Insurance Committee - New York State Chiropractic Association

NYS WCB OnBoard Limited Release Update

by Insurance Committee | Oct 3, 2021 | Insurance Updates, Members Only, Workers' Compensation

Recap: This first phase, OnBoard Limited Release, will allow providers to easily submit Prior Authorization Requests (PAR) for care, as well as a Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0). Once implemented, carriers must respond to...

GHI EmblemHealth Reimbursement Issues

by Insurance Committee | Oct 3, 2021 | Commercial Insurance, EmblemHealth, GHI, Insurance Updates, Members Only

Several NYSCA members have again reached out to The NIC to inform us that they are not being reimbursed by GHI / Emblem. Unfortunately The NIC had to again request assistance from the NYS Department of Financial Services, with whom we have developed an excellent...

Recent BCBS Notices

by Insurance Committee | Oct 3, 2021 | Commercial Insurance, Insurance Updates, Members Only

As some of you are aware, Empire BCBS sent a ‘collaborative and educational’ notice to those providers who billed CPT code 97110 (therapeutic exercise, direct one-on-one patient care, 15 minutes) ‘outside of the average...

ICD Coding Reminder

by Insurance Committee | Oct 3, 2021 | Billing and Coding, Insurance Updates, Members Only

M54.50, Low back pain, unspecified M54.51: Vertebrogenic low back pain M54.59: Other low back pain As previously reported, CMS has deleted ICD Code M54.5 Low Back Pain effective October 1, 2021 and replaced with the following three ICD10 Codes to offer additional...

Providing DME Under New York State Workers’ Compensation

by Insurance Committee | Apr 22, 2021 | Insurance Updates, Members Only, Workers' Compensation

(Statement from Elite Medical Supply of NY) Elite Medical Supply of New York has requested that the NYSCA provide the following statement to our members: In early February 2020, the New York State Chiropractic Association graciously forwarded my statement to its...