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
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Humana Medicaid
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Aetna Better Health
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Medicare
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...
KAC Member Update: Medicare Claim Holds Effective October 1, 2025
NOTE: This post has been updated and CMS has reversed their notice issued October 15th. See updated post here. According to a CMS announcement on October 15, Medicare payments for many services, including those billed by chiropractors, are temporarily delayed while...
Miscellaneous
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