For those of you who got an early start, please go back and check the fees again as the revised fee schedule has just been posted. Please make sure you are using the most up to date fee schedule when sending your claims to Medicare or billing your patient prior to submitting claims if you are non-participating.
NYSCA members have asked for updates on the Medicare fee schedule. As of now, there are no changes and no changes are anticipated until the House leadership is sorted out.
The U.S. Senate has introduced a bill, S. 4042, to modernize Medicare coverage and better meet the needs of today’s seniors by increasing access to services provided by doctors of chiropractic. An identical bipartisan-supported bill in the House currently has 130 cosponsors.
Every year there are updates to the ICD-10 codes. These codes take effect 10/1/2021. This year's coding updates that will affect chiropractic claims are listed below:
ACA has been part of two coalitions fighting these cuts and is supporting legislation designed to place a one-year moratorium on the planned cuts, to allow congress to develop a long-term solution. Contact your federal representative here and urge them to cosponsor this legislation, H.R. 8505.
A NYSCA member asks: A patient just called to make an appointment; however, they attended a protest a few days ago. Can I see them if they have not demonstrated Covid-19 symptoms?
The NYSCA is pleased to share with you the following educational opportunity from National Government Services. This platform will allow you to hear about the latest Medicare education from the NGS Provider Outreach and Education team and ask your questions immediately following.
In order to increase cash flow to providers of services and suppliers impacted by the 2019 Novel Coronavirus (COVID-19) pandemic, the Centers for Medicare & Medicaid Services (CMS) has expanded our current Accelerated and Advance Payment Program to a broader group of Medicare Part A providers and Part B suppliers. The expansion of this program is only for the duration of the public health emergency. Details on the eligibility, and the request process are outlined below. The information below reflects the passage of the CARES Act (P.L. 116-136).
Some good news for doctors amidst the Corona Virus crisis: Some doctors may already be seeing this money in their account; you may be seeing it in your account soon.
During the COVID-19 crisis, telemedicine and telehealth services will allow you to continue to care for your patients from a distance. The NYSCA Insurance Committee continues to interact with various NYS offices, commercial carriers and TPAs to discuss and seek their guidelines relative to the application and coverage of telemedicine services for doctors of chiropractic.
UnitedHealthcare will require the use of a 'GP' modifier for all billed physical medicine services effective 04/01/2020.
In response to the CMS call for Feedback on Scope of Practice, the NYSCA has submitted the following:
The NYSCA has been in contact with the American Chiropractic Association (ACA) regarding possible changes to Medicare as outlined in the following letter from National Government Services.
Have you received a request for documentation from a Medicare contractor but not sure if your records comply? We understand the challenges Doctors of Chiropractic face when determining what to include in responding to a request for medical records. The A/B Medicare Administrative Contractors (MACs) partnered together to create this job aid to help you properly respond to these requests.
National Government Services (the Medicare contractor for our region) is offering a seminar on Medicare billing to providers on Wed, Dec 18, 2019 10:00 AM - 11:15 AM EST. You may sign up by following the link below:
Recently, the Centers for Medicare & Medicaid Services (CMS) has developed and released a Medicare Documentation Job Aid to assist chiropractors in responding to medical records requests, medical necessity documentation, and corrective treatment documentation. These PDF downloads are available on the CMS.gov website.
