
Billing and Reimbursement Guidelines
Univera Healthcare Practicefirst was recently notified by Univera of the following administrative policy effective May 15, 2020, to...

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...

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...

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

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)....

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...

Railroad Medicare: Pre-payment Reviews
Practicefirst would like to make you aware of Pre-payment Reviews currently underway for Railroad Medicare. These reviews are currently...

Railroad Medicare – Top 10 Medical Review Denials
Practicefirst would like to share with you the latest news from Railroad Medicare. The goal of Palmetto GBA’s (Railroad Medicare) medical...

Modifier 25
Modifier 25 As a reminder to our Practicefirst clients, please review the description, definition and proper usage of modifier 25 as...

FAQ's about the Qualified Medicare Beneficiary Program (QMB)
Practicefirst would like to make you aware of CMS’s recent notification regarding FAQ’s for the Qualified Medicare Beneficiary Program...

Four Common Coding Errors in Radiology
Four common coding errors lead to lost compensation for radiology practices.

Fidelis Care
Practicefirst has recently been notified by Fidelis that the New York State Department of Health has advised the Federal Law-21st Century...

NYS Paid Family Leave Act: Free Webinar
The NYS Worker's Compensation Board has announced that they will be hosting an informational webinar for Health Care Providers regarding...

Increase Revenue with Accurate Anesthesia Concurrency Coding and Billing
Wouldn’t it be great to be able to be in two or more places at the same time? And get paid for it? While physically impossible to be in...

Radiology Revenue: Making the Most of Modifiers
The proper use of coding modifiers can dramatically improve the bottom line for radiology practices.

Univera Receives Approval for Safety Net Products
Effective March 1, 2018, Univera Healthcare received approval to begin enrolling Erie County residents in their Safety Net Product line....