March 9th, 2010 by admin
The newest proposed state budget includes a 1.98% Medicaid fee cut for physicians and a 1.6% bed tax for hospitals. The budget is currently under discussion by both the House and Senate.
Budget changes and budget votes will probably occur in March and April. One suggestion many health care providers have to fill the budget hole is a tax on tobacco. Find out more about the tobacco tax as a solution by looking under faxes at the communications tab on this web site. Click here for information!
Contact your local Senator and Representative if you are concerned about the cut. Find your Georgia Legislators by clicking on the resources section of this site.
January 22nd, 2010 by admin
At the end 2009 Blue Cross Blue Shield began denying payment for many cytopathology/pap smear codes due to implementation of a claims edit system aimed at detecting claims bundling, duplicate billing and other problems. Cytopathology/pap smear codes (88141-88155, 88164-88167, and 88174-88175) were denied when submitted with Evaluation and Management Services. Many OBGyn practices in Georgia were affected by the denials.
Blue Cross indicates that they will reinstate payment for those codes for a minimum of six months. Claims denied as a result of the edit will be reprocessed and paid. Re-filing of the denied claims is not necessary. And, in future, prior to reinstating the system that denies payment on pap smears, Blue Cross will provide 90 days notice of the change.
The Society plans to work with Blue Cross to discuss alternate ways of implementing claims editing so that pap smear payments will not be affected.
For additional questions please contact your local Blue Cross Blue Shield representative.
December 23rd, 2009 by admin
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