Medicare Reimbursement Overhaul Joins ICD-10 Coding Changes
As we head into 2017, the chiropractic physician of the future has a significant opportunity to...
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1500 Health Insurance Claim Form
In 2013 and 2014 there will be many changes in the healthcare field. Some of the changes include mandatory reporting of PQRS, Affordable Care Act, ICD-10 CM diagnosis codes, and the new 1500 Health Insurance Claim Form. My articles over the next year will concentrate on these changes and how they affect chiropractic physicians. In this article, I am going to answer questions pertaining to the new 1500 HealthInsurance Claim Form.
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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 MoreNew 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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Diagnosis Pointing Can Help You Get Paid
Healthcare reimbursement relies on using shorthand codes on a CMS-1500 claim form. Properly linking diagnoses to procedures in the diagnosis pointer column (24E) is essential to avoid claim denials. Read the article to learn more!
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