January 5, 2021
Question: Since history and physical exam are no longer required to level the visit, should I still document these elements? Answer: Yes. Although history and physical exam are no longer required to level the vi…
December 22, 2020
Self-limited or minor problem: A problem that runs a definite and prescribed course, is transient in nature, and is not likely to permanently alter health status. Stable, chronic illness: A problem with an expected dur…
December 11, 2020
E&M changes in 2021 overview
February 25, 2021
February 25, 2021
MVP Health Care® (MVP) covers the cost of COVID-19 testing that has been deemed medically necessary at no cost share to the members. MVP does not, however, reimburse for COVID-19 tests performed on an…
February 25, 2021
Effective January 1, 2021, MVP Health Care® (MVP) is updating the Magellan Healthcare™ Utilization Review Matrix for Musculoskeletal Surgery of the Spine, Hip, Knee, Shoulder, and Interventional Pain Mana…
February 25, 2021
COVID-19 Vaccine Reimbursement and Coding MVP Health Care® (MVP) is covering approved COVID-19 vaccines at no cost-share to Members in all plans. Please follow the guidance below when submitting for reimbursement …
February 25, 2021
Effective January 1, 2021, several groups transtioned from Lifetime Benefit Solutions to Excellus BCBS. Please reivew all Member Cards for eligibility and benefits at each visit.
February 25, 2021
For claims billed on or after February 1, 2021, to remove interim diagnosis code B97.29 (Coronavirus as the cause of diseases classified elsewhere). This update applies to all lines of business and is in line with …
February 23, 2021
Please read the attached FAQ from UnitedHealthcare Community Plan of NY regarding their new referral process for members in need of services from a specialist provider. All in-network providers and UnitedHealthcare Commu…
December 31, 2020
Excellus stresses that this is an option, not a requirement, and they strongly encourage in-person visits whenever possible, consistent with recent recommendations from the Centers for Medicare & Medicaid Services …
December 30, 2020
December 22, 2020
SNF prior authorization: UnitedHealthcare is suspending prior authorization requirements for admission to in-network SNFs. Transfer prior authorizations: UnitedHealthcare suspending prior authorizationrequirements w…
December 3, 2020
Documentation: Patient initiated and consent (written or verbal) Same as any face-to-face patient encounter, with the addition of the following: A statement indicating the service was provided via telehealth: P…
March 2, 2021
As a result of the ongoing COVID-19 public health emergency, the Centers for Disease Control and Prevention’s National Center for Health Statistics (CDC/NCHS) is implementing additional codes into the International…