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Medicare Documentation Job Aid for Doctors of Chiropractic

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.

Download the Job Aid from CMS.gov

New NYS Workers' Comp Fee Schedule Effective January 1, 2020

The New York State Chiropractic Association (NYSCA) and New York Chiropractic Council have been actively working with the New York State Workers' Compensation Board (WCB) to achieve parity in the system for services provided by Doctors of Chiropractic in New York State.

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Workers' Compensation Update

Please be advised that the proposed increase to the chiropractic conversion factor will be going into effect on January 1, 2020 as anticipated. This change recognizes the need for parity in the Workers Compensation system and represents a positive step forward in the recognition of the value of chiropractic care. We appreciate the willingness of the WCB to address this issue.

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NGS Webinar: Chiropractic Billing and Documentation

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:

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ASH contracts with Suffolk County employees through BCBS

Please note the following notification from American Specialty Health (ASH) relative to employees of Suffolk County.

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A New Medicare Documentation Job Aid for Doctors of Chiropractic Has Been Released

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. 

Click here to learn more

NYS WCB Proposing Changes to the Chiropractic Conversion Factor

Through the hard work of the NYSCA, the New York State Workers Compensation Board (WCB) is proposing to change the chiropractic conversion factor, creating parity for the first time since our inclusion in workers' compensation for doctors of chiropractic. The disparity in the conversion factor has been a priority of the joint efforts from NYSCA and the Council. Working together, and working with the WCB, positive change is coming.

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Updated NYS WC Medical Fee Schedule Effective 4/1/19

Don't forget to implement the New NYS Workers' Compensation Fee Schedule for services rendered on and after 4/1/19.  

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Member Update: 2019 WC Fee Schedule Changes

As you may be aware, the New York State Workers' Compensation Board recently released an updated fee schedule.  This effective date of the fee schedule is April 1, 2019.

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[Practice Alert] NYS DFS Announces Plan for Adoption of the No-Fault Fee Schedule

As you know the WCB has updated the fee schedule and the changes will be implemented on April 1st, 2019.  We have been waiting for the release from the Department of Financial Services regarding No-Fault.  It has now arrived, you can view it using the link below:

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NYS WCB to Adopt Proposed Fee Schedule Changes

 Pursuant to the provisions of the State Administrative procedure act, the Workers Compensation Board will be adopting the Proposed Medical Fee Schedule changes effective April 1, 2019. 

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NYSCA Formal Comments on Revised Workers' Compensation Fee Schedule

The NYSCA heard your concerns and has responded to the revised Workers Compensation Fee Schedule. 

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Further Aetna Updates

The following information has been received from Aetna to assist in your transition to the new program.

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Workers' Comp Changes & Their Impact in No Fault

Please know NYSCA has heard the profession’s voice. We are as concerned as you are and are actively advocating for necessary changes.  Of particular concern are the chiropractic conversion factor, the 180-day wording, and impact on specialty practices.

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NYS WCB Announces Public Comment Period for Revised Medical Fee Schedule

Please be aware that after initial public comment period, the Workers Compensation Board (WCB) has produced a revised proposed fee schedule. There are comments available for review on the State Register and the fee schedule is available for review on the WCB website

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Clarification Regarding Proposed Medical Fee Schedule

Having reviewed public comments on the proposed medical fee schedule released in June (below), the New York State Workers' Compensation Board will be issuing a revised draft of the schedule on October 3, which will be followed by a 30-day public comment period. Following the public comment period, the Board will review all comments. When final regulations are adopted, the Board will announce an effective date for the new schedule. Please watch for more information.

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Workers' Compensation Fee Schedule Update

As you may recall, the NYS WCB proposed a much needed update to the fee schedule. On behalf of the profession the NYSCA and Council responded with formal public comments on the proposed WC fee schedule.

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Further Updates on Aetna/NIA Prior Authorization Program

Members of the NYSCA insurance committee met with Aetna and NIA to discuss the implementation of the new Pre-Authorization Program which went into effect on 09/01/18.  We understand that many of you were not notified until late July / early August and could not attend NIA's webinar on August 7, 9 or 16.  There has been some confusion regarding different aspects of the program, resulting in our reaching out to Aetna to discuss your concerns.

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Important Updates to ICD-10

It’s that time of year again. As you may be aware, every year since its inception, there have been updates to ICD-10 codes. Some years have more changes, others fewer. As of October 1, 2018 the following changes will go into effect:

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Providers Invited to Webinar for Updated Aetna Physical Medicine Program

Note from the NYSCA Insurance Committee:

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