Physician Payment And Practice

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

The Revised CY 2023 Medicare Physician Fee Schedule Is Now Available The revised CY 2023 Medicare Part B Physician Fee Schedule (MPFS) is now available. You can view these Part B Physician Fee Schedule by accessing Resources > Tools & Calculators > Fee Schedule Lookup.

Connect with the Center for Medicare & Medicaid Services and National Government Services Join Heather Lopez, MSSNY’s Vice President, Payment & Practice, an expert in practice management, billing, and reimbursement this Tuesday, February 14, 2023, at 6 pm for the Center for Medicare & Medicaid Services and National Government Services’ open agenda meeting. Heather is

Canandaigua Surgical Care Recoups 4 Months of Claims with the Help of MSSNY’s Heather Lopez “It is a crazy time to be working in healthcare. We are a small practice that prides itself in doing our due diligence to stay current on the changing payor policies, and after months of being unable to get anyone

2023 Medicare Fee Schedule The 2023 Medicare fee schedule is now available, and it is crucial to keep your information up to date. The fee schedule includes the expiration of the 3% raise in 2022, the budget neutrality adjustments related to the E&M code changes, and the 2.5% raise from the Consolidated Appropriations Act of

Denied Claims for CPT 90619 from Medicaid or Managed Medicaid Plan Recently? If you have received a denial for vaccine 90619 (Meningococcal conjugate vaccine, serogroups A, C, W, Y, quadrivalent, tetanus toxoid carrier (MenACWY-TT), for intramuscular use), please reach out to Heather Lopez as there has been an update to the Medicaid fee schedule to