NEWS AND INTELLIGENCE

Practicefirst would like to share information regarding the No Surprise Act effective January 1, 2022. The information below was provided...

Practicefirst would like to remind its clients of the 2021 E&M changes that are applicable ONLY to the office/outpatient code set. These...

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

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

We strongly advice radiologists who provide over-reads remotely for urgent care centers to negotiate a flat fee arrangement for this service

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

Four common coding errors lead to lost compensation for radiology practices.

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...

The proper use of coding modifiers can dramatically improve the bottom line for radiology practices.

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

No one likes paying for an oil change or tire rotation every few months. And no one likes chart audits. But just like the return on...

The National Government Service’s (NGS) recently posted their Preventive Services Guide. This tool is a great reference and reflects many...

Practicefirst would like to remind you that Emblem Health will be changing their ID cards and member IDs throughout 2018. The new ID will...

HPSA Incentive Payments: 2018 brings a change to the HPSA incentive payments for our clients rendering services in the Dunkirk area. Indepen

Member ID card prefixes for all BC/BS plans will be expanded to include alpha-numeric prefixes.

As you recall, Health Republic is in the process of a liquidation proceeding. Providers and members have recently begun to receive...

MVP REFERENCE GUIDELINES MVP Health Care has created reference guidelines that may provide you and your staff with helpful tools that...

On May 17, 2017, CMS updated their policy for Hepatitis B coverage. Payment for Hepatitis B apply to the following HCPCS and CPT codes,...

Effective May 1, 2017, Independent Health (IHA) recognized “incident to” billing practices for their Commercial, Medicare Advantage and...

EXCELLUS: CLEAR COVERAGE Excellus has as a new online pre-authorization tool called Clear Coverage. Clear Coverage includes an...