Insurance Committee - New York State Chiropractic Association

CDPHP Clarifies Enhanced Chiropractic Coverage for Medicare Advantage Group Members

by Insurance Committee | Apr 10, 2023 | CDPHP, Commercial Insurance, Insurance Updates, Members Only

The NYSCA Insurance Committee (The NIC) is bringing you the latest updates on CDPHP. As previously noted, CDPHP announced an enhanced benefit for their Medicare Advantage members which covers medically necessary ‘assessment, manipulations and modalities’. We have just...

MVP Fixes Chiropractic Claims Issue for Initial and Subsequent Visits on the Same Claim

by Insurance Committee | Apr 5, 2023 | Commercial Insurance, Insurance Updates, Members Only, MVP

The NYSCA Insurance Committee (The NIC) is bringing you the latest updates on MVP. As some of you have reported, the Initial visit (new patient eval and treatment) rate of $80 was processed at the Subsequent visit rate of $60 when both the initial visit and subsequent...

Medicare Fee for Service ABN 2023

by Insurance Committee | Apr 4, 2023 | Insurance Updates, Medicare/Medicaid

The ABN, Form CMS-R-131, and form instructions have been approved by the Office of Management and Budget (OMB) for renewal. The use of the renewed form with the expiration date of 01/31/2026 will be mandatory on 6/30/23. You may continue to use the ABN form with the...

ASHLink Eligibility and Billing Guidance for Wellcare Patients

by Insurance Committee | Mar 6, 2023 | Commercial Insurance, Insurance Updates

The NYSCA Insurance Committee (the NIC) has been in contact with American Specialties Health (ASH) to better define the benefits available to Wellcare members. Please note that All Wellcare insureds DO NOT have the insurance rider which covers all of the services...

2023 NYSCA Insurance Updates: Key Changes for Chiropractors Across New York

by Insurance Committee | Feb 17, 2023 | Aetna, CDPHP, Commercial Insurance, Insurance Updates, Members Only, MVP, Oscar

Insurance Updates Effective January 1, 2023 2023 brings forth continued positive changes for doctors of chiropractic practicing in New York. Across the state certain health plans have increased fee schedules and enhanced coverage. In addition, a few third-party...