The relationship of in-network providers and BCBSIL is governed largely by the provider agreement you signed when you joined the network, and as BCBSIL has amended periodically. The Provider Manual and BCBSIL medical policies are also included in the agreement.
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Having the right insurance policies in place is a must to protect your practice. Read this article to learn about the types of policies that you need to consider for your practice!
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If you have not updated the posters in your office that are required for employee notifications, today is the day you will want to review the changes. There are new additions and updates for Illinois labor, Illinois and Federal OSHA, and more. This article provides an easy to use checklist.
Read MoreThe Medicare Fee Schedule revolves around three key amounts: fees allowed for participating providers, fees allowed for non-participating providers, and the limiting charge. Discover more by watching the video!
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The details covered in this article are very important and we urge you to read and review the article for Cures Act requirements and compliance items.
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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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On January 1, 2018, the Centers for Medicare and Medicaid Services (CMS) released MLN Matters Number: MM10176. In this notice, CMS identified certain services subject to the therapy cap. The revision became effective on January 1, 2018. Due to this revision, some providers have begun to receive claim rejections because they are not using the appropriate modifier.
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Hiring a newly graduated chiropractor or a chiropractor licensed in another state to work in your clinic before he or she receives an Illinois license is an admirable thing, and in the long run, it can be quite beneficial to your clinic.
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