New GA Modifier Requirements

Starting February 1, 2025, United Healthcare Commercial Plans will require providers to append the GA modifier to procedure codes that are considered non-covered services.

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 to learn more.

Compliant Documentation for Adjusting Multiple Spinal Regions

In the world of documentation compliance, chiropractors who routinely adjust the full spine are often challenged by the requirement that documentation and coding must match exactly.

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 we'd be happy to provide you with more information on how you, too, can enjoy this and many other benefits in our Library or 1-on-1 training program. Click here to learn more.

ICD-10 Coding Updates for September 30, 2024

It is that time of year again. The updated codes for ICD-10 have rolled out. Time to locate the codes within your practice management software and update the data with the new code offerings after September 30, 2024.

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 to learn more.

HUMANA Requires Pre-Authorization Effective August 29, 2024

Not sure if it is required for your procedure code? Check out the Prior Authorization Search Tool

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 to learn more.

Should your Medicare patient receive an ABN on their first visit?

Should your Medicare patient receive an ABN on their first visit? The answer may surprise you…

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 to learn more.

Optum/UHC Providers- New Submission Requirement

On September 1, 2024, UHC is implementing a change to United Healthcare & AARP Medicare Advantage plans. Chiropractors will be required to submit a Patient Summary Form (PSF) for certain members. All details are available in the Optum Provider Operations Manual which can be found at:

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 to learn more.