The waiting is over, the Final Rule for CMS’ 2019 Medicare Physician Fee Schedule (MPFS) is available. As anticipated, there are some significant changes. Most of us were carefully watching the proposed changes to the Evaluation and Management codes for office visits, but that’s not all that was included in this 2,300+ page document. The following is a summary of some of the major provisions.
UnitedHealthcare issued a new reimbursement policy on June 1, 2018 (Commercial Reimbursement Policy Number 2018T0541I) that negatively impacts evidence-based practice reimbursement in a chiropractic physician’s office. The notable change to the policy is found in this article.
The Illinois Chiropractic Society (ICS) has been working with the American Medical Association (AMA) in 2018 to clarify problematic language published in 2007 in the CPT® Assistant. The ICS noted that the 2007 guidance was overly inclusive in the number and types of services bundled as part of chiropractic manipulative treatment (CMT). We are happy to report that the AMA has recently revised this language to remove from the CMT narrative some of the elements that are more appropriately characterized as part of a patient re-evaluation… Read the full release here.
The Illinois Chiropractic Society is continuing to work with various entities and attorneys regarding the ongoing BCBSIL claims edit process modifier problem that most of our doctors are facing. We understand the burden that our doctors are enduring, and it remains our top priority. Read here.
The Illinois Chiropractic Society staff works collaboratively on many topics to bring the most comprehensive and relevant information to our members. We have over 60 years of chiropractic experience and understand the heartbeat of the profession. We all look forward to providing relevant information to our members for years to come.
