March 2019

VA Community Care under Choice and PC3 will be changing to Optum Health June 2019 to manage care for veterans under the respective programs This affects only regions 1, 2, and 3. Regions 4, 5, and 6 will remain with Triwest Region 1 Connecticut, Delaware, District of Columbia, Maine, Maryland, Read more…

There have been many offices recently receiving denials for improper use of diagnosis. This is stemming not that the codes are incorrect but that they cannot be coded together on the same claim. This type of denial is due to “Type 1 Excludes” which is a diagnosis rule that does Read more…