Starting in 2025 we saw many changes to Medicare Advantage plans. In 2025 Premera BCBS exited the MA marketplace and BCBS of MA discontinued specific plans. This year BCBS of…
Read More
Recently it was discovered that Aetna had been incorrectly processing claims for Suffolk County Employees insurance plan (EMHP). Apparently, this plan has a $30 max benefit, yet up until recently…
The 2026 updates are mostly focused on making sure clinics have real, documented systems to protect patient information, (cybersecurity). Even solo-practitioners don’t fly under the radar as far as HIPAA…
Understanding CPT 97110 is essential for accurate billing and proper reimbursement. This code describes therapeutic exercises provided with direct, one-on-one contact, designed to improve strength, endurance, range of motion, and…
Some providers want to join insurance networks that are currently closed to new applicants. While nothing is guaranteed, the strategies below can increase your chances of getting noticed — and…
1. Know What Kind of Audit You’re Dealing With Not all audits carry the same weight. Some have minimal consequences, while others can lead to clawbacks, expanded investigations, or serious……
Many providers say they want to grow their practice — but few actually have a plan in place to make that happen. Or maybe you don’t want more patients, but…
If you’ve recently received a “payment” from an insurance carrier like Vpay, Zelis, or QuicRemit, only to find it’s a Virtual Credit Card (VCC) — you’re not alone.
More and more carriers are using VCCs for provider payments, and if you process them, you’ll lose 3–5% in transaction fees. That money comes directly out of…
If you’ve received letters, audits, or “re-priced” claims from any of these companies, you’re not alone. These third-party entities all play behind-the-scenes roles for major insurance carriers — and their…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is a member’s only resource. If you are a member you can sign in below. If you are not a member, CLICK HERE to join the Mori West Billing…
This is where I’ll be posting any updated information or documents that are useful for my members.
Recent Comments