UnitedHealthcare Updates UnitedHealthcare released plan updates for June 2022. All plan updates can be found here: UnitedHealthcare Community Genetic testing for hereditary cancer Cardiovascular disease risk tests More than a dozen medication updates UnitedHealthcare Commercial Macular degeneration treatment procedures Ambulance services Liposuction for lipedema UnitedHealthcare Medicare Advantage Cardiac procedures, including pacemakers and defibrillators Urinary and […]
June Bulletin – COVID-19 Vaccine Updates
COVID-19 Vaccine Updates On June 17, 2022, the Food and Drug Administration (FDA) authorized COVID-19 vaccines for children as young as 6 months old. The Centers for Disease Control and Prevention (CDC) approved the vaccine for children under five a day later, making approximately 20 million children eligible for daycare or preschool. Both the Moderna […]
May Bulletin – Infectious Disease in the U.S. – Part 2 Monkeypox
The Massachusetts Department of Public Health has confirmed that a man who recently traveled to Canada has been infected with monkeypox virus. This is the second case in the US, with the first being in Texas. Other monkeypox cases have been identified in the U.K., Spain and Portugal. Most of the cases are among men […]
May Bulletin – Infectious Disease in the U.S. – Part 1 H5N1 Bird Flu
A person in Colorado has tested positive for the Avian Influenza A virus (H5N1). According to the Centers for Disease Control and Prevention (CDC), the confirmed case does not change the human risk assessment for the general public. The patient contracted the disease directly from an infected bird and is being isolated and treated with […]
April Bulletin – Google’s AI System Focuses on Healthcare
Google’s AI System Focuses on Healthcare In late March of 2022, Google announced that a new Artificial Intelligence (AI) program is focused on the treatment of cardiovascular conditions and the improvement of maternal health. Previously, Google created an AI system called ARDA that supports diabetic retinopathy screenings. This system is able to screen up to […]
April Bulletin – Insurance Updates
Insurance Updates Centers for Medicaid and Medicare Services (CMS) CMS updated and released a draft of the National Coverage Determinations (NCD) Guidelines for the Alzheimer’s disease treatment drug, Aduhelm. The coverage limitations could create challenges for those seeking treatment. The NCD process began in July of 2021 and at the time, the drug was highly […]
March Bulletin – CMS Announces New Place of Service Code
CMS Announces New Place of Service Code Effective January 1, 2022, a new place of service (POS) code became effective for use. The new POS Code, 10, indicates Telehealth services provided in the patient’s home. Prior to the creation of POS 10, the correct place of service code for all Telehealth visits was 2. Now, […]
March Bulletin – Insurance Company Updates
Insurance Company Updates Several insurance companies have made note-worthy updates to their billing policies. Superior HealthPlan Effective June 1, 2022, the criteria for the assessment and treatment of Attention Deficit Hyperactivity Disorder (ADHD) has been revised and updated. More than a dozen CPT codes have been deemed not medically necessary when billed with a sole […]
February Bulletin – The “No Surprise Act” Causes Confusion
Since the No Surprise Act (NSA) became effective on January 1, 2022, medical offices are experiencing trouble understanding and implanting the new requirements to remain compliant with the NSA guidelines. On January 20, 2022, the Medical Group Management Association (MGMA) called on the Centers for Medicare and Medicaid Services (CMS) and the US Department of […]
February Bulletin – Stay Up-To-Date on COVID-19 Vaccine Coding
COVID-19 vaccines have been available for more than a year and with boosters being approved and recommended, it is easy to bill with an incorrect vaccine or administration code. Below are the most used COVID-19 vaccination codes: CPT/HCPCS Description CPT/HCPCS Code Vaccine/Procedure Name SARSCOV2 VAC 30MCG/0.3ML IM 91300 Pfizer-BioNTech COVID-19 Vaccine ADM SARSCOV2 30MCG/0.3ML 1ST […]