CMS Revalidations Restarted
In October, CMS began activities that were halted due to the public health crisis including: Application FeesCriminal background checks associated with fingerprint-based criminal background checksProvider/Supplier Revalidation Providers and suppliers that are required...UHC Out-of-network provider enrollment
UnitedHealthcare has introduced a new online portal allowing out-of-network providers to electronically register their taxpayer ID numbers and practice demographics. Prior to submitting claims to UnitedHealthcare as an out-of-network provider, the following...Physician Assistant Medicare Payment Rules Updated For 2022
On November 2, 2021, the Centers for Medicare and Medicaid Services (“CMS”) released its Final Medicare Physician Fee Schedule for 2022 (the “Final 2022 MPFS”), revising certain payment policies for services provided to Medicare beneficiaries by healthcare...
Telehealth and Credentialing Part 1
During the COVID-19 pandemic, telehealth services went from an optional service to a necessity in order to be able to reach and treat patients. The concept of telehealth is not a new one. It was developed during the early 1960’s by Nebraska Psychology Institute in...
Re-Credentialing – Preparation and Consequences
Re-Credentialing or revalidation is the dreaded date circled red on your calendar that might bring you a sleepless night or two. There are so many important components to re-credentialing which involve different due dates for commercial plans versus government plans,...
Credentialing During the Pandemic
It’s hard to believe that we have been battling COVID-19 for more than a year now. It has impacted every facet of our lives, but the hardest impact of this pandemic is the medical profession. Those who work in the medical field had to comprehend how to overcome new...ND Medicaid Approved to Expand Behavioral Health Services
The North Dakota Department of Human Services announced it has received final approval of the Medicaid 1915(i) State Plan Amendment from the Centers for Medicare and Medicaid Services (CMS), creating opportunities to expand community-based behavioral health services....
Michigan Medicaid Requires Prescribing Providers To Enroll
Michigan health providers must enroll by Oct. 1 Beginning October 1, 2019, Medicaid beneficiaries with prescriptions written by healthcare providers who are not enrolled with the Medicaid program will not be able to have the prescription filled. Federal requirements...
