Advanced Claim Management

10/31/2025

The American Academy of Ophthalmology is engaging CMS directly to resolve new inconsistencies around modifier 25 and ensure clear, accurate guidance for ophthalmology practices.

10/31/2025

When Humana started denying valid claims for office and eye visits billed with diagnostic testing, the Academy fought back — and won.

05/01/2025

Fidelis Written Member Consent Requires for Authorization Appeals effective June 1, 2025

03/27/2025

03/22/2025

Michael Jordan Opens Another Health Clinic in Home State of North Carolina–Four Clinics Now Serve the Uninsured

01/02/2025

01/02/2025

12/09/2024

On November 8, 2024, the Centers for Medicare & Medicaid Services (CMS) released the 2025 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2025 Medicare Part D income-related monthly adjustment amounts. Medicare Part B Premium and DeductibleMedicare...

12/08/2024

Please help me find my hero! You DO NOT have to be a match to help save my life. Please take a moment to read my story. One share/repost goes a long way❣️

12/06/2024

https://www.axios.com/2024/12/05/blue-cross-blue-shield-anesthesia-anthem-connecticut-new-york

The murder of UnitedHealthcare CEO Brian Thompson cast an intense spotlight on unpopular insurance company policies.

12/05/2024

https://www.rochesterfirst.com/new-york-state/anthem-blue-cross-blue-shield-to-cap-anesthesia-coverage-after-certain-time-frame/

ROCHESTER, N.Y. (WROC) — Those who use Anthem Blue Cross Blue Shield insurance will likely soon have to pay out of pocket for anesthesia services, should their surgeries fall outside a specific tim…