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Processing Issue with Fulcrum

In January 2021, Fulcrum announced their partnership with Preferred One, which meant all in-network chiropractic services would bill thru Fulcrum (previously thru Magellan).  This week, they notified providers of a processing issue.  They have been mistakenly processing Non-Preferred One Aetna policies that should not bill to them. At this time Fulcrum is beginning the process […]

The Cycle of Business- Your Team

Whether you own your own practice, are an associate, or you are getting ready to graduate and start your new journey, you have plans. You have dreams. You have desires. Remembering the old saying of “You need to work on your business not just in it” is easy, but to DO it can prove challenging. […]

Introducing The Vitamin Calculator…

Introducing The Vitamin Calculator… Save Valuable Time, Reduce Errors,  And Help Increase Revenue Supplements are an important part of many healthcare services and can play a primary role in patient care. The Vitamin Calculator is designed to help keep your patient on track with their care, increase your supplement services and simplify the process for your […]

Minnesota Blue Cross Blue Shield Providers

SecureCare has released their current Clinical Review Guidelines for Blue Cross and Blue Shield of Minnesota. If you are an in-network provider, you should have received this notification. The guidelines are measured bi-annually and are used as benchmarks in helping SecureCare determine your provider status within the Blue Cross Blue Shield of MN network. This status determines […]

Blue Cross Blue Shield Anthem Modifier Policy Update

Anthem of Ohio recently issued a Modifier Policy Update. This update requires a therapy type modifier (GN, GO, or GP) to be used when billing therapy codes. This is similar to the policy previously adapted by United Healthcare. Though we have not yet seen Blue Cross Blue Shield/Anthem notifications for every state, we expect this will be the […]

BCBS/Anthem Coding Exclusions

We are receiving denials for multiple clinics in different states from Blue Cross Blue Shield and Anthem carriers with coding exclusions. Some policies are rejecting claims with diagnosis code combinations that are no longer allowed per Blue Cross Blue Shield/Anthem. We do not have an entire list of the codes at this point nor are we […]

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