Upcoming Changes
In addition to the looming changes with BCBS-IL and Orthonet, Cigna and ASHN, and other carriers, there are a number of other changes.
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Permanent “Doc Fix” Passed, Congress Ushers in New Era of Value-Based Payment
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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Change
Change can be defined as “a difference in a state of affairs at different points in time”. However, some of the old-time philosophers went so far as insisting that change was impossible and that reality was unchanging. I would suggest that, though some of us like the same old ways, change is an evolution and is influenced by circumstances and present reality. Even though some may choose to ignore or minimize circumstances and live in their “own reality,” these are changing times.
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A Flurry of Activity
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.
Read More![New 1500 Health Insurance Claim Form Released [Updated]](https://ilchiro.org/wp-content/uploads/2019/06/claim-form_fJ4yIBD_-627x376.jpg)
New 1500 Health Insurance Claim Form Released [Updated]
The National Uniform Claim Committee (NUCC) announced on February 15, 2013, the implementation of the newest version of the health insurance claim form, which is to be denoted as 02/12.
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Increasing Value
The Illinois Chiropractic Society understands the current challenges for our doctors and their practices. The number of changes that have happened and are coming in the next year are simply daunting: BCBS/Orthonet, NGS taking over Medicare in Illinois, HIPAA Omnibus Rule changes, Insurance Marketplace new offerings, other Affordable Care Act implementations, EHR deadlines, license renewals, CME deadline, and sweeping changes to diagnosis codes (ICD-10). However, we will continue to make sure that our members are kept up-to-date regarding all of these coming changes.
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Is Your Practice Guilty of Deflate-Gate
Many can say that some in practice may be guilty of “Deflate-gate” by not following regulations, thus cheapening the quality of care they deliver and maybe even giving them an illegal edge.
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A Digital Look Forward
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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