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 […]

Chiropractic documentation education, new quality-reporting incentives included in measure Arlington, Va. – The U.S. Senate, following the earlier lead of the House, late last night passed a long-awaited “permanent fix” to the flawed Sustainable Growth Rate (SGR) formula used to determine provider reimbursement levels under the federal Medicare program. The plan would give physicians treating Medicare patients, […]

The CMS Innovation Center has announced a new ACO model: the Next Generation Accountable Care Organization (ACO) Model of payment and care delivery, which they state “offers a new opportunity in accountable care—one that sets predictable financial targets, enables providers and beneficiaries greater opportunities to coordinate care, and aims to attain the highest quality standards […]

Private healthcare providers cannot sue state Medicaid agencies over low reimbursement rates, the U.S. Supreme Court decided Tuesday in a 5-4 decision (PDF), reversing a lower court’s ruling. Providers had argued in a case, Armstrong v. Exceptional Child Center Inc., that suing over low rates is sometimes the only way to enforce federal payment requirements. Otherwise, low rates could lead to fewer providers […]

The bill introduced Thursday to replace Medicare’s sustainable growth-rate formula for physician pay would also significantly alter federal policy on health information technology. Lawmakers avoided making any changes to the timeline for requiring the industry to switch to ICD-10 diagnostic and procedure codes. Last year’s temporary “doc fix” included a stealthily added delay of the conversion.But the legislation’s merit-based incentive payment […]

Congress needs to enact legislation that will permanently repeal the flawed Sustainable Growth Rate (SGR) formula before the March 31, 2015 deadline. Medicare Part B providers of all types, including doctors of chiropractic, will face devastating cuts to the payment rates if action is not taken. These payment cuts will also impact patients by threatening their ability […]

The Council on Chiropractic Guidelines and Practice Parameters has updated their guideline so it can be placed on the National Guidelines Clearinghouse site. This is very important for our profession to ensure that stakeholders that don’t have our best interest at heart are not using bogus guidelines to restrict care/access, and to ultimately help providers […]

New EHR Attestation Deadline for Medicare Eligible Professionals: March 20, 2015. Eligible professionals now have until 11:59 pm ET on March 20, 2015, to attest to meaningful use for the Medicare Electronic Health Record (EHR) Incentive Program 2014 reporting year. CMS extended the deadline to allow providers extra time to submit their meaningful use data. CMS continues […]

By Joseph Conn  | March 4, 2015 Modern Healthcare The American Medical Association and 99 other state medical, medical specialty and professional associations are asking CMS acting Administrator Andrew Slavitt to have the agency improve transition plans for the Oct. 1 conversion to ICD-10 diagnostic and procedural codes.“By itself, the implementation of ICD-10 is a massive undertaking,” the AMA and […]

CMS recently published an update regarding the time frame for responding to pre-payment review Additional Documentation Requests (ADRs). Effective April 1, 2015, when a provider receives a pre-payment review ADR from a Medicare Administrative Contractor (MAC) or Zone Program Integrity Contractor (ZPIC), the provider will now have 45 calendar days to respond and supply the requested […]

No further delays should occur in implementing the ICD-10 coding system for Medicare payments, said legislators from both sides of the aisle during a congressional hearing Wednesday. Six of seven healthcare officials who testified agreed. The lone dissenter was a doctor concerned that most private practice physicians are simply not prepared. The switch to new diagnostic and procedural […]

N620 If you billed the PQRS codes with $0.00. It has also replaced the N365 code. CO 246 N572 code: If you billed the PQRS codes with $0.01 correctly. N365 has been deactivated. Each QDC line-item will be listed with the N365 denial remark code. Claim Adjustment Reason Code CARC 246 with Group Code CO […]

***There is important information included in the message below. Please take the time to review it thoroughly.*** Future Health is happy to announce two updates regarding Meaningful Use reporting. The CQM scorecard has been released to several clinics as part of the final testing process and should be available to all clinics next week. We […]

CAREER/VENDOR FAIR MARCH 5 – We’re excited to kick off the Spring 2015 Career & Networking Fair hosted by the Alumni Relations office. If you are currently looking for a chiropractor to join your team or would just like to meet our students and network with your future colleagues, please consider joining us. We also invite vendors […]

Q:  Who is a Business Associate and what do we do if they refuse to sign the BAA (Business Associate Agreement)? A:  See the link below, as that will define for you exactly who your business associates would be.  When uncertain or in doubt, it is always good to double check the HHS guideline to be […]

Beginning January 1, 2015 and beyond the Centers for Medicare and Medicaid Services (CMS) is required to apply negative payment adjustments to the fee schedule amounts for those providers that have not successfully/satisfactorily participated in Medicare’s Physician Quality Reporting System (PQRS). Doctors of chiropractic can avoid the 2 percent payment deduction to their 2017 Medicare […]

Dear Breakthrough Coaching Members: As you know, we have the National Chiropractic Leadership Conference February 25-28, 2015 in Washington DC. This is one of the most important years for us for two reasons: (1) There are 70 new members in Congress, and it’s critical that we arrive in force to help them understand the importance of chiropractic […]

CMS Administrator Marilyn Tavenner today announced new rules that strengthen oversight of Medicare providers and protect taxpayer dollars from bad actors. These new safeguards are designed to prevent physicians and other providers with unpaid debt from re-entering Medicare, remove providers with patterns or practices of abusive billing, and implement other provisions to help save more […]