man looks at a bill with a worried face

No Surprises Act “Part 1” Regulation Issued

The “No Surprises Act”, was incorporated into the Consolidated Appropriations Act of 2021, becomes effective on January 1, 2022 with the first regulations, dubbed “Part 1”, being released on July 1, 2021 in an “Interim Final Rule with Comment Period.”

Doctor with stethoscope in front of Illinois state flag

Five Tips to Working with Blue Cross and Blue Shield of Illinois

BCBS of IL, a primary payer in Illinois, can represent a significant portion of your hospital’s revenue. It is key that you understand all the available tools to help improve efficiency and increase revenue.

Accurate Coding for Vaccines | 90471, 90472 and more|

From flu to tetanus, and now COVID-19, vaccines are among the most common outpatient procedures providers administer on a day-to-day basis. But they can also be complex to code and bill, and undetected mistakes can result in continual underpayment for services rendered.

a doctor filling out a form on a clipboard

Navigating Medi-Cal

Completing Medi-Cal forms can be challenging. Knowing what form to use based on the scenario and the time of request is important. There is also an alternative to the handwritten requirement.

PAMA Reporting Regulations and Penalties

The PAMA law brought a wide variety of changes to Medicare, including the method by which Medicare will calculate the rates it will pay under the Clinical Lab Fee Schedule. Data collected from the period of Jan. 1, 2019-June 30, 2019, must now be reported to Medicare between January 1 and March 31, 2022 or potentially face fines of more than $10,000 per day.