Insurance Committee - New York State Chiropractic Association

Prior Authorization Required for UHC’s Medicare Advantage Insured Effective September 1, 2024

by Insurance Committee | Aug 6, 2024 | Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only, UHC

On Thursday August 1st many of you received UnitedHealthcare’s Provider News email. That edition of Provider News included a section titled ‘Outpatient therapy and chiropractic prior authorization required starting Sept. 1’. Due to the...

Humana implements Prior Authorization for Medicare Advantage members

by Insurance Committee | Aug 2, 2024 | Humana, Insurance Updates, Medicare Advantage, Medicare/Medicaid, Members Only

Effective August 29, 2024, Humana is requiring prior authorization of certain Medicare Advantage members for chiropractic manipulative therapy rendered on or after August 29, 2024. Humana advised that notice was posted on their website last month; however,...

Educational Resources for Chiropractic Billing and Coding Training

by Insurance Committee | May 1, 2024 | Also in the News, Billing and Coding, Insurance Updates, Public

Accurate chiropractic billing and coding is essential for maintaining healthy cash flow, reducing claim denials, and ensuring compliance with payer requirements. As billing rules continue to evolve, many chiropractic offices invest in structured training for...

Highmark Prior Authorization Program Updates

by Insurance Committee | Apr 26, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As many of you have been aware, the NYSCA has been in communication with both Highmark and the NYS Department of Financial Services regarding of our member’s concerns, including Highmark’s implementation of a prior authorization program. NYSCA member...

Updates to Highmark’s Physical Medicine Management Page

by Insurance Committee | Mar 28, 2024 | Commercial Insurance, Highmark, Insurance Updates

On 3/27/24 Highmark updated the regional Physical Medicine Management page. The link for ‘Submitting a Prior Authorization for Chiropractic (Outpatient Therapy)’ is now active. As many had noted, this link previously resulted in an error message...