Insurance Updates
Anthem
January 25, 2022 – Insurance Update for Chiropractors
The KAC leadership continues to work hard on your behalf. Many of these updates were given in-person at our 2022 LB Payne Insurance Update. We wanted to send a follow up email reminding KAC members of these changes.Remember, if you are experiencing any issues, please...
Resources for Anthem
Here are a few resources for Anthem including the Alpha-prefix list for out of state plans and the Anthem provider rep map. We will update the provider rep map as it is sent to us. Resources Alpha prefix list for Ohio - click here Alpha prefix list for Indiana - click...
Humana
Prior Authorization
Humana has reinstated the prior authorization requirement on the first date of service. This went into effect starting October 1, 2019. Please remember to obtain authorization at the start of care and not after the eighth...
Modifiers
Providers have been experiencing several issues regarding claims processing with Humana Commercial insurance plans. Most of these are due to modifiers not being attached. They have recently stated they follow Medicare guidelines and therefore you...
WellCare
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Passport
Passport 10-7
We continue to work on denials from Passport when billing both a spinal adjustment and an extremity adjustment. We have been told by Passport provider reps this edit has been identified and fixed. However, providers are still seeing these denials. All affected...
Molina Healthcare of KY
Governor Andy Beshear has announced effective January 1, 2021 two new MCOs will be assuming Medicaid claims processing in Kentucky. One of those companies is Molina of KY. It is always your decision to credential with any insurance company. The KAC just wanted to...
Humana Medicaid
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Aetna Better Health
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Medicare
UPDATED 2024 Medicare Fee Schedule for Chiropractors
Each year CMS updates their fees. The current fees are reflected below. Most chiropractors are in a non-facility setting. MARCH 12, 2024 NOTE: THIS PAGE HAS BEEN UPDATED WITH THE NEW FEE SCHEDULE EFFECTIVE 3.9.2024 Medicare Fees Increase by 1.68% as of March 9, 2024...
Important Medicare Notice
CMS reported that a data breach in May 2023 occurred with one of CMS’ contractors. As a result, about 612,000 Medicare beneficiaries were affected. CMS is contacting the affected Medicare beneficiaries to change their Medicare MBI number and...
Miscellaneous
Update Your License
Your Chiropractic license renewal deadline was March 1st, 2020. If you have not already renewed your license you can do that through the new online application by clicking here, but your renewal will be subject to a $300 fine due to missing the March 1st...
HIPPA & Microsoft Windows
Microsoft has announced that they will be ending their extended support of Windows 7 operating systems on January 14th, 2020. After this date, Microsoft will no longer release updates and important security patches for Windows 7 operating systems. This means that the...