Medicare/Medicaid - New York State Chiropractic Association

Verify Your Professional Corporation Status and Avoid Medicare PECOS Issues

by Insurance Committee | May 22, 2026 | Billing and Coding, Compliance, Insurance Updates, Medicare/Medicaid, Members Only

The NYSCA Insurance Committee has been made aware of situations in which a chiropractic Professional Corporation (PC) may not be properly registered with the New York State Education Department Office of the Professions as an active business entity. Failure to...

May 11 deadline for Medicare Eligibility is Here

by Insurance Committee | May 11, 2026 | Insurance Updates, Medicare/Medicaid, Members Only

This message serves as a reminder and addresses the misinformation circulating about Medicare’s HIPAA Eligibility Transaction System (HETS). The NIC has again reached out to NGS Medicare/Wellpoint Federal, as well as Medicare’s HETS Help Desk, to...

Deadline May 11: Enroll Vendors with HETS Now to Prevent Disruption in Medicare Eligibility Checks

by Insurance Committee | May 4, 2026 | Insurance Updates, Medicare/Medicaid, Public

Providers using third-party vendors to check Medicare beneficiary eligibility must now enroll these vendors with CMS for HIPAA Eligibility Transaction System (HETS) access by linking each vendor to your NPI. This includes eligibility verification performed through...

Upcoming Change: National Government Services to Become Wellpoint Federal

by Insurance Committee | Mar 24, 2026 | Insurance Updates, Medicare/Medicaid, Public

On 4/1/2026 National Government Services will begin operating as Wellpoint Federal. While the name will change, structure, service level and operating model will remain the same, advancing the future of government healthcare as part of Elevance Health. Beginning...

Updated Medicare ABN Form Now Available

by Insurance Committee | Mar 16, 2026 | Insurance Updates, Medicare/Medicaid, Public

The Centers for Medicare & Medicaid Services (CMS) has recently updated the Advance Beneficiary Notice of Non-coverage (ABN), a form providers use to inform patients when Medicare may not cover a service. The new ABN form (CMS-R-131) was approved by the Office of...

New NGS Medicare Resource: Advance Beneficiary Notice Decision Tree

by Insurance Committee | Feb 10, 2026 | Insurance Updates, Medicare/Medicaid, Public

The NYSCA is pleased to share a newly released educational resource from NGS Medicare designed to support providers in navigating Advance Beneficiary Notice requirements with greater clarity and confidence. NGS Medicare has added the Advance Beneficiary...