Adrienne Hersh, JD, ICS Legal Counsel, Author at Illinois Chiropractic Society

Chiropractic and Medicaid

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Dec 12, 2016 | Insurance, Legal, Medicare and Medicaid, Members Only, zall | 0 |

Senate Bill 2840, spun by its drafters as the “Save Medicaid Access and Resources Together (SMART) Act,” has been passed by both houses of the Illinois legislature and is on its way to the Governor’s desk for signature. Despite vigorous lobbying efforts by the Illinois ChiropracticSociety and other health care provider groups, this bill limits and eliminates Medicaid coverage for a number of health care services. Unfortunately, Medicaid coverage for adult chiropractic services will be terminated effective July 1, 2012.

Associate Departure

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Sep 1, 2016 | Compliance, Legal, Members Only, Practice Management, zall | 0 |

The departure of an associate physician from a practice sometimes causes operational disruption and always requires steps to ensure a smooth transition.

Abuse Reporting

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Aug 1, 2016 | Legal, Members Only, Practice Management, zall | 0 |

Under the Medical Practice Act, chiropractic physicians must file reports when they suspect or know a patient is the subject of abuse or neglect.

Personal Injury Payment Red Flags

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Jul 1, 2016 | Billing and Collections, Legal, Members Only, zall | 0 |

Once the case has been concluded, the amount of your payment depends on whether the settlement or judgment amount was enough to cover all of the bills in the case. Often it is not, which means you may file a petition to adjudicate your lien before the court, or you may negotiate with the attorney for the amount you are to receive, and you could receive a check for less than the full amount of your bill.

Work Comp Update 2015

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Jun 17, 2016 | Legal, Members Only, zall | 0 |

The amendment provides that the Illinois Industrial Commission is now known as the Illinois Workers’ Compensation Commission.

Small Business Employer Obligations

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Nov 23, 2015 | Employer Practices, Legal, Members Only, zall | 0 |

The ICS keeps physicians aware of employment laws and regulations that apply to the physician office as an employer.

ICS Files Department of Insurance Complaint Against UHC/Optum “Per Diem” Reimbursement Model

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Sep 8, 2015 | Legal, Members Only, zall | 0 |

Many of you recently were notified by United Health Care/Optum that it intends to change its reimbursement model for chiropractic physician providers. In Optum’s own words, “Effective December 1, 2015, OptumHealthCare Solutions, Inc. (Optum) will implement a new chiropractic ‘per visit’ fee schedule for UnitedHealthcare commercial products managed by the Optum™ network.”

Professional Standards

Posted by Adrienne Hersh, JD, ICS Legal Counsel | Sep 2, 2015 | Legal, Members Only, Practice Management, zall | 0 |

Physicians must strive to provide the best possible patient care, which is difficult in today’s economic climate where payers want more care for less pay.