Payer News & Updates Additional resources are available on Aetna’s provider education website at: www.aetnaeducation.com. A list of Aetna’s ICD-10 reject codes are: C34 – The ICD-9 or ICD-10 procedure code is invalid; C35 – ICDprocedure code is a mixed code set-ICD-9/ICD-10; C36 – ICD-9 code set is submitted. Anthem’s EDI ICD-10 Edits Communications – a list of ICD-10 related edits by transaction […]

National Medicare Campaign Launches Today, ACA launches a major grassroots campaign to enact federal legislation that would achieve full physician status for DCs in Medicare. This initiative would significantly improve the health and wellness of our nation’s aging population – and your support is urgently needed.  The National Medicare Equality Petition will raise awareness of how the current Medicare system […]

Break through the Insanity with Breakthrough Coaching November 13-15, 2015 in Orlando Florida Doing the same thing again and again and expecting a different result? That’s the definition of insanity. Breakthrough Coaching has created a never before seen event, like no other in chiropractic. You’ll find no talking heads or droning power points at this reality-based chiropractic […]

Celebrate National Chiropractic Health Month Did you know more than 80 percent of the world’s opioids are consumed in the United States? The good news is that you have the power to curb opioid overuse and abuse. DYK that in 2013, there were 16,235 deaths involving prescription #opioids, an increase of one percent from 2012? […]

Take a moment and test your software with the following commonly used ICD-9 codes: Enter 847.0 Sprain and Strain of Neck. Does your EHR provide both the sprain diagnoses as well as strain? Enter 722.10 “lumbar intervertebral disc without myelopathy” and 724.2 “Lumbago.” Does your EHR warn you that you cannot code M51.26 Other intervertebral disc displacement, lumbar region with M54.5 low back […]

Obamacare Small Business Revision Approved by Senate & House The Senate passed legislation on Thursday intended to protect small and midsize businesses from increases in health insurance premiums, clearing the bill for President Obama’s expected signature. The action by Congress was a rare example of bipartisan agreement on how to revise the Affordable Care Act. The bill, approved […]

CMS: Government Shutdown Won’t Jeopardize ICD-10 Transition While officials from the Centers for Medicare & Medicaid Services could not say definitively on a media call Thursday what the status of the agency’s new ICD-10 Coordination Center and its ombudsman would be in the event of a government shutdown on Oct. 1, they did maintain that the transition itself will go […]

Athletic TIPS™ Launches! The Foundation for Chiropractic Progress (F4CP) proudly announces that Athletic TIPS™ (Towards Injury Prevention in Sports), a national, not-for-profit organization that drives expanded awareness and education around the role of multi-disciplinary care in the recognition, management and prevention of sports-related injuries, has launched its website at www.TIPS4Sports.org. The organization will begin rolling out […]

Urgent ICD-10 Reminder and Update for Personal Injury and Work Comp Personal Injury payers are not governed by HIPAA, they do get to elect on an individual basis whether or not to transition to ICD-10 diagnosis as of 10/01/2015. Providers are urged to contact those Work Comp and PI payers as soon as possible so as […]

ACA Statement on Subluxation ICD-10 Coding The World Health Organization, which developed ICD-10, describes subluxation as, “a lesion or dysfunction in a joint or motion segment in which alignment, movement integrity and or physiological function are altered, although contact between joint surfaces remains intact. It is essentially a functional entity which may influence biomechanical and […]

American Chiropractic Association to Host Twitter Chat on Prescription Painkiller Epidemic #PainFreeNation scheduled for Tuesday, Sept. 29, at 2 p.m. ET Arlington, Va. – The American Chiropractic Association (ACA) is hosting its first Twitter chat focused on addressing the overuse and abuse of opioid painkillers in the United States on Tuesday, Sept. 29, from 2 p.m. to 3 p.m. ET using […]

On ICD-10 Release Date, CMS Says Four States Exempt On Oct. 1, the ICD-10 release date, four states’ Medicaid programs will not be converting to ICD-10 codes, according to CMS. Everyone else, however, will. California, Maryland, Montana and Louisiana “are the only states that have programmed the backwards crosswalk into their claims processing systems for their […]

Foundation for Chiropractic Progress Aligns with National Fibromyalgia & Chronic Pain Association, Participates at Inaugural Conference:  Treating and Preventing Chronic Pain Treating and Preventing (TAP) Chronic Pain Conference, Arlington, Virginia, October 8-10, 2015 CARMICHAEL, Calif. – September 03, 2015 – The Foundation for Chiropractic Progress (F4CP), a not-for-profit organization dedicated to raising awareness about the value of chiropractic care, is pleased […]

Florida Doctors: TENS units-Do I need a license? Many doctors have asked me if they need a special license to bill DME units like a TENS unit.  The short answer is– YES, you do need a license.  Most insurance companies are starting to catch on to this special license and they are denying DME (Durable […]

Earlier this year, four separate pieces of legislation were introduced in the U.S. House of Representatives and one in the U.S. Senate that would expand patient access to the services provided by doctors of chiropractic in several federal health care delivery systems.   It is very important that doctors of chiropractic and chiropractic students immediately contact their […]

On April 16, President Obama signed into law House Resolution 2, known as the Medicare Access and CHIP Reauthorization Act of 2015. This legislation permanently repealed the flawed Sustainable Growth Rate (SGR) formula, the reason for the endless cycle of “doc fixes” that have temporarily staved off 17 drastic Medicare reimbursement cuts since 2003. However, the new […]

On July 1, the Medicare Conversion Factor goes up by 0.5% which will impact the Medicare allowed amount by some degree. Keep in mind that the CF is only one of the factors used in the calculation of the Medicare allowed – but it should have a positive impact for chiropractic physicians — a slight payment […]

Since April 2015, three proposed bills have been submitted regarding some facet of the current ICD-10 transition. What are the odds of a bill to simply eliminate ICD-10 passing? Or legislation requiring HHS to conduct “comprehensive, end-to-end testing to assess whether Medicare claims based on the ICD-10 standard is fully functioning? In addition, we have heard chatter that a bill creating […]

Great News!! The Foundation for Chiropractic Progress (F4CP) recently shared a press release with the FCA, announcing the publication of its latest position paper entitled: “The Growing Role of Doctors of Chiropractic in Corporate On-Site Clinics.” The paper reviews current industry trends, and articulates the role of chiropractic care to optimize clinical and financial management […]

President Obama signed legislation this month that will permanently change how Medicare pays doctors, a rare bipartisan achievement by Democrats and Republicans that will end years of short-term fixes. The bill, known as the “doc fix,” overhauls a 1997 law that aimed to slow Medicare’s growth by limiting reimbursements to doctors. It resulted in a […]