A number of chiropractic physicians in Illinois recently received a letter from BlueCross BlueShield of Illinois regarding the use of Modifier 25. Although the exact purpose of the letter was not clearly stated, the letter was sent from BCBSIL’s Special Investigations Department, stating that the practice in question utilized “Modifier 25 with over ninety percent (90%) of established patient Evaluation & Management (E/M) services.”
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What is a “HIPAA breach?” What notification must I give when a HIPAA privacy or security breach occurs in my office? What are some examples of HIPAA breaches that require notification?
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Late last night, the United States Senate overwhelmingly passed legislation to permanently repeal the flawed Sustainable Growth Rate (SGR) formula, the method used by CMS to determine physician reimbursement in the Medicare program. In a bipartisan 92-8 vote, which followed a 392-37 vote in the U.S. House of Representatives at the end of March, the Senate sent House Resolution 2 – known as the “Medicare and CHIP Reauthorization Act of 2015” – to President Obama, who has indicated that he will sign the bill [Update: President Obama signed into law on April 16].
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In my last article, I discussed my role as an educator when meeting with new legislators and staff at the Statehouse. Now that we are in the midst of the legislative session, conversations have shifted from “who we are” to “what we need.”
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Blue Cross Blue Shield of Illinois informed the Illinois Chiropractic Society of their intentions regarding the changes to the -59 modifiers.
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This article aims to give you the 10,000-foot fly-by on recent legislation and where we believe we are heading in the sharing of digital information.
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The Centers for Disease Control and Prevention has asked that the following be disseminated to primary care physicians in an effort to remind personnel to:
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Many ICS members received a letter, dated September 25, 2014, from Aetna indicating that Aetna will be returning to a direct agreement program with chiropractic providers as of January 1, 2015.
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