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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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Work Comp Update 2011

Work Comp Update 2011

Posted by | Sep 1, 2011 | , , , | 0 |

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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A Simple Check that Can Save Thousands (and Prevent Sanctions)

A Simple Check that Can Save Thousands (and Prevent Sanctions)

Posted by | Feb 17, 2021 | , , , , , , , | 0 |

Federal law gives authority to the Office of Inspector General (OIG) to impose Civil Monetary Penalties to practices that hire an employee/contractor who has been excluded from Medicare (or other federal programs). If the employee/contractor is involved in any part of service to the Medicare (or other federal program) patient, it can create a penalty liability as much as $10,000 PER service rendered.

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Increasing Value

Increasing Value

Posted by | Oct 21, 2013 | , | 0 |

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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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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