Members Only - New York State Chiropractic Association

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...

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...

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...

Patient Referral Services

by Regulatory Compliance Committee | Mar 5, 2024 | Compliance, Members Only, Q&A

Have you ever received a marketing email like the one below in your inbox? We can send 20 new patients your way each month, and you pay only when they show up. There are no monthly retainers, no initial set-up fees, and no bait-and-switch tactics. Possibly interested?...