Tag: BCBS

BCBSIL Modifies Some Preauthorization Requirements

BCBSIL Modifies Some Preauthorization Requirements

As you may have noticed in the December 2020 BlueReview, Blue Cross and Blue Shield of Illinois (BCBSIL) announced changes to the City of Chicago and Indian Prairie School District plans. In response to ICS’ inquiry, BCBSIL has confirmed that, beginning on January 1, 2021, Orthonet will no longer handle preauthorization for any BCBSIL plans. Read the article to learn more!

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Illinois Chiropractic Society Works with American Medical Association (AMA)

Illinois Chiropractic Society Works with American Medical Association (AMA)

The Illinois Chiropractic Society (ICS) has been working with the American Medical Association (AMA) in 2018 to clarify problematic language published in 2007 in the CPT® Assistant. The ICS noted that the 2007 guidance was overly inclusive in the number and types of services bundled as part of chiropractic manipulative treatment (CMT). We are happy to report that the AMA has recently revised this language to remove from the CMT narrative some of the elements that are more appropriately characterized as part of a patient re-evaluation.

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BCBSIL Modifier Denial Update

BCBSIL Modifier Denial Update

The Illinois Chiropractic Society is continuing efforts to resolve with BCBSIL the problematic claims processing protocol implemented in November 2017. Many of our doctors continue to receive denials when billing services that require a billing modifier (primarily 25, 59, XS, and XU).

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