Insurance Updates
Anthem
Various Issues
As I am sure you are aware by now, Anthem has removed the requirement for prior authorization for physical medicine services performed in a chiropractic office. You can read their statement here. However, providers have had multiple other...
AIM
As you are hopefully aware, Anthem is planning on starting a new pre-authorization process for all therapy services, 97xxx codes, on March 1st. This process will require you to register with AIM for pre-certification of these services. The KAC has had the stance from...
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
Your Voice Is Needed: Support the Chiropractic Medicare Coverage Modernization Act (H.R. 539 / S. 106) in the 119th Congress
Chiropractors currently face a limitation under Medicare—only spinal manipulation is reimbursed. This outdated restriction forces patients to pay out-of-pocket for essential components of care that you’re qualified to provide, such as exams, diagnostic imaging,...
Updates on UnitedHealthcare Medicare Advantage and AARP Medicare Advantage Prior Authorization for Chiropractic Services
In August 2024, after UnitedHealthcare® (UHC) announced the prior-authorization requirement for its Medicare Advantage and AARP® Medicare Advantage plans, the Kentucky Association of Chiropractors and other chiropractic advocacy groups began extensive advocacy...
Miscellaneous
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