Carlos Boileve, DC, MCS-P, Author at Illinois Chiropractic Society

Fighting Improper Reviews

Posted by Carlos Boileve, DC, MCS-P | Dec 1, 2014 | Legal, zall | 0 |

The following is provided as general educational information only. This article will discuss options for fighting an improper type of review.

WC Record Requests and Commission Decisions

Posted by Carlos Boileve, DC, MCS-P | Jun 18, 2014 | Compliance, Documentation, HIPAA, ICS Message, Legal, Work Comp and PI, zall | 0 |

Every hospital, physician, surgeon or other person rendering treatment or services in accordance with the provisions of this Section shall upon written request furnish full and complete reports thereof to, and permit their records to be copied by, the employer, the employee or his dependents, as the case may be, or any other party to any proceeding for compensation before the Commission, or their attorneys.

Medpay Explained (Part 2)

Posted by Carlos Boileve, DC, MCS-P | Mar 28, 2014 | Billing and Collections, Business Forms and Templates, Personal Injury, zall | 0 |

Both the Illinois Chiropractic Society and I have received numerous calls lately regarding the difficulty in receiving payment under the patient’s MedPay portion of their auto insurance policy.

Workers Compensation and Personal Injury: Billing Health Insurance

Posted by Carlos Boileve, DC, MCS-P | Dec 3, 2013 | Billing and Collections, Insurance, Personal Injury, Work Comp and PI, zall | 0 |

any issues have been arising regarding whether to bill health care insurance or Workers’ Compensation/Personal Injury. Most PPO contracts required bill submission to the carrier prior to billing the patient. However, Workers’ Compensation and Personal Injury are the exceptions to this rule.

Liens and The Common Fund Doctrine

Posted by Carlos Boileve, DC, MCS-P | Aug 1, 2013 | Billing and Collections, Business Forms and Templates, Frequently Asked Questions, zall | 0 |

Both the Illinois Chiropractic Society and I have received numerous calls regarding the Common Fund Doctrine. For those that know, let’s revisit it. For those that have not heard of it, let’s start learning.

Utilization Review in Work Comp

Posted by Carlos Boileve, DC, MCS-P | Dec 1, 2012 | Billing and Collections, Insurance, Work Comp and PI, zall | 0 |

All of us look forward to opening mail from workers compensation carriers that contain checks, but no chiropractic physician wants to receive a letter indicating that their worker’s compensation bill is being reviewed. However, before you are faced with a review, chiropractic physicians in Illinois should be aware of the utilization review provisions that affect providers – especially since the NEW worker’s compensation reform became effective 09/01/2011.

Workers Compensation Fee Schedule

Posted by Carlos Boileve, DC, MCS-P | Aug 1, 2012 | Billing and Collections, Frequently Asked Questions, Work Comp and PI, zall | 0 |

Late 2011, State of Illinois went through another reform in Workers’ Compensation as signed by Governor Quinn. Besides other significant changes, the change that would affect medical providers the most would be the NEW WC Medical Fee Schedule, and the WC Medical fee schedules were slashed 30%.

Utilization Review

Posted by Carlos Boileve, DC, MCS-P | Jun 1, 2012 | Insurance, zall | 0 |

All of us look forward to opening mail from workers compensation carriers that contain checks, but no chiropractic physician wants to receive a letter indicating that their worker’s compensation bill is being reviewed. However, before you are faced with a review, chiropractic physicians in Illinois should be aware of the utilization review provisions that affect providers – especially since the NEW worker’s compensation reform became effective 09/01/2011.