ICS Staff, Author at Illinois Chiropractic Society

EOB as a “Health Record”

Posted by ICS Staff | Jul 15, 2014 | Compliance, Documentation, Electronic Health Records, Frequently Asked Questions, HIPAA, zall | 0 |

Is an insurance company’s or health plan’s Explanation of Benefits (EOB) part of a patient’s health record under HIPAA or State law?

EHR Audits on the Rise

Posted by ICS Staff | Jul 10, 2014 | Insurance, Medicare and Medicaid, zall | 0 |

In January 2014 the Department of Health and Human Services Office of Inspector General (OIG) announced that electronic health records (EHRs) have created new exposures to healthcare fraud and abuse, and, as a result, they requested CMS and their contracted MACs revise their approaches to protect against fraud and abuse.

2014 Legislative Update

Posted by ICS Staff | Jun 17, 2014 | ICS Message, Legislative, zall | 0 |

Provided all goes as planned, May 31st should mark the end of Illinois’ 98th General Assembly. Legislative sessions span a two year period of time and typically are viewed as having a regular first year and a shorter second. According to the House Rule 18(b), bills this second year should be either budgetary in nature or “to be of an emergency nature or to be of substantial importance to the operation of government.”

2014 ICS Capitol Conference and the Key DC Program

Posted by ICS Staff | Jun 17, 2014 | ICS Message, Legislative, zall | 0 |

For the last six years, the ICS has been holding its annual lobby day at the Statehouse to raise chiropractic awareness, as well as, deal with specific issues with the legislature. Capital Conference has helped us secure support and sponsors for our legislation, and these events help form meaningful relationships between our members and their legislators. With our invigorated focus on expanding chiropractic utilization in Illinois, we are turning our attention to developing a stronger grassroots foundation with our elected officials.

Windows XP No Longer HIPAA Compliant

Posted by ICS Staff | Feb 19, 2014 | Compliance, HIPAA, zall | 0 |

Microsoft has announced that they will no longer support or issue security patches to the Windows XP operating system after April 8, 2014. Based on the analysis below of the requirements in the HIPAA Security Rule, all Windows XP operating systems must be moved to a newer, supported operating system offering regular updates and security patches.

Advertising “Physical Therapy”

Posted by ICS Staff | Jan 22, 2014 | Frequently Asked Questions, Legal, Marketing and Advertising, Videos, zall | 0 |

The Illinois Department of Financial and Professional Regulation (IDFPR) has advised the ICS in writing that chiropractic physicians may advertise that they provide “physical therapy.”

OrthoNet Preauthorization FAQs

Posted by ICS Staff | Jan 2, 2014 | Frequently Asked Questions, Insurance, Medicare and Medicaid, zall | 0 |

As ICS members are probably aware, Blue Cross Blue Shield of Illinois (BCBSIL) has begun implementation of its utilization management program requiring many providers to obtain preauthorization for physical medicine services. BCBSIL has classified providers into “tiers” requiring various levels of preauthorization and has contracted with OrthoNet to review provider requests for preauthorization.

1500 Health Insurance Claim Form

Posted by ICS Staff | Dec 23, 2013 | Billing and Collections, Insurance, Medicare and Medicaid, Work Comp and PI, zall | 0 |

In 2013 and 2014 there will be many changes in the healthcare field. Some of the changes include mandatory reporting of PQRS, Affordable Care Act, ICD-10 CM diagnosis codes, and the new 1500 Health Insurance Claim Form. My articles over the next year will concentrate on these changes and how they affect chiropractic physicians. In this article, I am going to answer questions pertaining to the new 1500 HealthInsurance Claim Form.