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Nov Industry Notes: UHC – New GA Modifier Requirements 

Beginning Feb. 1, 2025, UHC is adding the following GA modifier requirement for their commercial plans. If you know or...

Nov Industry Notes: Ohio – Four Managed Care Plans Selected for Next Generation MyCare Plans 

On November 1, the Ohio Department of Medicaid (ODM) announced four managed care organizations to serve as the Next Generation...

Payer Contracts: Looking Forward to 2025 

We blinked and it is November already. Holy Smokes! We are deep into the fourth quarter of 2024 and you...

Unlock Your X-ray Revenue: Marketing and Messaging That Work

If your patients don't realize you offer x-rays, or you are looking to increase your x-ray utilization, join Experity for...

How Does Data Reviewed Work When Coding E/M? 

Amount and/or Complexity of Data to Be Reviewed and Analyzed is one of three elements that determine the level for...

Exploring IV Infusion Services in Urgent Care

Among the handful of capabilities that differentiate urgent care from other convenience-based healthcare is the availability of IV treatments. Interestingly,...

The Quandary of Opening an Urgent Care Without Contracts 

Alan A. Ayers, MBA, MAcc is President of Urgent Care Consultants and is Senior Editor of The Journal of Urgent...

Cigna: New Z Code Policy Requires Additional Provider Documentation 

RCM Coding Supervisor: Tricia Krueger, CPC Cigna Health will begin denying evaluation and management (E/M) codes and supporting Z codes...

How Should I Credential? Primary Care vs. Urgent Care  

Do I market my clinic to the insurance carriers as a primary care practice, an urgent care practice, or a...

Understanding and Managing Payer Contracts in Urgent Care

Effectively managing payer contracts is essential to ensure healthcare providers get fair payment for their services and can continue to...

Urgent Care Conference 2025: Make the Most of Urgent Care Connect

The fourth year of Urgent Care Connect (UCC) promises to again deliver some of the most actionable, impactful content available...

Proactive Planning and Data Security in Healthcare

The past five years have underscored the critical importance of crisis and contingency planning in healthcare. The 2020 public health...