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…
In this helpful video, KMC addresses the most common questions we get about what goes in the documentation for an ROV. She explains what auditors are looking for in this documentation, and as usual, makes it easy to understand and to duplicate. Watch this short explanatory video and watch the documentation of ROVs in your practice go from good to great! We consider that KMC University members are under our care and protection, which includes…
Most providers are much more confident with ICD-10 coding than they were years ago when it first rolled out. The rules were in place, easy to follow, right? Not really. A lack of attention to detail with this important process can cost you time and money. Our members enjoy one hour of continuing education credit (in participating states) per quarter, and we foot the bill! Unfortunately, it’s not included in your level of membership, but…
KMC University is thrilled to announce the addition of HelpDesk Phone Support to all membership levels at no additional cost. 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 members. We’d love to help you come under our umbrella of care and protection with membership. Click here…
Have you been wondering what is required of you with regard to the No Surprises Act? CMS issued a new FAQ that addressed the Balance Billing Protection law as it relates to out of network providers. 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 members. We’d…