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Monday 2pm - 5pm Tuesday 9am - 11am Wednesday 9am - 12pm Thursday 9am - 5pm Friday 9am - 11am

KR2 Medical Billing

Name: KR2 Medical Billing
Address: Yonkers, NY, 10703, US
Telephone: (914) 338-8074
Price range: $$

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KR2 Medical Billing

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Owned by a Certfied Professional Biller (through AAPC). Conveniently located in Hastings on Hudson, NY.

I currently offer only online medical and billing coding training. Please visit my website kr2billing.com for more information.

11/03/2026

NYS Medicaid: vaccines update

The following change applies to NYS Medicaid and UHC Community Plan members. Please check with other MCO plans that operate in NYS, if change will take affect at the same time. What is changing? Effective for any DOS on 1/1/27 and thereafter the vaccine- Meningococcal pentavalent will be added to the non covered services/codes list Code: 90624-A pentavalent meningococcal vaccine administered intramuscularly to protect against five serogroups of meningococcal disease (MenB and MenA, C, W, Y). Find this information useful? Follow my blog for more!

The following change applies to NYS Medicaid and UHC Community Plan members. Please check with other MCO plans that operate in NYS, if change will take affect at the same time. What is changing? Ef…

10/30/2026

Aetna: Onservation Payment Policy

The following policy applies to Aetna Commercial and Medicare plan types. Reminder: In order for hospitals to receive reimbursement for observation services there is a min number of units that has to met: 8 hours or more. Code affected: G0378-hospital observation service, per hour on facility outpatient claims. If the services do not meet the required time frame the code/services will not be paid…...

The following policy applies to Aetna Commercial and Medicare plan types. Reminder: In order for hospitals to receive reimbursement for observation services there is a min number of units that has …

10/18/2026

UHC: The Michigan Collaborative for Type 2 Diabetes (MCT2D)- changes

Are you a provider in Michigan that provide glucose monitors (CGM) for UHC patients that have Type 2 Diabetes? Then this blog post ia for you! What you should know? The Michigan Collaborative for Type 2 Diabetes (MCT2D)- was a pilot program that will end on 1/1/27 Under this program the prior authorization process was bypassed and the patient qualified with Type 2 Diabetes DX…...

Are you a provider in Michigan that provide glucose monitors (CGM) for UHC patients that have Type 2 Diabetes? Then this blog post ia for you! What you should know? The Michigan Collaborative for …

10/11/2026

NYS Medicaid: Billing for denture services (FQHCs) patients with third party insurance

If you are a NY FQHC w/(PPS) payment that provides denture services (not DME itself) for the Medicaid members with a third party insurance? Then the following blog post is for you! Medical Billing: coordination of benefits In order to ensure proper coordination of benefits the FQHCs should bill the third-party insurance and/or commercial insurance as primary and receive the PPS per visit payment…...

If you are a NY FQHC w/(PPS) payment that provides denture services (not DME itself) for the Medicaid members with a third party insurance? Then the following blog post is for you! Medical Billing:…

10/11/2026

Fidelis: corrected claim submissions

Are you a NY provider that submitted a corrected claim and received a code 6U, then this blog post is for you! Submitting a corrected claim is something that providers are familiar with. However, let's not forget that the process may vary between payers, including the timely filling frame. In the following blog post we are going to look at the corrected claim submission change for Fidelis claims (NY)....

Are you a NY provider that submitted a corrected claim and received a code 6U, then this blog post is for you! Submitting a corrected claim is something that providers are familiar with. However, l…

10/07/2026

BCBS Highmark NY:

Are you a NY provider that after submitting a claim through Availity received following response codes: A7:21, A7:583, A7:476? Then this blog post is for you! What is changing? As per Highmark- any professional claims for DOS 7/17/26 and thereafter will have pre-adjudication validation edit for proper number of billed charges and units for services rendered If your office receives Availity delayed payer and electronic batch report the reason will be listed as Charges or Units exceed the standard values for the billed services.” The claim will be rejected and not adjudicated Find this info useful? Follow my blog for more!

Are you a NY provider that after submitting a claim through Availity received following response codes: A7:21, A7:583, A7:476? Then this blog post is for you! What is changing? As per Highmark- any…

10/07/2026

NYS DOH ACT new rate codes for 2027

Are you a NY provider that bills for Youth or Adult ACT services? Then this blog post is for you! What is changing? As per NYS OMH- for any DOS 1/1/27 and thereafter the rate codes for youth and adult ACT services will change. For MCOs- the following plan types are affected by this change: EP, HARP, Managed Medicaid, ChildHealthPlus…...

Are you a NY provider that bills for Youth or Adult ACT services? Then this blog post is for you! What is changing? As per NYS OMH- for any DOS 1/1/27 and thereafter the rate codes for youth and ad…

10/03/2026

Aetna trauma response reimbursement

The following update applies to Aetna Commercial and Medicare plans. What is changing? In order to get reimbursement for trauma response services Aetna will require an accompanying HCPCS code with the cooresponding Rev codes A qualifying ambulance transport service on the same DOS Rev codes affected: 0681: Trauma Response, Level I0682: Trauma Response, Level II0683: Trauma Response, Level III0684: Trauma Response, Level IV Required HCPCS code: G0390-trauma response team associated with hospital critical care service Find this info useful? Follow my blog for more!

The following update applies to Aetna Commercial and Medicare plans. What is changing? In order to get reimbursement for trauma response services Aetna will require an accompanying HCPCS code with …

09/30/2026

UHC: new vascular criteria/policy

Are you a provider that accepts members with the following plans: UHC commercial, Medicare Advantage, and some UHC plans? Then this blog post is for you! What is changing? For any dos 12/1/26 and thereafter UHC will require a prior authorization/ medical necessity review for code 37242 UHC will remove the site of services requirenment for therapeutic vascular procedures (ex. 37243)...

Are you a provider that accepts members with the following plans: UHC commercial, Medicare Advantage, and some UHC plans? Then this blog post is for you! What is changing? For any dos 12/1/26 and t…

09/29/2026

UHC: GI endoscopy advance notification and SOS update

Are you a provider that accepts UHC commercial or Oxford NY, and CT members? Then this blog post is for you. What is changing? As per UHC- effective on DOS 10/1/26 and there after an advance notice will no longer be required for GI procedures As per UHC- effective on DOS 10/1/26 and thereafter the SOS (site of care) review will end for GI services including a subset of GI and screening GI services when perform in hospital outpatient setting (22,19) Which service this change will apply to? Esophagogastroduodenoscopies (EGD Capsule endoscopies Diagnostic and surveillance colonoscopies Find this information useful? Follow for more!

Are you a provider that accepts UHC commercial or Oxford NY, and CT members? Then this blog post is for you. What is changing? As per UHC- effective on DOS 10/1/26 and there after an advance notice…

Address

Yonkers, NY
10703

Opening Hours

Monday	2pm - 5pm
Tuesday	9am - 11am
Wednesday	9am - 12pm
Thursday	9am - 5pm
Friday	9am - 11am

Telephone

(914) 338-8074

Website

https://kr2billing.com/

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