May Change” due to a recent breach. 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’s Revised ABN

The Medicare Advance Beneficiary Notice (ABN) may carry the tagline Annoying, But Necessary but this does not mean that providers can ignore it or worse, wing it when it comes to implementing it correctly. 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…

Payer Updates

Managing Pre-Payment & Post-Payment Audits

Each time a provider submits a claim, the data is analyzed, and the findings are used to create policies, establish procedures, increase efficiency, and reduce fraud, waste and abuse. 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…

Payer Updates

Cigna Update

In mid-year 2022 Cigna spoke about a pre-bill review on all E/M services that are billed with modifier-25. This was placed on hold until the first quarter of 2023. It appears that in some regions only the re-evaluation codes may be impacted. Yet some payer updates state ‘all E/M codes submitted with modifier-25 appended.” We consider that KMC University members are under our care and protection, which includes keeping them up to date on important…

Payer Updates

United Healthcare Appeals

Starting February 1st all appeals must be submitted electronically for United Healthcare UHC claims. From reconsiderations to appeals, the electronic only submission requirement will impact providers nationwide. 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…

Payer Updates