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Chiropractic News

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We stay on top of relevant and breaking news so that you're up to date on issues that could affect your practice's financial performance.

Compliance Basics
HHS Website is Refreshed and Ready for 2019 Click here to check out the new layout on the HHS website. The website contains an improved search engine and simplified layout of important updates and notices. Be sure to include in your scheduled first of the year compliance duties a quick check of what's new for OIG. What's New for 2019? Check it out here.
3rd Party Billing and Collections
The night before the December 15th deadline to enroll in marketplace health plans, a Texas Federal judge ruled the Affordable Care Act (ACA) as unconstitutional.
Medicare
As of December 19, 2018, CMS streamlined their process for accessing the Quality Payment Program (QPP) website.
Medicare
CMS has announced that they will no longer provide access to the PQRS Feedback Reports. You have until December 31, 2018 to download these reports. Since the final performance period for PQRS ended in 2016 and the final payment adjustment year is 2018, access to these reports will not be maintained by CMS.
Medicare
Legislation championed by the American Chiropractic Association (ACA) to expand Medicare coverage of services provided by chiropractors within the scope of their license has been introduced in the U.S. House of Representatives.
Medicare
Patients Over Paperwork-What does it Mean for You? The Patient Over Paperwork initiative has focused on reducing administrative burden so that physicians could concentrate more on patient care. Stakeholders have found that many aspects of the required E/M documentation are redundant. You probably have heard the rumors - such as, new CPT codes, new fee schedule and less documentation required. This is a quick summary of what we currently know for sure. What will happen in 2019?
Medicare
Patients are choosing their plans for 2019 - Marketplace, Employer Based or Medicare It’s that time of year again. Patients are choosing their plans for 2019 - Marketplace, Employer Based or Medicare. Don’t wait until January 1st to familiarize yourself with these new plans. Keep the lines of communication open with your patients to ensure that they are keeping their chiropractic benefits in mind when making their decisions. Some patients may know, as early as December, which plans they are...
3rd Party Billing and Collections
Enrollment Time! Your patients will be choosing their 2019 Insurance coverage starting November 1st. We encourage you to keep the dialogue going. Make sure your patients are choosing plans that include coverage for chiropractic services. You may want to take some time to familiarize yourself with your local marketplace plans and coverage limitations. Be proactive! Click here to learn more.
Medicare
There is only one time per year when a provider can make changes to their Medicare participation status. The annual open enrollment period runs from mid-November through December 31. During the open enrollment period, which is approximately 45 days in length, if a par-provider wants to become non-par, he/she must submit notification in writing; otherwise, the par-provider status will renew automatically each year.
Compliance Basics
Are You a Team Player? Nicki Brooks, CPPM, KMC University By all appearances, the future is looking bright for chiropractors who specialize in sports medicine, and travel to sporting events as part of a team to provide care for athletes. It is reported that the Senate recently approved legislation to protect chiropractors (as well as other medical professionals) who travel with sports teams ensuring that their license and liability coverage remains effective across state lines.
Medicare
CBRs at the Speed of Technology By: Rhonda Hodge, MCS-P Oh, how we’ve longed to hear that a process has been made easier! In this fast paced and ever-changing world, it is certainly music to our ears, especially when it comes to areas such as Insurance, Medicare and Compliance.
Medicare
Medicare is removing Social Security numbers from Medicare cards This step is to help prevent fraud, help eliminate identity theft, and to protect program funding and the private healthcare and financial information of our Medicare beneficiaries.
3rd Party Billing and Collections
HIGHMARK has announced an updated list of codes that will require pre-authorization.
3rd Party Billing and Collections
We have all been there… the latest Payer Newsletter comes out with a new policy regarding coverage or reimbursement that you disagree with. It’s frustrating… and oh so hard not to react negatively. That feeling of hopelessness comes over you, and you want to lash out. What can be done?
Finances
Vermont Chiropractic Association advocacy leads to lower co-pays for chiropractic care in 2019. Proof that working with state legislation brings results!
Coding
“Not Medically Necessary” is among the most common third-party denials in chiropractic. What results is a slew of record requests, audits, refund requests, and denials for care. In many instances, a practice may opt to stand behind those services and take steps to appeal the claim(s) for payment, asserting that care was indeed medically necessary.
Medicare
What You Need to Know We are more than a month into the roll out of the new Medicare Beneficiary Identifier (MBI) changes, but some providers and staff (and even the beneficiary) may still have questions about this process. The information provided here should help answer any lingering questions. We will address the following: Who, What, When, Why and How. Who? This will be Medicare, or the Centers for Medicare & Medicaid Services (CMS), as they are the entity making the change. Also, the...
Compliance Basics
Find out what this means for you and your practice Chiropractic has again found itself in the OIG (Office of Inspector General) spotlight. According to OIG records, since 2010 Medicare has paid more than $450 million per year for chiropractic services. An estimated $257 - $304 million per year of this total dollar figure has been identified as estimated overpayments.
Medicare
And with the rollout of new cards, scammers are attempting to take advantage by calling and telling seniors that they need to provide personal information to the callers to receive their new cards.
Medicare
According to the Department of Justice (DOJ) and the US Attorney’s office for the Northern District of Iowa, an Iowa chiropractor was penalized $79,919 for violating the False Claims Act. He did what thousands of DCs do every day... provided free therapy to a Medicare patient
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