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Urgent: WNY and Northeaster NY Highmark Prior Authorization

by Insurance Committee | Mar 12, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As previously reported, Highmark is planning to implement a prior authorization program for chiropractic care, physical and occupational therapy, and home health care effective on April May 1, 2024.   Highmark recently updated their provider...

Medicare Update from ACA

by American Chiropractic Association | Mar 8, 2024 | ACA, Insurance Updates, Medicare/Medicaid, Members Only

According to the 2024 Medicare Physician Payment Schedule (MPFS), chiropractors are experiencing a 5.37 MPFS percent cut this year.   Included in the federal spending package to be signed into law today intended to keep the federal government running through...

How the Change Healthcare Breach Is Impacting Claims, Eligibility Checks, and Provider Payments

by Insurance Committee | Mar 5, 2024 | Commercial Insurance, Insurance Updates, Members Only, UHC

Are your payments at risk?  Challenged with Eligibility?  As some of you are aware, Change Healthcare – part of the Optum division of UnitedHealth Group – experienced a cybersecurity breach on 2/21/24.  Change Healthcare is utilized by different...

2024 Medicare Physician Fee Schedule

by Insurance Committee | Nov 30, 2023 | Insurance Updates, Medicare/Medicaid, Public

On Wednesday, November 29, 2023 NGS Medicare released a statement that the calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) is now available. You can view the new fees using the Fee Schedule Lookup tool located on NGSMedicare.com. ngsmedicare.com...

ChiroCongress / Gold Star Medical Business Services Billing and Insurance Question Portal 

by Insurance Committee | Nov 1, 2023 | Billing and Coding, Insurance Updates, Members Only

We are happy to announce that a new NYSCA member service is available to assist you with your billing, insurance, and revenue cycle management questions! Contact the Gold Star Help Desk: http://forms.chirocongress.org/view.php?id=145860 This service will provide...

Medicare 2024 Premiums and Deductibles

by Insurance Committee | Oct 20, 2023 | Insurance Updates, Medicare/Medicaid, Public

On October 12, 2023, the Centers for Medicare & Medicaid Services (CMS) released the 2024 premiums, deductibles, and coinsurance amounts for the Medicare Part A and Part B programs, and the 2024 Medicare Part D income-related monthly adjustment amounts....
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