Insurance Updates
Anthem
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...
Anthem 10-7
Anthem has been denying codes 98940/98941 as not covered by this provider type. We have reached out to Anthem executives about this issue and sent several examples to them. Anthem has informed us that they have identified the system issue that was causing these...
Humana
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WellCare
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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
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Aetna Better Health
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Medicare
Updated 2023 Medicare Fee Schedule for Chiropractors
We originally posted all things related to 2023 Medicare Fee Schedule here. This article is a reflection of the updated Medicare Fee Schedule after congress passed the Omnibus bill late 2022. The current fees are reflected below. Most chiropractors are in a...
2023 Medicare Fee Schedule and Updates for Chiropractors – Kentucky
Jump to section: UPDATED Medicare Fee Schedule - quick reference! 01/2023 - Update to 2023 Medicare Fee Schedule A note about CMS Fee Schedule 2023 2023 Deductible 2023 Fee Schedule Revalidate your enrollment with Medicare Change your participation status with...
Miscellaneous
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