The Affordable Care Act continues to have dramatic impact on our industry. Smaller insurance networks are struggling to cope with the mandates in ACA. GEHA announced several months ago that PPO USA will cease operations effective 12/31/12. GEHA will work with...
Medicare Revalidation CMS has extended the period for provider revalidation to March 2015. This update doesn’t affect any providers who have already received a revalidation notice. If you have already received a revalidation notice, you have 60 days to...
The 2013 Medicare fee schedule shows some dramatic changes affecting several medical specialties. Find more information about the fee schedule here including downloading the full schedule. In addition to fee schedule changes there are expanded privileges for...
All BlueCross Blue Shield plans are making a significant change to how they process claims for DME, independent clinical laboratories, and for specialty pharmacy. Beginning October 14, 2012 each of these supplier types must have a contract with the BCBS plan where...
All Providers are subject to Medicare Revalidation of provider enrollment records The Affordable Care Act (ACA) established requirements for all providers enrolled in the Medicare program to revalidate their enrollment records under the new, more stringent, enrollment...
Aetna announced a potential purcahse of Coventry Healthcare today for a reported $5.6 billion. Read more here. National Credentialing Solutions “nCred” offers provider enrollment services and primary source verification for practitioners in the healthcare...
We’re Moving soon to our new Sentact website – sentact.com. All systems, portals, and access will remain active during this process – no disruption. You will be provided information in advance of the move and how to proceed with continued access.