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…
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…
Aetna Rolls Out Code Review Program. Beginning June 1, 2022, you may see new claim edits 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.
Providers who render services to veterans within the Patient Centered Community Care (PC3) network can resolve referral and claim issues until September 30, 2022. 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…
On April 1, 2022, the VA will utilize a new Credentials Verification Organization (CVO) to credential non-Community Care Network (CCN) providers. If you are a CCN provider, you may not need to do anything. 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…