Billing

News and Intelligence

Billing and Reimbursement Guidelines

Univera Healthcare Practicefirst was recently notified by Univera of the following administrative policy effective May 15, 2020, to defin...

Univera will no longer reimburse preventive codes with problem-oriented codes

Practicefirst was recently notified by Univera of a new administrative policy effective March 15, 2020, to define the coverage and billin...

Univera Healthcare's Clear Coverage to be replaced by CareAdvance Provider

Practicefirst has been notified that Univera will be introducing a new electronic authorization tool to replace the current tool, Clear C...

NCCI Update

Practicefirst would like to notify our clients about a NCCI update that is effective July 1, 2019. National Correct Coding Initiative (NC...

Medicare fraud costs the U.S. hundreds of millions of dollars each year

Medicare fraud costs the United States government hundreds of millions of dollars each year. CMS works with other government agencies and...

MIPS Deadline

If you are participating in Medicare’s MIPS (Merit-based Incentive Payment System) or an advanced APM (Alternative Payment Model), please...

Centers for Medicare & Medicaid Services

Practicefirst has been notified that CMS is halfway through the transition period that began April 1, 2018 for distribution of new Medica...

Tips for Avoiding Documentation Pitfalls

When aspiring medical professionals dream of their future careers, it’s unlikely that they consider the critical role that documentation ...

Four Best Practices to Reduce Claim Denials

The average claim denial rate across the healthcare industry is 5%-10%, according to the American Academy of Family Physicians (AAFP). Th...

Blue Focus Plan for BCBS Federal Employee Program

Practicefirst has just been made aware of a third plan option for the Blue Cross/Blue Shield Federal Employee Program. Effective January...

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