Filtered by category: Insurance News Clear Filter

Educational Resources to Assist Chiropractors with Medicare Billing

This Special Edition (SE) MLN Matters® article is intended for Chiropractors submitting claims to Medicare Administrative Contractors (MACs) for chiropractic services provided to Medicare beneficiaries. CMS is providing this article in order to provide education for chiropractic billers on accessing the correct resources for proper billing. This article is intended to be a comprehensive resource for chiropractic documentation and billing.

Read More

NYS Workers Compensation BPR project and Medical Portal update

The NYSCA WC Committee attended the first informational meeting of the second phase of the WC Business Process Re-engineering (BPR) project.  In an effort to reach out to stakeholders, the WCB will be traveling with this presentation throughout the state.  Interested parties are encouraged to attend and provide feedback.  You can find dates and locations using this link: http://www.wcb.ny.gov/BPR/Roadshows.jsp
The WCB has developed a Medical Portal, which is currently being tested to handle authorizations.  Likely beginning use Fall 2016.  For those who can't make the live meetings, there is a Medical Portal webinar on July 12th.
Other areas of exploration and future changes discussed were:
  • Monitoring carrier compliance and performance metrics
  • Virtual (video) hearings to improve patient ease/access
  • Improved efforts for outreach and education to stakeholders, including online videos for patients
  • How technology could be leveraged to improve communications within the system
  • Updating the WCB website
  • Creating of a voluntary ending review to expedite the appeals process
  • Ways to make the IME process more impartial
  • Exploration and encouragement of expansion of the PPO model in WC

 

UnitedHealth Group/Optum Health updates

Attention NYSCA Members,

Read More

Workers Comp Updates: Sedgwick and Broadspire erroneous denials

As many of you are aware the NYSCA Workers' Compensation Committee has been working with Broadspire and Sedgwick after issues were identified with inappropriate denials of Chiropractic Manipulative Therapy rendered within the recommendations of New York's Medical Treatment Guidelines.

Read More

Medicare Provision for Reimbursement of Chiropractic Manipulation Services

News and Alerts NGS Medicare

Read More

NYS WCB Online Medical Portal Update

On March 28, 2016 the NYS WCB hosted an informational webinar and feedback session regarding the web based Medical Portal they have been developing. It was attended by the NYSCA WC Committee. As you may know, this is part of the larger Business Process Reengineering Project that they have been undergoing and the NYSCA has been engaged in for several years.

Read More

CMS Payment Adjustments & Hardship Information

 

Read More

CMS Publishes New Series of Chiropractic Resources

The Centers for Medicare and Medicaid Services (CMS) recently published a series of three Special Edition educational articles for DCs submitting claims for services provided to Medicare beneficiaries. MLN Matters® articles SE1601, SE1602 and SE1603 provide guidance on improving billing and documentation of chiropractic services, increasing compliance with Medicare regulations and reducing the profession's claims error rate. Also available are ACA's related resources here.

Read More

Important Information from the ACA Vice President regarding #MedicareEquality

Dear Colleagues:

Read More

CMS issues Final 60-day Rule regarding return of overpayments made to providers and suppliers

In brief:

Read More

NGS Medicare Fee Schedule Update

 

Read More

Informal Review Request Period for the 2016 Value Modifier Open Now Through December 16, 2015

 

Read More

2016 PQRS Negative Payment Adjustment and the Informal Review Process

 

Read More

Contact List for Providers with Questions About Medicare and Medicaid

 

Read More

Attention Paper Claim Submitters: Changes due to the implementation of ICD-10

With the implementation of ICD 10 on October 1, 2015, it is important to use the appropriate ICD Indicators on claim submissions.

Read More

Use ICD-10 Now – Here’s How

On October 1 the United States health care community transitioned to ICD-10. CMS wants providers to be successful in using ICD-10 and remains committed to working with industry on the transition.

Read More

2016 PQRS Negative Payment Adjustment and the Informal Review Process

 

Read More

Medicare ICD-10 Update and Information on EmblemHealth Medicare

As of 10/1/2015 the following ICD-10 codes are required by Medicare as the primary diagnosis.

Read More

Workers Compensation Updates

USE OF ICD-10 CODES

Read More

HHS issues rules to advance electronic health records with added simplicity and flexibility

 

Read More