Articles

To avoid claim denials and future appeals due to incorrect claim submissions, we’re providing guidance on how to properly submit...

Data indicates that many providers are not submitting proper diagnosis codes to support the medical necessity for tetanus...

This article is a reminder for all inpatient claim submitters about how to correctly submit the date of service on the claim.

This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.

We added a YouTube video on Medical Review best practices to prevent unnecessary “non-response” denials. Let us know what you...

When billing for unlisted drug codes, include the name, strength, and dosage of the drug.

Are you participating in prior authorization and want to know how to maintain exemption within this program? Do you have...

This article contains the allowances for opioid treatment program services for service dates January 1 through December 31, 2022...

This provides definitions of the national policy indicators for each procedure code (and modifier, where applicable) on the...

View pricing for two new codes for administration of nirsevimab for RSV infection.