Insurance Updates - New York State Chiropractic Association

HR1610: The Chiropractic Medicare Coverage Modernization Act of 2023

by Staff Writer | Jul 1, 2024 | ACA, Chiropractic in the News, Legislative Updates, Medicare/Medicaid, Public

Legislation championed by ACA to increase Medicare coverage of chiropractic services is attracting cosponsors faster than ever in the U.S. House of Representatives and the U.S. Senate. Dear colleagues, I am encouraging you each to contact your Member of...

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...

Highmark Effective Date moved to May 1

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

On March 25th, Highmark of WNY and NE NY posted a Special Bulletin in their Provider Resource Center for each region of New York. In that notice, Highmark noted they have ‘decided to move back the effective date from April 1, as previously announced, to...

Highmark to Implement a Prior Authorization Program

by Insurance Committee | Mar 22, 2024 | Commercial Insurance, Highmark, Insurance Updates, Members Only

As noted in our previous communication, Highmark BCBS of Western NY and Northeastern NY is implementing a prior authorization program for certain services rendered by DCs, PTs, OTs and home care providers. This program only applies to Highmark’s commercial...