Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until at least May 1, the insurer confirmed to Becker’s March 31. The ...

Anthem Blue Cross of California is extending the pause on its upcoming evaluation and management claim downcoding policy until April, the insurer confirmed to Becker’s Feb. 27. A Feb. 23 news release ...

Blue Cross Blue Shield of Massachusetts is expanding its claims review process to address what it is describing as potential overcoding among physicians who routinely bill for high-complexity visits.

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Here are five notable developments from Cigna over the last month: 1. The Cigna Group has named Eva Borden as chief product officer for its commercial insurance business. Ms. Borden, who joined Cigna ...

Physician advocacy groups are urging Cigna to withdraw a new reimbursement policy that would automatically downcode high-level E/M claims, arguing it undermines clinical judgment and creates an unfair ...

In the U.S. healthcare industry, claim denials are a significant issue, costing healthcare providers billions of dollars every year. it’s estimated that denied claims amount to astounding $250 billion ...

“I don’t really know how else to regard it, except that some energy force in the universe pulled the four of us together to write pop music for the particular moment that we were there doing it,” says ...

"With the requirements for an E/M code as noted above, we agree with you that the supporting documentation, if appropriately documented, would support a level 3 outpatient visit for a visit regarding ...