BCBS of Michigan Reminder: Professional providers required to submit claims electronically, starting June 30

On July 17, 2017, in Blue Cross and Blue Shield, Insurance Questions, by MoneyTree

Hey BCBS providers… beginning on June 30, 2017, you will be required to submit these types of claims electronically if you have the capability to. Original claims Replacement claims Void or cancel claims Any claim that includes services for which you’ll submit medical records BCBS also encourages the following claims to be submitted electronically if [...]

Security Health Plan (SHP)

On April 18, 2017, in Insurance Questions, by MoneyTree

Effective March 15, 2017 for all Security Health Plan Products, with the exception of Badger Care Plus:  SHP now requires you to notify them via the use of the FX modifier if you are still using x-ray film. SHP will decrease your payment by 20% for any x-rays that are being handled with film, instead [...]

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Secondary, Supplement or Replacement?

On October 14, 2016, in Insurance Questions, Medicare, by MoneyTree

In the case of Medicare, we are frequently asked what the difference is between a secondary insurance policy and a supplemental insurance policy. Though there will always be an exception to the rule when it comes to insurance coverage, in general terms, below is an outline of each type and how they work. Medicare Supplements: [...]

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Minnesota Docs… this one’s for you!

On August 14, 2016, in Insurance Questions, by MoneyTree

There are some new guidelines that went into effect as of August 1, 2016, for Blue Cross and Blue Shield. You should re-verify your patient’s benefits depending on the plans below… Self-Insured Plans:  Per contract benefits Commercial Plans:  After 30 visits per calendar year Government Plans:  After 24 visits per calendar year Prior Authorizations need to be [...]

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Important Insurance Changes to be Aware of since the New Year

On April 19, 2016, in Insurance Questions, by MoneyTree

As we head into the second quarter of the year, we wanted to share some important insurance changes for you and your office. To avoid confusion, you’ll want your staff to be in the know. HSM (Health Services Management) has changed to Magellan. This change is basically in name only (and phone number, which is [...]

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Don’t let the UHC per diem rate get the best of you!

On April 19, 2016, in Billing Questions, Insurance Questions, by MoneyTree

Let’s go over this lovely UHC per diem rate that is frustrating so many clinics. In this article, we will talk about the fees you charge and ideas for getting your exams and x-rays paid in spite of the UHC per diem rate. Money Tree services clients in MN, WI, OK and MI, however, we [...]

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Is Your Office Throwing Money Away? (Literally)

On July 26, 2013, in Billing Questions, Collections, Insurance Questions, by MoneyTree

We learned of a unfortunate mistake that is being made in a few chiropractic clinics and wanted to be sure to get the word out so it doesn’t happen to you. Recently, we’ve been seeing insurance companies sending EOB’s by mail, which include a copy of a credit card on either the bottom of the [...]

Code of the Month: 99201-99205 and 99211-99215

On December 11, 2012, in Code of the Month, Collections, Insurance Questions, by MoneyTree

We’re pleased to bring you a summary of November’s Code of the Month posts from our Facebook page. Most DC’s are familiar with the standard use and requirements of new patient exam codes (99201-99205) and existing patient re-evaluation codes (99211-99215). However, many are not familiar with the counseling override rule, which we hope this post [...]

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How does an office move affect my billing and insurance?

On October 28, 2011, in Billing Questions, Insurance Questions, Office Move, by MoneyTree

Q. We’re moving our office to a new location and with all the other details to attend to I’m totally overwhelmed and confused for what this means for my insurance and billing. Can you give me a quick checklist of to-dos or something? A. Congratulations on your move! We’ve been through it and between furniture [...]

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What Can I Do to Prevent/Avoid an Audit?

On September 21, 2011, in Billing Questions, Insurance Questions, by MoneyTree

Q. I’ve heard many horror stories about insurance and Medicare audits and want to do all I can to avoid one.  Are there any best practices you can share that would help? A. Yes, audits aren’t pleasant, that’s for sure.  They are uncomfortable and stressful.  Worse, they take you off track and distract you from [...]

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