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How Do I Get Credentialed with Insurance Companies as a New Provider?

No matter whether you are an associate, independent contractor or have your own practice, one of the hurdles to getting paid for your services is becoming credentialed with insurance companies. Most new chiropractic physicians are shocked at the time it takes to accomplish this task. Some insurance carriers can complete credentialing within 30 days — others may take up to 180 days. Here are some tips to help you streamline the process:

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BCBS Sends 59 Modifier Letter

The Special Investigations Department of Blue Cross Blue Shield of Illinois (BCBSIL) recently sent some providers a letter regarding CPT 59 modifier. The letter informs the provider that he or she has been identified as “utilizing modifier 59 at least 50% with the following…therapeutic codes 97110, 97112, 97113, 97116, 97124, 97139, 97140, 97150, 97530, 97532, 97533 and 97535.” The letter cites the average modifier 59 usage with therapy codes as 18.37%.

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2014 ICS Capitol Conference and the Key DC Program

For the last six years, the ICS has been holding its annual lobby day at the Statehouse to raise chiropractic awareness, as well as, deal with specific issues with the legislature. Capital Conference has helped us secure support and sponsors for our legislation, and these events help form meaningful relationships between our members and their legislators. With our invigorated focus on expanding chiropractic utilization in Illinois, we are turning our attention to developing a stronger grassroots foundation with our elected officials.

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