The NYSCA Insurance Committee (The NIC) is bringing you the latest updates on CDPHP.

The NYSCA Insurance Committee (The NIC) is bringing you the latest updates on MVP.

The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. You may continue to use the ABN form with the expiration date of 6/30/23 until the renewed form (expiration date 01/31/2026) becomes mandatory on 6/30/23. The ABN form and instructions may be found below in the downloads section.

Dr Stevens began involvement in NYSCA as a student in 2001. His primary goal was to be active in improving #chiropractic in New York.

The NYSCA is pleased to announce that our Scope Modernization bill has been reintroduced in the 2023 legislative session. A4150 with Assemblyman Danny O’Donnell as our Assembly sponsor once again and S6047 with our new sponsor, Senator Andrew Gounardes from Brooklyn, New York.

The NYSCA Insurance Committee (The NIC) is requesting your assistance as we compile recent blinded examples of claims which have not been acknowledged or processed and in a timely manner by Cigna.  These are claims which do not involve American Specialty Health (ASH), but are solely the responsibility of Cigna.  Remember: Health Plans subject to the laws of New York are required to acknowledge or process clean claims within 30 or 45 days of receipt.  Failure to do so can result in interest and penalties.

A member poses, and then asks. . .

Arlington, Va. – Both the U.S. House of Representatives and the U.S. Senate have reintroduced legislation to increase access to Medicare-covered services provided by doctors of chiropractic. The Chiropractic Medicare Coverage Modernization Act (H.R. 1610/ S. 799) would bring Medicare’s coverage of chiropractic into alignment with most other federal programs and private health plans, giving seniors improved coverage of non-drug treatments to alleviate pain and improve function.

The NYSCA Insurance Committee (the NIC) has been in contact with American Specialties Health (ASH) to better define the benefits available to Wellcare members. Please note that All Wellcare insureds DO NOT have the insurance rider which covers all of the services listed in the ASH G9 fee schedule. NYSCA members have reported a difference in benefits when checking eligibility on ASHLink vs talking to a representative or when performing an ASHLink Inquiry.

Dr. Robin Stein’s NYSCA involvement began in 2007. She joined NYSCA following the opening of her office in East Islip. Dr. Stein was appointed treasurer of District 7 (Suffolk County) later that year and held that position for 11 years. She then took on the role of Vice President for District 7 and currently remains in that position.

The 2023 legislative session began on January 9, 2023, and the legislative committee has been hard at work on the legislative priorities for NYSCA. As a reminder, all legislation in New York operates on a two-year cycle. At the end of the two-years, all bills must be reintroduced again in the new cycle. This year marks the start of a new cycle, so our priority bills will have new bill numbers.

Insurance Updates Effective January 1, 2023

2023 brings forth continued positive changes for doctors of chiropractic practicing in New York. Across the state certain health plans have increased fee schedules and enhanced coverage. In addition, a few third-party administrators have been eliminated, and unreasonable utilization review has been discontinued. Reasonable reimbursement and the elimination of administrative burdens affords us more time to assist our patients in achieving their goals. With significant involvement from our members, the NYSCA continues our drive to parity and fairness in reimbursement and administrative practices.

Are patients and practitioners still required to wear a face mask?

Recently, the New York State Department of Health (DOH) weighed-in, backing away somewhat from the Department’s previous face mask mandate for certain health care settings, principally facilities regulated by the Department under Articles 28, 36 and 40 of the New York State Public Health Law (PHL) relating to hospitals, home healthcare services, and hospices, respectively. 

Dr. Anthony M. Palumbo is a 1995 summa cum laude graduate of Life College. He had the honor of acting as his class Salutatorian. Following his College’s credo; to give, to do, to love, to serve, out of your own abundance, he has proudly contributed to the Profession of Chiropractic in many roles.

Aligning With Federal CDC Recommendations, Required Masking in Health Care Settings to End Feb. 12; Operators Advised to Implement Mask Policies for Facilities Based on CDC Guidance and Transmission Levels

ALBANY, N.Y. (February 10, 2023) – The New York State Department of Health today issued a COVID-19 advisory for the use of masks and face coverings in health care facilities, aligning the State's guidance with the latest federal recommendations from the Centers for Disease Control and Prevention (CDC).

Recently, the New York Chiropractic Council (the Council) released a video regarding the Scope Modernization Bill. As a result of this video, we felt that some clarification is in order.

Q&A: Terminating a Billing Service and Fee-Splitting

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Introducing Financial Wellness Seminars for NYSCA Members

We hear every day that many Americans are not financially prepared for their future. People find the financial planning process overwhelming, and they don’t know where to begin.