Medicare ABN Update

The standard Medicare Advance Beneficiary Notice (ABN) will have some modifications in March 2020. The new forms will be required once published. There are some minor changes to the form with special instructions and needs for an ABN for a non-par provider not accepting an assignment. The new forms once Read more

No out of network benefits United Health Care

UHC has announced they will no longer offer any benefits for out of network providers  for chiropractic, acupuncture, and physical medicine. To maintain payment providers must now enroll with UHC to maintain payments for any of the above services. For chiropractic providers typical enrollment is through Optum Health.

Noridan Medicare Denials- What you need to know

Noridian Medicare specifically regions JE California, Hawaii, Nevada, American Samoa, Guam and the Northern Mariana Islands. Region JF Alaska, Arizona, Idaho, Montana, North Dakota, Oregon, South Dakota, Utah, Washington, and Wyoming. Have had all chiropractic claims denied improperly with a reason code of CO50, not medically necessary. Noridian Medicare has Read more

Medicare Fee Schedule Update

Medicare Fees were slightly adjusted from the published rates from 2019. HJ Ross Network members please request your updated fees. Note the fee changes were minor some regions had no change with other slight increases or slight reductions. Deductible did not update and remains $198. Note the “par” rate is Read more