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Search results for: health insurance

ACR Leads Coalition Opposing Cigna’s Elimination of Consultation Codes

From the College  |  October 17, 2019

In a letter co-signed by other Cognitive Specialty Coalition organizations, the ACR is requesting at least a one-year delay to better coordinate payer changes with recent federal initiatives.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:Cigna Corp.Cognitive Specialty CoalitionConsultation CodesEvaluation and Management

Clinical Insights into Gout Management: Rheumatology Drugs at a Glance Pt. 4

Mary Choy, PharmD, BCGP, FASHP  |  October 14, 2019

Three clinical experts on gout offer their insights into common management errors, clinical pearls, new safety data from the FDA and the role of biologic therapies in the management of gout.

Filed under:Biologics/DMARDsClinical Criteria/GuidelinesConditionsDrug UpdatesGout and Crystalline Arthritis Tagged with:GoutGout Resource Center

ACR Fights Cigna Decision to Eliminate Consultation Codes

From the College  |  September 24, 2019

As of Oct. 19, Cigna will deny claims billed with codes for consultation services, making it the second payer to discontinue payment for evaluation and management codes in 2019.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:ACR Insurance SubcommitteeCigna Corp.Consultation CodesEvaluation and Management

Rheumatology Patients & Providers Push for Step Therapy, Workforce Changes

Kelly Tyrrell  |  September 20, 2019

Rheumatology professional and patients visited with 117 legislators and their staffs during the 2019 Advocates for Arthritis event to champion better rheumatology patient care and access.

Filed under:Legislation & Advocacy Tagged with:Advocacy 101Advocates for ArthritisRheumPAC

Best Practices for Onboarding New Physicians

From the College  |  September 17, 2019

A lot of effort goes into recruiting the best provider into a practice, but missteps during the onboarding process have the potential to leave the provider feeling unsatisfied and the practice dealing with turnover. Although it is one more task to add to an already full plate of things to do at a practice, comprehensive…

Filed under:From the CollegePractice SupportWorkforce Tagged with:onboardingorientationretention

Stealing Time

Philip Seo, MD, MHS  |  September 17, 2019

I knew I shouldn’t look. I was driving 60 miles per hour, heading north on I-95, trying to get to the George Washington Bridge before dusk. It takes a certain fatalism to drive through New York City if you are not a native. Ninety percent of the drivers sharing the road with you know exactly…

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:burnoutpatient-centered care

Practice Matters: New Workshop Will Provide Insights into Practice Management at the 2019 ACR/ARP Annual Meeting

From the College  |  August 28, 2019

Technology, billing, regulations—how do rheumatologists manage the business side of their practices in an ever-changing environment? During this year’s Annual Meeting, a practical, full-day workshop will offer attendees the tools to thrive in today’s healthcare business landscape…

Filed under:Practice Support Tagged with:2019 ACR/ARP Annual MeetingBusinessPractice Managementtelemedicine

Rheumatology Drugs at a Glance, Part 3: Rheumatoid Arthritis

Mary Choy, PharmD, BCGP, FASHP  |  August 16, 2019

Over the past few years, bio­similars and other new drugs have been introduced to treat rheumatic illnesses. Some of the conditions we treat have numerous drug options, others have few or only off-label options. This series, “Rheumatology Drugs at a Glance,” provides streamlined information on the administration of biologic, biosimilar and small molecule inhibitor drugs…

Filed under:ConditionsDrug UpdatesRheumatoid Arthritis Tagged with:abataceptadalimumabanakinrabaricitinibCertolizumab PegoletanerceptGolimumabinfliximabrituximabsarilumabtocilizumabTofacitinib

Cigna to Eliminate Consultation Codes

From the College  |  August 1, 2019

Cigna recently announced that they will discontinue payment for consultation codes later this year. As of Oct. 19, 2019, the payer will implement a new policy on Evaluation and Management (R30) that will deny claims billed with CPT codes for consultation services as not valid. Impacted CPT codes are 99241, 99242, 99243, 99244, 99245, 99251,…

Filed under:American College of RheumatologyBilling/CodingPractice Support Tagged with:ACR Insurance SubcommitteeBillingCodingHealth Insurance

4 Steps to Prevent Unnecessary Claims Denials

From the College  |  July 18, 2019

Denied claims represent unpaid services, or lost or delayed revenue. Avoiding claims denials is the responsibility of everyone in a practice. Any deficiency on a focused strategy for denials management will have unfavorable resolutions to denials or lead to writing off the service without payment. With the changing landscape in practice management, the best route…

Filed under:From the CollegePractice Support Tagged with:claims denialsinsurance denials

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