CMS is temporarily holding claims from providers in anticipation of legislation that will extend the suspension of the 2 percent Medicare sequester. The Med Learn Network Connects newsletter from March 30 stated that CMS has âinstructed the Medicare Administrative Contractors Read more…
This act specifies that clinical notes collected in an electronic format must be made available in that format and made available free of charge to patients. Practices may continue using paper charts, and if you do not use electronic records, Read more…
Are you aware there are CPT codes no longer covered by Cigna? Effective March 15, 2021, Cigna will no longer pay for claims that include… Welcome to your billing and coding weekly solutions by H.J. Ross Company where getting your Read more…
Are you aware of VA rate changes for 2021? As of January 1, 2021, the US Department of Veterans Affairs (VA) phased in a new approach for its community care fee schedule payment rate calculations that better align VA to Read more…
JUST A REMINDER!!!  97026 & 97016 CIGNA WILL STOP PAYING THESE CODES Effective March 15, 2021, Cigna will NO LONGER pay for Heat Lamp 97026 & Vasopneumatic Devices 97016. It is effective for claims with dates of service on or Read more…
Are you aware of rate and deductible changes for Medicare? This year Medicare rates were to have been reduced by 10% for all services other than E&M codes. https://www.youtube.com/watch?v=N8ODdqbySuo Welcome to your billing and coding weekly solutions by H.J.Ross Company Read more…
Are your Medicare claims being denied because of incorrect modifiers? Medicare has modifiers essentially unique to Medicare and as an HJ Ross Network member you would know exactly which modifiers to use and when. https://www.youtube.com/watch?v=yxT2sEc9veo Welcome to your billing and Read more…
Are your Medicare claims being denied because of incorrect modifiers? As an HJ Ross Network member you would know exactly which Medicare modifiers to use and when. The Active Treatment (AT) modifier was developed to define the difference between active Read more…
California Division of Workersâ Compensation (DWC) announced the 2021 reimbursement changes to the Physician Services section of the Official Medical Fee Schedule (OMFS), to conform to relevant 2021 changes in the Medicare payment system as required by Labor Code section 5307.1.  Read more…
Did you know there are requirements related to modifier 59 when utilizing the CPT codes 97124 (therapeutic massage) and 97140 (manual therapy), or 97112 (neuromuscular re-education)? https://www.youtube.com/watch?v=KCJgoY_jsl4 Welcome to your billing and coding weekly solutions by H.J. Ross Company where Read more…