Q/A: How Do I Release a Patient from PI When They Still Have Problems?

Once a PI patient is released with symptoms, or without symptoms, and a prognosis of likely exacerbations with a future medical estimation of $1500 over then next 2 years, how am I supposed to release them from care when they still have ongoing needs?

We have discussed this with several different experts. The consensus is….

New Payment Rulings Could Affect You

Fall has always been the season for CMS fee changes and on November 2, 2017, CMS announced the finalization of four rules which directly impact the following payment systems:
Physician Fee Schedule Final Policy, Payment, and Quality Provisions for CY 2018
Hospital OPPS and ASC Payment System and Quality Reporting Programs Changes …

American Chiropractic Association Comments on MACRA 2018 Proposed Rule

Arlington, Va. – The American Chiropractic Association (ACA) recently submitted comments to the Centers for Medicare and Medicaid Services (CMS) in response to the federal agency’s proposed rule changes to the Quality Payment Program (QPP) for 2018.

QPP is a new payment model for physicians, including chiropractors, created by the Medicare Access and CHIP …

Can They Deny Electrical Stimulation by Saying There is no Evidence that it Works?

Topic: Electrical Stimulation (EMS)

Question: An orthopedic surgeon/IME recommended a denial for all electrical stimulation
(EMS) by stating that “according ODG electrical stimulation is experimental therefore not
medically necessary or eligible for reimbursement.” Is that true?