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Medical Necessity Requirements

Medical Necessity Requirements

Posted by | Apr 1, 2016 | , , , | 0 |

On December 23, 2015, the Centers for Medicare and Medicaid Services (CMS) released a new instructional video describing their policies and procedures for establishing the medical necessity of chiropractic care.1 The video was released on the heels of a new study released by the Office of Inspector General (OIG), “CMS Should use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services”2, which revealed extrapolated data suggesting fraud and abuse in chiropractic Medicare utilization.

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BCBS Federal Expands Coverage

BCBS Federal Expands Coverage

Posted by | Dec 18, 2013 | , , | 0 |

The American Chiropractic Association announced yesterday that effective January 1, 2014, the BCBS Federal Employee plan will “now cover any licensed medical practitioner for covered services performed within the scope of that license, as required by Section 2706(a) of the Public Health Service Act (PHSA).”

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Estrogen Dominance

Estrogen Dominance

Posted by | Feb 1, 2013 | , | 0 |

We all have females in our life including our patients, maybe a wife, significant other, aunt, sister, grandma or girlfriend. More than likely, they have complained of some hormonal disruption, at some point. The most common symptoms they may be suffering from include moodiness, lack of sex drive, irregular cycles, heavy bleeding, cramps, hot flashes, night sweats, weight gain, thyroid disorders, weight gain, foggy head, insomnia, and fatigue. Estrogen dominance is associated with infertility, blood clots, accelerated aging autoimmune disorders, and breast cancer.

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Medicare Announces Part B Deductible for 2021

Medicare Announces Part B Deductible for 2021

Posted by | Dec 9, 2020 | , , , | 0 |

Recent legislation signed by President Trump significantly dampened the 2021 Medicare Part B premium increase that would have occurred, given the estimated growth in Medicare spending next year. The standard monthly premium for Medicare Part B enrollees will be $148.50 in 2021, an increase of $3.90 from $144.60 in 2020. CMS also announced that the annual deductible for Medicare Part B beneficiaries is increasing.

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Activating a Non-Renewed or Inactive Physician License

Activating a Non-Renewed or Inactive Physician License

Posted by | Jul 7, 2017 | , , | 0 |

All Medical Practice Act licenses, including chiropractic, medical and osteopathic licenses, run on the same 3-year cycle. 2017 and each third year thereafter is a renewal year during which licenses expire on July 31. For most doctors who renewed on time during previous renewal cycles and who complete their continuing medical education prior to July 31 of the current cycle, renewal will be a routine process.

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