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
WellCare
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Passport
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Humana Medicaid
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Aetna Better Health
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Medicare
2026 Medicare Information for Chiropractors
Medicare has announced the 2026 Part B cost updates, with the monthly premium increasing to $202.90 and the annual deductible rising to $283. These changes may affect patient cost sharing early in the year, particularly for covered chiropractic adjustments, since...
CMS Reverses Course on Medicare Claims Hold
CMS has issued an updated clarification regarding Medicare claims processing in light of the continuing federal government shutdown and the expiration of key legislative payment provisions. Chiropractors and their teams should be aware of the latest details to guide...
Miscellaneous
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