Insurance Updates
Anthem
Recoupment Request for No Prior Authorization
The KAC is aware that providers have been receiving recoupment requests for lack of prior authorization. In late 2019/early 2020, the KAC was successful in stopping Anthem from requiring prior authorization for chiropractors through AIM in Kentucky. Providers should...
Anthem Update – Modifier Rules and Guidelines for “Always Therapy” Codes
Recently, Anthem announced they were changing their modifier rules for physical medicine and rehabilitation codes. This change took effect November 1, 2021. These codes and modifiers align with the codes the Centers for Medicare & Medicaid Services (CMS) has...
Humana
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
WellCare
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
Passport
Modifiers
Passport is now requiring “Always therapy codes” to be billed with the GP modifier. This was presented in the ENews here http://passporthealthplan.com/wp-content/uploads/2019/07/Therapy-Modifiers.pdf . Providers will need to...
Preauthorization
The KAC Insurance Relations Committee has some exciting news for your practice. Passport Health Plan has announced in its most recent ENews that Effective August 1st, 2019 Passport will no longer require preauthorization for treatment in your office. Over the...
Humana Medicaid
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
Aetna Better Health
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.
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
No Results Found
The page you requested could not be found. Try refining your search, or use the navigation above to locate the post.