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 Read more…
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 Read more…
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 Read more…
Optum Health will begin covering the VA for states essentially east and north of Texas. If youâre a provider in VA CCN Regions 1, 2, or 3 and youâre transitioning to Optum for the new CCN contract, you can still accept TriWest Read more…
California Blue Cross Claims submitted on or after October 1, 2019 will be subject to a ninety (90) day timely filing requirement, and Blue Cross will refuse payment if submitted more than ninety (90) days after the date of service. Read more…
Recent claims for VA under the PC3 program We have noted recent payment denials for manual therapy 97140 and massage 97124 even with GP and 59 modifiers. It appears the VA is adopting the CCI edits and bundling both codes Read more…
Horizon BCBSNJ previously announced plans to collaborate with American Specialty Health (ASH) to implement and administer their Chiropractic & Physical Medicine Services Program for acupuncture, chiropractic, occupational therapy, physical therapy and speech therapy, effective January 1, 2020, subject to regulatory Read more…
Please be advised the information received from ASH earlier this week relating to the transition was misquoted by ASH provider relations and that the transition to using ASH with Blue Shield of California is going forward for 2020. As more Read more…
2020 ICD10-CM Updates 71,932 codes in ICD10-CM 2018 72,184 codes in ICD10-CM 2019 273 New Codes 21 Deleted Codes 30 revisions As occurs every October 1 there are additions and deletions to the ICD10 code set. This year is had Read more…
We have received information from sources with direct contact with ASH representatives that stated that the contract between ASH and Blue Shield of California will not go through if there is not a high enough percentage of providers who enroll Read more…