You may have heard about the new legislation surrounding “Price Transparency” in 2022, effective January 1. I put that in quotes for a reason. I may be a bit of a skeptic, but this new law is nothing more than insurance carriers pushing reimbursement rates lower with “price transparency” and “helping patients” as a rather […]

Hi Auctus Clients, The Auctus Group is committed to ensuring that you have the most up to date information about COVID-19. Here is some information you need to know regarding SBA loans and Telehealth. [WEBINAR TODAY]  How the Corona Virus will Impact Telehealth Insurance Reimbursements & Encounters: Plastic surgeons and other aesthetic doctors are searching for guidance […]

Big changes to Acellular Dermal Matrix (ADM) Medical Policies! As an aside – we are not affiliated with, making any recommendations regarding, or suggesting superiority of brands in any way. For a long time, Alloderm has been the only allowed ADM.  Other venders and brands have been considered “experimental.”  Dermacell, another prevalent brand in the marketplace, […]

A very significant step in the pushback against the trend of slicing into physician revenue by insurance carriers was taken this month as Anthem rescinded its January 1, 2018 policy for same day services.  Previously the policy intended to reduce E/M reimbursement by 50% when rendered on the same day as qualifying procedures.  After a […]

Some pretty major changes to pre-auth requirements for BCBSIL.  This means that authorization staff will have to submit every time for approval.  Please keep in mind how this will impact booking timelines.   Notable changes:   19318 – Breast Reduction – Best practice has been to submit for pre-determination regardless so not a massive impact […]