May a patient direct a health care provider not to submit a claim to the patient’s health plan for a particular service? Is an in-network doctor required to submit a claim when the patient has directed otherwise? The answers to these questions are usually “yes.”
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I find that the issue of spondylolisthesis has been the subject of much misinformation over the years. There are several misconceptions that I run into repeatedly in my radiology practice. I would like to review some of the basics of common spondylolistheses and hopefully dispel some of the more common, but inaccurate, beliefs.
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As an ICS member, you know that you are entitled to payment for medical records at a higher rate in non-workers’ compensation cases. If you have ever wondered why this disparity exists, read on.
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Some time ago I worked with a client who needed help with an appeal. The provider had seen a patient over the course of four weeks for severe low back pain with radiculopathy to the left calf and foot. The provider put together a care plan and outlined goals based upon functional deficiencies. At each encounter, the following codes, among others, were billed:97110 Therapeutic exercises, 97140 Manual therapy. The therapy services were denied for most of the visits. The claims reviewer provided the following partial explanation for the denial:
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The Illinois Department of Labor has adopted new rules for the Paid Leave for All Workers Act, clarifying how paid leave is accrued and used. Read the article for full details!
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Today, we as healthcare consumers, just like our patients, are feeling the “squeeze” as insurance companies continue to reduce what is covered by insurance.
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If you want to become more involved with Substance Abuse Prevention in your area, contact the Illinois Association for Behavioral Health.
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As we approach the end of 2022, there are several important deadlines and items to keep in mind for your practice. This top 10 list includes many critical items, so be sure to review it carefully to ensure that you have covered all your bases.
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