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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You may have heard about the “Health Information Technology for Economic and Clinical Health (HITECH) Act” and its impact on physician practices. The HITECH law is significant to physician offices because it comprehensively affects HIPAA rules on privacy, security, breach notification, and enforcement.
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Today (September 1, 2011) many parts of the new Workers’ Compensation Act take effect and the ICS wants to ensure you know what changes occur, and what steps you need to take. Already our office has received phone calls from doctors with stories of employers claiming chiropractic ineligibility. So first, I would print out an updated Workers’ Compensation Handbook to distribute to your patients and for your own records:
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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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Physician clinic owners benefit from a clear financial policy, ensuring smooth operations and patient empowerment through transparent billing guidelines.
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The ICS keeps physicians aware of employment laws and regulations that apply to the physician office as an employer.
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The amendment provides that the Illinois Industrial Commission is now known as the Illinois Workers’ Compensation Commission.
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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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