Electronic Clearinghouse News
It's the type of radical reform that would help control the cost crisis in health care, two University of Michigan Health System doctors argue in the Feb. 15 issue of Journal of the American Medical Association.
Attorney General Eric Holder and Department of Health and Human Services (HHS) Secretary Kathleen Sebelius today released a new report showing that the government's health care fraud prevention and enforcement efforts recovered nearly $4.1 billion in taxpayer dollars in fiscal year (FY) 2011.
The Centers for Medicare and Medicaid Services (CMS) announced that on Jan. 1, 2012, it will launch a new Pioneer Accountable Care Organizations (ACOs) initiative to test the effectiveness of particular payment arrangements in providing beneficiaries with better care experiences through ACOs, while also reducing Medicare costs.
The House of Representatives passed a bill that would repeal a requirement that government agencies withhold federal taxes from payments to contractors, including Medicare providers.
The Centers for Medicare and Medicaid Services (CMS) released their final rule regarding the CMS Shared Savings/Accountable Care Organization Program (Complete Final Rule available here).
The Centers for Medicare and Medicaid Services (CMS) has released a revised version of the ABN.
On Sept. 26, 2011 the Centers for Medicare and Medicaid Services (CMS) will release a national provider Comparative Billing Report (CBR) aimed at the chiropractic profession — again.
The American Chiropractic Association (ACA) has partnered with Infinedi — a privately owned clearinghouse for electronic health insurance claims — to, for the first time in history, arm the chiropractic profession with in-depth analysis of health insurance claims from across the country.
Over the past several months, the American Chiropractic Association has sent multiple letters (available here and here) to the Centers for Medicare and Medicaid Services (CMS) communicating concerns about the high copayments imposed on Medicare Advantage (MA) beneficiaries seeking the services of DCs.
While the battle over the legality of the Affordable Care Act's mandate requiring most individuals to purchase health insurance continues to be fought, its impact on the quality and cost of care and what it would mean for patients and their physicians has been largely overlooked.
Zyantus, a leading developer of electronic insurance claims processing and software solutions for medical, dental and other health care specialists, announces Claredi has certified EClaims OS claim processing service as HIPAA 5010 compliant. Claredi HIPAA 5010 Certification is an important step in demonstrating Zyantus' ability to conduct health care transactions utilizing pending HIPAA 5010 transaction standards.
Families are increasingly relying on public health insurance plans to provide coverage for their children, a growing trend that researchers say is tied to job losses, coverage changes to private health insurance plans, and expanded access to public plans, according to new research from the Carsey Institute at the University of New Hampshire.
Children with public insurance are 22 percent less likely to receive comprehensive primary care than those with private insurance, according to new research from the University of Michigan Medical School.
Nationwide, private-sector employees with single coverage contributed 21 percent of the cost of their health insurance and employees with family coverage paid 27 percent, according to the latest News and Numbers from the Agency for Healthcare Research and Quality.
In 2010, about 40 percent of Americans—or 73 million people—had trouble paying medical bills, up from 34 percent in 2005. Now, a new study confirms that having health insurance coverage is no guarantee against accumulating medical debt for working-age adults. Not surprisingly, the study likewise finds that both medical debt and lack of insurance coverage lead to reduced access to health care.
However, this rapid expansion of coverage is colliding with a different, potentially problematic trend that could end up hampering access to health care.
The American Chiropractic Association (ACA) is pleased to announce that Anthony Hamm, DC, FACO, president of ACA’s Council of Delegates, is the first doctor of chiropractic to be elected co-chair of the American Medical Association’s (AMA) Health Care Professionals Advisory Committee (HCPAC) Review Board.
Kathleen Sebelius, Health and Human Services secretary, spoke about chiropractic at the 2011 National Chiropractic Legislative Conference (NCLS) in Washington, D.C.
There has been some confusion recently regarding what DCs will need to do to avoid the electronic prescribing penalty that is being implemented by the Centers for Medicare and Medicaid Services (CMS) beginning in 2012.
To complement the recent release of the 2011 Chiropractic Coding and Compliance Manual, the American Chiropractic Association (ACA) is offering a live coding and documentation teleseminar series.
According to the American Medical Association’s National Health Insurer Report Card, one in five medical claims are processed inaccurately by health insurers.
The American Chiropractic Association (ACA) announced that following an investigation of the activities of Humana Health Plan Inc. (Humana), the Kentucky Office of Insurance identified numerous deficiencies and violations in the insurer’s business practices. As a result, Humana was fined $100,000 and is required by the order to take corrective action.
Last week, the American Chiropractic Association (ACA) reported that the Centers for Medicare and Medicaid Services (CMS) would be sending out Medicare contractor surveys to 30,000 providers in January.
The American Chiropractic Association (ACA) encourages providers and their patients to appeal denied claims.
Denver-based KMC University just launched its newest offering, the KMCU Community College.
To complement the upcoming release of the 2011 Chiropractic Coding and Compliance Manual, beginning in February, the American Chiropractic Association (ACA) will present you with a live coding and documentation teleseminar series.
The U.S. House of Representatives voted Nov. 29, 2010 in a bipartisan voice vote, to approve legislation already enacted by the Senate postponing the looming 23 percent reduction in Medicare reimbursement for physician providers for another 30 days, to Jan. 1, 2011.
Genius Solutions Inc. and Advanced Compliance Technologies are pleased to join forces in presenting the National Academy of Chiropractic Coders (NACC) to the chiropractic community.
As growth opportunities in the industry arise, EClaims is expanding its service offerings and announced today its new company name, Zyantus.
There are words that describe an exploit every clinic is engaged in that rarely gets the attention it should. It is an area so dark, so difficult to look at, that many clinics ignore it as much as possible.
It is time to once again update you on the current activities of the Council on Chiropractic Guidelines & Practice Parameters (CCGPP).
Radiography is a scientifically proven and useful modality to evaluate human spinal anatomy and pathology in chiropractic practice.
The Best Practices and Practice Guidelines (BPPG), one of the most valuable resources a practicing chiropractor can have is now available in a 640-page, soft-cover book.
Knowing what is reasonable and necessary can help you bill and code better for this therapy
The Clinical Compass/CCGPP has an exciting new special announcement, and we are seeking your help in dispersing this information to the profession. Core Products and President Philip Mattison have committed up to $10,000 in the form of a matching donation to fund the ongoing work of CCGPP.
As of Jan. 1, 2010, CPT Code 29220 (strapping of low back) has been deleted. According to the American Medical Association’s CPT 2010 Professional Edition, CPT Code 29799 (unlisted procedure, casting or strapping) should be used to report low-back strapping.
If you change office locations, change your business name, or change your business structure, you must report these changes to your Medicare contractor.
My chiropractic assistant asked if I knew what ghost billing was and how we can prevent it from happening in our office. Can you clarify what ghost billing is?
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