Medical Billing, Practice Management
and Consulting Company
EST. 1998
News Alerts
This section provides the latest and essential industry updates as they become available.
MAY
9
Horizon BCBSNJ, Braven Health, and Horizon NJ Health is now Accessible via Availity Essentials
Availity Essentials is now the provider portal for Horizon Blue Cross Blue Shield of New Jersey, Braven Health, and Horizon NJ Health transactions, such as Eligibility & Benefits, Claims, Authorizations, and more.
APR
2
Temporary Relief Available for Providers on Medical
Reviews That Have Been Impacted by CHOPD (Change Healthcare/Optum Payment Disruption
In accordance with CMS, as of 3/27/2024, NGS may grant extensions for responses to ADRs (Additional Documentation Requests) to providers under active medical review if they attest, they have been negatively impacted by the CHOPD.
DEC
28
Empire BlueCross BlueShield and Empire
BlueCross to Become Anthem Blue Cross and Blue Shield and Anthem Blue Cross
Effective January 1, 2024, Empire BlueCross BlueShield and Empire BlueCross will become Anthem Blue Cross and Blue Shield and Anthem Blue Cross. This will take place across Commercial, Medicaid, and Medicare lines of business.
SEP
20
Update-New Skin Substitute Policies-New Effective Date-October 1st 2023
It was originally stated on August 3 that Novitas, First Coast Service Options, and CGS Part B Medicare Administrative Contractors (MAC) finalized skin substitute policies for the treatment of diabetic foot ulcers (DFC’s) and venous leg ulcers (VLU’s) that would have gone into effect September 17, 2023.
AUG
10
New Skin Substitute Policies-Effective September 17, 2023
On August 3, Novitas, First Coast Service Options, and CGS Part B Medicare Administrative Contractors (MAC) finalized skin substitute policies for the treatment of diabetic foot ulcers (DFC’s) and venous leg ulcers (VLU’s) that become effective September 17, 2023.