September Bulletin – COVID-19 Updates – Part 2

COVID-19 Updates – Part 2 THE AMA ADDS CPT CODE FOR THIRD COVID-19 VACCINATION  In mid-August, the American Medical Association announced the code set for the third doses of the Pfizer and Moderna COVID-19 vaccines. Below are the codes for both the Pfizer-BioTech & the Moderna vaccines: 91300: this is for the Pfizer vaccine only. For […]

September Bulletin – COVID-19 Updates – Part 1

COVID-19 Updates – Part 1   USFDA APPROVES FIRST COVID-19 VACCINE On August 23 the U.S. Federal Drug Administration approved Pfizer-BioNTech’s COVID-19 Vaccine. It will now referred to as Comirnaty (koe-mir’-na-tee), for the prevention of COVID-19 disease in individuals 16 years of age and older. The vaccine will be available for emergency use for individuals […]

AUGUST BULLETIN – THE COVID-19 DELTA VARIANT

The COVID-19 Delta Variant The SARS-CoV-2  B.1.617.2 (Delta) variant was discovered in India in late 2020 and it has since become the dominant strain in the United States. The Delta Variant is More Contagious The World Health Organization (WHO) has called the Delta Variant the “fastest and fittest” strain. The Centers for Disease Control and […]

August Bulletin – Billing Mistakes – Part III

BILLING MISTAKES – PART III Coding Ensuring your claims are coded correctly will prevent delays in payments and keeps your account cleaner. Below are common coding errors. Coding is not specific enough Each diagnosis must be coded to the highest level of specificity or insurance carriers may consider the diagnosis truncated. Diagnosis codes can be […]

BILLING MISTAKES – PART II – JULY BULLETIN

Incorrect Insurance It is important to ensure all of the correct information is on the claim to prevent delays in payments. Making sure the correct and up to date insurance is obtained can prevent a number of denials and rejections; both of which cause a delay in payment. 1. Is The Plan Active? Verifying eligibility […]

PAYER ID CHANGES FOR 2021 – JULY BULLETIN

PAYER ID CHANGES FOR 2021 The first half of 2021 has seen a lot of Payer ID and/or claims address changes. Making sure claims are submitted to the correct Payer ID will prevent delays in payments and an increased amount of denials. Below are some payer ID updates to make note of and update. CHAMPVA […]

COVID-19 VIRUS UPDATE – June Bulletin

Delta Variant In December 2020, a new COVID-19 variant was found in India. Now, as of June 2021, just six months after the discovery of the Delta Variant, it is the dominant strain in both India and the United Kingdom. Some key factors to know about the delta variant, also known as B1617.2, are the […]

Billing Mistakes – Part 1 – June Bullein

BILLING MISTAKES – PART I Common Rejections Front-end rejections not only cause a delay in payment, but it adds additional time spent on a single claim. Most rejections can be avoided by making sure all of the required information is obtained and entered into the patient’s chart prior to generating the claim. Identifying some of […]

USDA COVID-19 VACCINE UPDATES – May Bulletin

USDA COVID-19 VACCINE UPDATES On May 10, 2021 the U.S. Food & Drug Administration expanded emergency use for the Pfizer-BioNTech COVID-19 vaccine for adolescents as young as 12 years old. Initially, it was only approved for persons 16 an older; however, according to Acting FDA Commissioner Janet Woodcock, MD on fda.gov (link below), the expansion […]

May Bulletin – INSURANCE UPDATES

INSURANCE UPDATES Several insurance providers have updated their billing guidelines to coincide with the extension of the Public Health Emergency (PHE) period, which is now July 20, 2021. CIGNA The cost-share waiver for COVID-19 testing, screening or diagnostic services will end on the last day of the PHE period. Cigna has also extended accommodations related […]