News about our plans, authorizations, coding, billing, formularies and more.
Recent news
August 7: Annova: New vendor supporting medical record retrieval
August 7: Medicare PA criteria updates take effect Oct. 1 for non-preferred hyaluronic acid products
August 7: Get our summer Physician and practice news digest and our Medicare/Medicaid Quality newsletter
July 29: Register now for our August 21 Medicare & Medicaid quality webinar
July 21: IMRT to be added to post-pay audit program effective August 23
July 21: Fee schedule change for non-physician Medicaid behavioral health services
July 21: July 2025 billing policy updates
July 15: Warning: Fax phishing scam claiming to be from CMS asking for patient data
July 15: Behavioral health providers who see Medicaid members must complete a short MDHHS survey
July 15: Reminder: Log into your prism account at least every 120 days to maintain access