Key Takeaways Institutional providers such as hospitals, SNFs, and home health agencies must file the CMS-855A to establish Medicare billing authorization, disclose ownership, and maintain...
Key Takeaways Maryland HealthChoice MCOs require practices to bill each managed care organization separately, with distinct prior authorization rules, claim portals, and appeal timelines per...
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Key Takeaways RCM companies in Michigan must navigate six Healthy Michigan Plan MCOs, four-tier PIP auto no-fault billing, and BCBS PGIP attribution — each requiring...
Key Takeaways Credentialing companies in Ohio must navigate enrollment with multiple Medicaid MCOs individually, including CareSource, Buckeye, Molina, Paramount, and UnitedHealthcare Community Plan. Every uncredentialed...
Key Takeaways Medical billing companies in Georgia must be current on the 2024–2025 CMO transition, with UnitedHealthcare, Molina, and Humana replacing Amerigroup and Peach State...
