Announcements

If you have patients that are part of a  Medicare Advantage plan managed by Optum, you will want to check out the Optum Policy Number 0069 Supplemental/Routine Chiropractic Services prior to submitting claims for active or maintenance care.   We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement and compliance. This content is meant for…

BCBS of Illinois released a Tip Sheet on Use of Imaging Studies for Low Back Pain.  Based on the intent to improve quality of care, they are recommending that providers avoid imaging in the first four weeks of new-onset of back pain. These recommendations are based on NCQA’s HEDIS Measures. A similar notice was posted in early 2022 by BCBS of Texas and in July by BCBS of NC.  We consider that KMC University members…

Optum rolled out a revised Chiropractic Manipulative Treatment Reimbursement Policy in May of 2022. Although at first glance it may appear as nothing has changed, the revision table says otherwise. And now a few months later, providers who perform extraspinal CMT are feeling the impact. We consider that KMC University members are under our care and protection, which includes keeping them up to date on important changes, updates, and news that can affect their reimbursement…