Chiropractic vs BCBS. This Court win could be bigger than the DC's Trigon Lawsuit for all DC's. According to ERISA expert Jin Zhou this is the largest legal victory for all DC's in years. Additionally this is the first time in U.S. history where chiropractors are leading all other medical professionals nationwide winning a legal war of ERISA compliance in reimbursement against a large insurance company such as BCBS companies. Even though ERISA or ERISA Litigation has been complicated and difficult in all law-suits, this is the first time in U.S. legal history that any healthcare providers have one a nationwide class action suit in the ERISA environment.
Congratulations to all those involved in making this happen. See the Court Case ruling at the following link http://www.chirocode.com/files/BCBS-MTDopinion.PDF Refer to the yellow highlighted sections for key points.
If you have recoupment issues when insurance companies are wanting money back let us know at ChiroCode Institute so we can give you some direction.
The freeze on the 21.5% Medicare fee cut expired Thursday,
April 1. CMS then placed a 10 business day hold on all claims which expired Thursday,
April 14.
Yesterday the Senate took action and passed the amended extension
bill and passed it back to the House. The House passed it and sent it on
to the President. He signed it last night.
We now have an extension until the end of May on the freeze
of the 21.5% cut in the Medicare Physician’s Fee Schedule. During that
time, congress will be working on a more permanent solution.
ChiroCode Phone system Maintenance/Upgrade 6:30 a.m.- 9:30 a.m. MDT Thurs April 1st, 2010. Our web site Chirocode.com is available during this time if you need resources. read more...
We will be putting breaking news in our ChiroCode Alerts, and/or ChiroCode Hot Topics and/or our web site to help better understand how these changes affect all of us. Understanding reimbursement, compliance, and the governing law on denials will enable you to get paid. We will also be directing you to important resources as well.
On
March 2, 2010, President Obama signed into law the “Temporary Extension Act of
2010.” Among other things, this law extends through March 31, 2010, the
zero percent update to the Medicare Physician Fee Schedule that was in effect
for claims with dates of service January 1, 2010, through February 28,
2010. Consequently, effective immediately, claims with dates of service
March 1 and later which were being held by Medicare contractors will be
released for processing and payment. Please keep in mind that the
statutory payment floors still apply and, therefore, clean electronic claims
cannot be paid before 14 calendar days after the date they are received by
Medicare contractors (29 calendar days for clean paper claims).
read more...
Medicare claims will not be processed the first 10 business days of
March 2010 while Congress works on a fix for the dreaded 21% pay cut
which officially takes place today.
read more...
The Centers for Medicare & Medicaid
Services
(CMS) is working with Congress, health care providers, and the
beneficiary
community to avoid disruption in the delivery of health care services
and
payment of claims for physicians, non-physician practitioners, and other
providers of services paid under the Medicare physician fee schedule
(MPFS). The Department of Defense Appropriations Act of 2010 provided a
zero percent (0%) update to the 2010 MPFS effective for dates of service
January 1, 2010, through February 28, 2010.
We believe Congress is working to avoid the
negative
update that will take effect March 1, 2010. Consequently, CMS has
instructed its contractors to hold claims containing services paid under
the
MPFS for the first 10 business days of March. The holding of MPFS claims
will
only affect claims with dates of service March 1, 2010, and forward.
This
hold should have a minimum impact on provider cash flow because, under
current
law, clean electronic claims are not paid any sooner than 14 calendar
days (29
for paper claims) after the date of receipt.
ChiroCode Spotlights are held on Tuesdays
(but not necessarily every Tuesday) at 2pm Mountain Time (4pm Eastern, 3pm Central, 1pm Pacific) and cover
a variety of products, services and topics. They are a live presentation with both
audio and
video. ChiroCode utilizes the excellent GoToMeeting tool to
allow you
to participate via your phone and computer. read more...
We are extending the Express Renewal pricing to October 31, 2009. Some of you didn't get your Express Renewal till just recently so we wanted to give you a little more time to be able to get your 2010 DeskBook with Basic or Premium Support at 2009 prices. For those of you mailing in checks instead of ordering by phone or web we will honor it if postmarked by Oct 31st, 2009.
read more...
Save time with simple, fast code searching. Eliminate coding frustrations by getting the timely answers you need. Avoid denials and lost payments with current, up-to-date information. Improve your office's bottom line. Enhance your skills as a coder.
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