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Increasing Value

Increasing Value

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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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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