Reimbursement
The modifications are in line with the industry as a result of the PHE ending in May, Aetna says.
The lawsuit was linked to past risk adjustment submissions from certain types of patient records, some dating back more than a decade.
While 80% of a commercial bill is the plan's responsibility, 20% is owed by patients, says PayMedix CEO Tom Policelli.
Coverage of digital medicine CPT codes varies wildly, which makes it difficult for physicians to reliably provide digital services.
At least 7.1 million Medicaid enrollees have been disenrolled as of September 20, according to KFF.
New AMA research sheds light on the coverage policies of 16 commercial health insurers.
Costs for procedures such as mammograms and colonoscopies are as much as 58% higher when performed in HOPD settings.
For both primary and specialty care, telehealth is more frequently coded with a lower level-of-service billing code, Epic Research says.
AHEAD model includes financial incentives for hospitals and primary care practices.
Plaintiffs alleged that LVMC claimed and received payments that were not for "allowed medical expenses" permissible under state contracts.