Stay Up to Date! New 2016 CPT® Codes CPT® has made some changes to a few commonly billed X-ray codes. According to CPT®, this includes “a new family of six bundled codes (73501-73503, 73521-73523) for hip and pelvis radiologic examination.” Also included are thoracolumbar procedures with four new codes (72081-72084). Find out which codes were deleted here.

Denials Reported on Bills by Sole Proprietors/Practitioners By the FCA Help Desk Some sole proprietors and some incorporated sole practitioners are reporting being denied reimbursement because they are not billing as a group (business) in field 33. Although an official explanation has not been obtained that describes what is occurring, this appears to involve the […]

On January 12, 2016, Microsoft is officially dropping support for all but the latest version of Internet Explorer. For a surprisingly high number of laggards, it’s time to upgrade or face a world of hurt. So what’s holding them back? Article is here: http://www.zdnet.com/article/whos-still-using-internet-explorer-and-why-wont-they-upgrade/?tag=nl.e539&s_cid=e539&ttag=e539&ftag=TRE17cfd61 If you are unsure of your version, when IE is open, click […]

New Jersey Medicare 2016 Fee Schedule Info The 2016 Medicare Fee Schedule is now available here: http://anjc.info/…/blind-links/2016_Medicare_Fee_Schedule-b… This fee schedule is effective January 1st 2016. Please note, there are still payment reduction penalties in effect this year related to the EHR and PQRS programs. If you are a Par provider for Medicare they will deduct the appropriate […]

Submitting an Informal Review for 2014 Physician Quality Reporting System (PQRS) If you have any questions regarding the status of your 2014 PQRS reporting or are concerned about potentially receiving the PQRS negative payment adjustment in 2016, please do not hesitate to submit an informal review request. CMS will be in contact with every individual eligible professional […]

BREAKING NEWS: Senate Passes Bill to Expand Chiropractic Services at Major VA Medical Centers  The U.S. Senate has approved legislation that will improve the delivery of benefits to America’s veterans, bringing them one step closer to gaining further access to the essential services provided by doctors of chiropractic (DCs) at major Department of Veterans Affairs (VA) medical centers. […]

Arlington, Va. – The U.S. Senate has approved legislation that will improve the delivery of benefits to America’s veterans, bringing them one step closer to gaining further access to the essential services provided by doctors of chiropractic (DCs) at major Department of Veterans Affairs (VA) medical centers. S. 1203, the 21st Century Veterans Benefits Delivery Act, passed under unanimous […]

CMS Extends Deadline for Physician Quality Reporting System (PQRS) Informal Review Process CMS is extending the 2014 Informal Review period. Individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, PQRS group practices, and Accountable Care Organizations (ACOs) that believe they have been incorrectly assessed the 2016 PQRS negative payment adjustment now have until11:59 p.m. Eastern Time […]

2016 PQRS Negative Payment Adjustment and the Informal Review Process In 2016, CMS will apply a negative payment adjustment to individual eligible professionals (EPs), Comprehensive Primary Care (CPC) practice sites, and group practices participating in the Physician Quality Reporting System (PQRS) group practice reporting option (GPRO) (including Accountable Care Organizations [ACOs]) that did not satisfactorily […]

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 […]