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Emily Pasternak
Apr 5, 20211 min read
Medical Necessity and Justification
Definition*: Health care services or supplies needed to diagnose or treat an illness, injury, condition, disease or its symptoms and that...
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Emily Pasternak
Mar 10, 20211 min read
Global Vs. Individual Billing
Global billing for contracted midwives with "carve outs" can result in higher payment for services from major insurance companies like...
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Emily Pasternak
Mar 10, 20211 min read
New Patient Vs. Established Patient
By CPT definition, a new patient is “one who has not received any professional services from the physician, or another physician of the...
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Emily Pasternak
Nov 30, 20201 min read
Patient Balance Adjustment Waiver
Providers wishing to adjust or "write-off" patient balances must sign and submit the waiver on a case-by-case basis to your biller. The...
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Emily Pasternak
Sep 16, 20201 min read
Incomplete Claims & Patients
A common delay for claims this year has been missing patient information resulting in claims. This usually happens when the patient is...
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Emily Pasternak
Aug 12, 20201 min read
I have AETNA and I want a home birth
I have added a new handout to the provider, patient and practice pages for future reference on how AETNA patients and families can go...
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Emily Pasternak
Aug 5, 20201 min read
Medicaid RA Messages
For providers that do not receive a Medicaid Remittance or check each week, here is the link to the Remittance Advice Messages and...
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Emily Pasternak
Jul 28, 20201 min read
Provider Superbills
All providers and practices now have their own custom superbills with links below. Please let me know if you are having trouble with the...
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Emily Pasternak
Jul 28, 20201 min read
Provider Announcements
Provider announcements will be posted here so check back often for provider news, insurance notices and more.
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