Click HERE to reach the chart outlining Aetna's upcoming coding and policy changes impacting physicians and other non-physician practitioners.
On May 1, 2017 United Healthcare patients could be "out of network" when treated by Northwest Healthcare facilities and physicians.
United Healthcare is threatening to end its contract with Northwest Healthcare on May 1, 2017...MORE
You’re a part of the Quality Payment Program in 2017 if you are in an Advanced APM or if you bill Medicare more than $30,000 in Part B allowed charges a year and provide care for more than 100 Medicare patients a year. More...
Affordable Care Act "Repeal and Replace" underway at the Federal level and increases in public education funding, as well as, several changes to in healthcare services and coverage at the State level. More...
Medicare Access and CHIP Reauthorization Act of 2015MACRA is expected to drive care delivery and payment reform across the US health care system for the foreseeable future. Congress intended MACRA to be a transformative law that constructs a new, fast-speed highway to transport the health care system from its traditional fee-for-service payment model to new risk-bearing, coordinated care models. It has the potential to be a game-changer at all levels of our health care system. This page serves to be a one-stop shop for the latest on MACRA, including findings from our new 2016 Survey of US Physicians on their readiness for MACRA. More...
Now, CHPL visitors can see surveillance results for health IT products and developers that have been found at any time not to comply with any requirements of the ONC Health IT Certification Program. Click HERE for the full story..
Click HERE for ONC's interpretation of the Law via Part 1 of their 4 Part blog series.
An Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, is a standardized notice that a health care provider/supplier must give to a Medicare beneficiary, before providing certain Medicare Part B or Part A items or services. Click HERE for further details.
The latest National Correct Coding Initiative edits released by the Centers for Medicare and Medicaid Services bundle several ophthalmology codes. Click HERE for further details.
Effective 1/1/2016, the BCBSAZ Advantage Pima County provider network will continue to include Carondelet St. Joseph’s Hospital, Carondelet St. Mary’s Hospital, Carondelet Medical Group providers and Carondelet Specialist Group providers.