AIM

Anthem Pre-Authorization Change (Update) Here are the details:          Anthem is implementing preauthorization for all 97XXX codes starting March 1st, 2020. This is a directive from Anthem corporate and they are...

GP Modifier

Providers have reached out to the KAC regarding denials for therapy codes (97XXX) when billing Humana Caresource.  It appears they are now requesting these codes be billed with the GP modifier.  You can rebill any denied claims as corrected and attach the GP modifier...

Anthem Announces AIM

Anthem has stated that all therapy codes will need prior authorization starting March 1, 2020, through AIM.  This notice was sent out in their Provider News on 12/1/2020.  At this time, no provider we have spoken with has received notice...

Children Under 3

We continue working with Aetna on a variety of issues including Medicare crossover claims and denials for care given to children under three.  We have sent requested information to Aetna on both these issues and will update members as soon as we have more...

HIPPA & Microsoft Windows

Microsoft has announced that they will be ending their extended support of Windows 7 operating systems on January 14th, 2020. After this date, Microsoft will no longer release updates and important security patches for Windows 7 operating systems. This means that the...