Get a Quote

Tag: CAQH process

Latest Articles

CMS 0062: What Providers and Payers Need to Know About the Proposed Drug Prior Authorization Rule

Key Takeaways CMS 0062, formally CMS-0062-P, is a proposed rule, not a final one. CMS released it April 10, 2026, and the public comment period...

CMS 0057: What Providers Need to Know About the New Prior Authorization Rule

Key Takeaways CMS 0057 (CMS-0057-F) regulates payers, not providers, but reshapes prior authorization turnaround, denial transparency, and electronic submission for everyone who submits PA requests....

CountyCare Prior Authorization Changes 2026: What Illinois Providers Need to Know

Key Takeaways Illinois practices billing CountyCare must cross-reference every medical-benefit drug they administer against the updated HCPCS code list before the October 31, 2026 effective...

Top 10 Remote Patient Monitoring Companies in 2026

Key Takeaways Remote patient monitoring reached nearly one million Medicare enrollees in 2024 with payments topping $536 million, yet adoption still lags the eligible chronic-disease...

8 Ways Outsourced Credentialing Improves RCM

Key Takeaways Practices exploring outsourced credentialing RCM improvements should know that accurate payer enrollment data prevents denials before claims are ever submitted. MGMA data attributes...

Neolytix Identifies an Average of $341K in Payer Contract Revenue Opportunities — Get Your Assessment Done Today

Illinois HB 1085 Simplified

How BH Practices Can Capture the Multiple Revenue Streams It Unlocks

HB 1085 sets a permanent 141.7%-of-Medicare reimbursement floor for Illinois commercial behavioral health plans renewing on or after January 1, 2027. It opens several revenue opportunities that do not unlock automatically. Join us to learn what you need to do before January 1 to capture all of them.
Jay Reeser
Jay Reeser
VP Payer Analytics (ex-Cigna, UHC)
Brian Morefield
Brian Morefield
Director, Business Development