Did you know that all employers are responsible for notifying their employees of coverage options by October 1, 2013? The exceptions to the notification are different than many other provisions and may likely apply to your office.
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Some people claim to like change. I believe they are more likely to embrace change. I don’t have to remind you that the volume of issues and events that we are seeing in the health care world and, more specifically, the chiropractic profession is daunting. The changes in governmental requirements, insurance demands, electronic records, patients’ expectations, and increased scrutiny can seem overwhelming to many in the profession.
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This Act is also known as the Economic Stimulus Act and was signed into law in February 2009. Within the AARA, there have been monies set aside to encourage (through incentive payments) physicians, hospitals, and other eligible providers to use Electronic Health Records (EHR). The amount set aside is between $17-19 billion. Chiropractic physicians included in the list of those who can become Eligible Professionals.
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The ICS regularly receives questions regarding the incentive program for electronic health records, meaningful use, certified software, and attestation. From time to time, we have held seminars and webinars to walk through many of the perceived “obstacles” to success when implementing new software and attestation. Below you will find some general answers and clarifications to several questions surrounding EHR.
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The Illinois Chiropractic Society has been working diligently on the recently announced developments with BCBS-IL and chiropractic physicians in Illinois. As we have mentioned in previous communications, we have met on several occasions with BCBS-IL regarding the Orthonet changes, and we have shared our findings with our members.
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The ICS previously placed several formal inquiries to CMS regarding clarification for Clinical Summaries (Measure 13, Stage 1). We made the inquiries because the language in many of their publications was ambiguous and left providers uncertain. However, CMS recently released a statement with greater clarification:
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BCBS has indicated, “Initially the program will apply to BCBSIL PPO members who are fully insured.” According to the Employee Benefit Research Institute, “In a fully insured plan, the employer pays a per-employee premium to an insurance company, and the insurance company assumes the risk of providing health coverage for insured events.” Roughly 45% of insured patients are fully insured. However, BCBSIL has indicated that the program may be expanded to other plans after the initial period.
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Many of you are aware of the recent announcement from Blue Cross Blue Shield of Illinois regarding their contract with Orthonet to perform Utilization Management across the state of Illinois, to commence sometime in 2013. If you are not aware, please read the article in the October 2012 BlueReview.
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