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10/07/24

Does Anthem BC Follow Medicare’s 8-Minute Rule?

Anthem BC is the largest BC carrier in the United States providing coverage in 14 states. In this article, I will answer the following questions regarding Anthem and the 8-minute rule for outpatient therapy billing:

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10/01/24

Anthem BCBS Updates Kentucky Provider Manual

Anthem Blue Cross and Blue Shield has updated their Kentucky Provider Manual. To access the updated manual, log into your account and click

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10/01/24

Anthem BCBS Updates Virginia Provider Manual

Anthem Blue Cross and Blue Shield has updated their Virginia Professional Provider Manual. To access the updated manual, log into your account and click

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09/30/24

NCCI Edits Version 30.3

The National Correct Coding Initiative (NCCI) edits Version 30.3 are effective with dates of service October 1, 2024 – December 31, 2024. As a Gold, Platinum, or Diamond Member to my website, you have access to our NCCI Edit “cheat sheet” for modifier 59 that is specific to outpatient physical, occupational, and speech therapy services. To access NCCI Edits Version 30.3 for Medicare, click HERE and log into your account. To access NCCI Edits Version 30.3 for Medicaid, click HERE and log into your account.

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09/23/24

Humana Indiana Medicaid September 2024 Update

Humana Medicaid has implemented a new claim processing edit for therapy services for the state of Indiana. In this article, I will answer the following questions

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09/23/24

UnitedHealthcare Revises Cognitive Rehabilitation Medical Policy

UnitedHealthcare has revsied their Cognitive Rehabilitation policy. In this article, I will answer the following questions:

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09/16/24

UnitedHealthcare’s Gold Card Program

In this article, I will answer the following questions regarding UnitedHealthcare’s Gold Card Program:

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09/09/24

UHC Community Plan Revises Outpatient Therapy Policy

UnitedHealthcare (UHC) Community Plan has revised their outpatient therapy policy. Summary of changes include the following: To access the revised policy, click

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