Paper Checks Phasing Out for Oxford Claims Payments Choose between direct deposit or virtual card payments By late second quarter 2023, UnitedHealthcare will no longer send paper checks for many* claim payments for Oxford plans in Connecticut, New Jersey and New York. This change supports our continued efforts to accelerate payments to your practice by
Overpayment, Appeal Letters Going Paperless on May 5 Beginning May 5, UnitedHealthcare will no longer mail overpayment and appeal decision letters sent directly by UnitedHealthcare* to network health care professionals (primary and ancillary) and facilities in New York This change applies to UnitedHealthcare Community Plans. Instead, you'll be able to view them digitally 24/7. Note:
OPRA Provider and Denied United Claims? Are you a NYS Medicaid OPRA provider and receiving denied claims from United Healthcare’s Community Plan? Beginning last September, all providers needed to be enrolled as a Medicaid provider per The 21st Century Cures Act. It has come to MSSNY’s attention that there are physicians who are enrolled as
CMS Webinar: 2023 Medicare Physician Fee Schedule (MPFS) Final Rule Updates On March 23, at 1:00 PM, the Centers for Medicare & Medicaid Services (CMS) will present a webinar with updates and policy changes for Medicare Payments and other Medicare Part B issues effective on or after January 1, 2023. The webinar will review the
Steps to Take if Your WC Testimony Deposition is Not Paid If you are not paid within 10 days of the completion of a deposition, you should send a letter to the insurer's claim administrator stating so. The letter should include the workers' compensation case number, the date of the deposition, and a request for
CMS Waivers, Flexibilities, and the Transition Forward from the COVID-19 Public Health Emergency As part of the Centers for Medicare & Medicaid Services’ (CMS) ongoing efforts to provide up-to-date information to prepare for the end of the Public Health Emergency (PHE) for COVID-19, which is expected on May 11, 2023, we are providing a new overview
Submit Your Comments on the HIPAA Administrative Simplification Health Care Attachments and Electronic Signatures Proposed Rule Today The Centers for Medicare & Medicaid Services (CMS) National Standards Group (NSG) recently released a proposed rule that, if finalized, would adopt standards for “health care attachments” transactions, a standard for electronic signatures to be used in conjunction with health
Medicare Claim Appeals Can Now Be Submitted Electronically There are two easy ways to submit. National Government Services will now allow Medicare Part A and Part B providers to submit claim appeal requests, including medical record documentation, through electronic transactions rather than a paper appeal form. Two ways to submit your appeals electronically: com, the
New Local Coverage Determination (LCD) for Sacroiliac Joint Injections and Procedures A newly created Local Coverage Determination (LCD) policy change will affect providers who render and bill for Sacroiliac Joint Injections. This information was previously in the National Government Services’ Pain Management LCD (L33622). This new LCD, L39455 – Sacroiliac Joint Injections and Procedures, and
OPRA Provider and Denied United Claims? Are you a New York State Medicaid OPRA (ordering, prescribing, referring, and attending) provider and receiving denied claims from United Healthcare’s Community Plan? Starting in September 2022, all providers needed to enroll as Medicaid providers per The 21st Century Cures Act. It has come to MSSNY’s attention that there
