Author: Marc Abla, CAE

Medicare Equality – How to Get Involved

Illinois’ Medicare Administrative Contractor (MAC), National Government Services (NGS), modified its Local Carrier Determination (LCD) for chiropractic services in 2015. This change was significant because it gave chiropractic physicians the ability to appropriately list secondary diagnoses (secondary only to the Medicare required subluxation diagnosis) on the claim forms. This was a significant step towards Medicare provider equality; however, we continue to be reimbursed only for spinal adjustments. Full scope inclusion in Medicare is critical for the chiropractic profession.

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Education Assistance for Claims Edit Denials

As a part of this process, the ICS has added physician education specifically targeted at this issue. These classes have been designed to assist doctors in their ability to provide necessary, evidence-based, efficient treatment for their patients; to maximize appropriate reimbursement; and to succeed in appeals following claim denials. These courses are free for ICS members.

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