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Medical Necessity Requirements

Medical Necessity Requirements

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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Activating a Non-Renewed or Inactive Physician License

Activating a Non-Renewed or Inactive Physician License

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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