ICS Member Alert – American Health Specialty Networks (ASHN) Contracts with Aetna to Administer Chiropractic Services – June 17, 2011 Deadline for Applying to Avoid Gap.
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Despite a series of federal court rulings regarding the recently enacted national health reform law (The Patient Protection and Affordable Care Act, or PPACA), the latest of which declared the law “unconstitutional,” the implementation of the far-reaching statute continues to move forward in keeping with the timeline established by the new law — the various court rulings having no impact on this process thus far. Since the enactment of the law in early 2010, four separate U.S. District Court judges in different localities have ruled on the constitutionality of the bill. Two of the court rulings upheld its constitutionality.
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In a written opinion just released, the Illinois Supreme Court has ruled that attorneys who recover money for injured parties may not deduct legal fees from health care providers.
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The Patient Protection and Affordability Care Act of 2010 amended a number of legislative provisions concerning healthcare fraud and abuse.
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The doctor submits claims to the auto liability carrier for the usual charges for service. The doctor also happens to be a network provider for a health insurance network. The auto liability insurer has made an agreement with the health insurance network to “lease” its network and gain access to the discounts agreed to by providers who are members of the network.
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The ICS has received a number of member calls reporting an increase in Blue Cross/Blue Shield of Illinois (BCBSIL) claim denials for foot orthotics.
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Centers for Medicare and Medicaid Services would acquire new fraud-fighting analytic tools, as the Affordable Care Act provides more money to fight fraud.
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A callus is a raised outgrowth of skin formed of harder, thicker skin cells (keratin). Our body responds to frequent and/or sustained abrasion at pressure points by developing calluses to protect the skin from damage and breakdown.
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