ASC Billing & Reimbursement Changes Effective 6/1/2022 Effective 6/1/2022, BCBSWY will be updating its ASC reimbursement rates and rules. Updated ASC rates can be…
Billing Under Supervising Provider Policy & Online Prior Authorization Tool
Billing Under Supervising Provider Policy • BCBSWY does not permit credentialed physicians to submit claims on behalf of other noncredentialed or non-physician practitioners (NPPs)….
Claims may be reprocessed with a new claim number, including the following circumstances: A claim was denied for not having a billing provider (a billing provider…
Effective 11/10/20 For procedure code H0015, Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3…
Top Billing Issues and Errors and How to Avoid them for Professional Providers
Claims processing experts identified the common adjudication errors that cause claims to be suspended or denied. To ensure timely and accurate processing of claims…
Top Billing Issues and Errors and How to Avoid them for Institutional Providers
Claims processing experts identified the common adjudication errors that cause claims to be suspended or denied. To ensure timely and accurate processing of claims…
