NGS Changes Chiropractic LCD
The ICS previously announced that NGS would be making significant changes to the chiropractic Local Carrier Determination (LCD) for our region.
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Are Your Medicare Notes Functional
Many are seeing increased denials of care for medical necessity in Medicare. A closer look at the reasons for the denials reveals a change in Medicare’s interpretation of medical necessity and progress in care. The evolution of their interpretation actually complements what chiropractors have been saying for several years – we do not only treat pain!
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Permanent “Doc Fix” Passed, Congress Ushers in New Era of Value-Based Payment
Late last night, the United States Senate overwhelmingly passed legislation to permanently repeal the flawed Sustainable Growth Rate (SGR) formula, the method used by CMS to determine physician reimbursement in the Medicare program. In a bipartisan 92-8 vote, which followed a 392-37 vote in the U.S. House of Representatives at the end of March, the Senate sent House Resolution 2 – known as the “Medicare and CHIP Reauthorization Act of 2015” – to President Obama, who has indicated that he will sign the bill [Update: President Obama signed into law on April 16].
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Furthering the Mission
our Board of Directors and staff leaders took time away from practice and families to continue to pursue our mission. The Illinois Chiropractic Society continues to focus on and press toward ensuring that 18% of Illinoisans are treated by a chiropractic physician. I want to thank the Board of Directors for dedicating their weekend to work toward making 18% by 2018 a reality.
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59 Modifier Comes Under Fire in Medicare
The 59 modifier is used to indicate to the carrier that a “distinct procedure code” is involved and the procedures should be paid separately.
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Is Your Practice Guilty of Deflate-Gate
Many can say that some in practice may be guilty of “Deflate-gate” by not following regulations, thus cheapening the quality of care they deliver and maybe even giving them an illegal edge.
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A Digital Look Forward
This article aims to give you the 10,000-foot fly-by on recent legislation and where we believe we are heading in the sharing of digital information.
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EHR Audits on the Rise
In January 2014 the Department of Health and Human Services Office of Inspector General (OIG) announced that electronic health records (EHRs) have created new exposures to healthcare fraud and abuse, and, as a result, they requested CMS and their contracted MACs revise their approaches to protect against fraud and abuse.
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