Members Only - New York State Chiropractic Association

Naming a Chiropractic Practice

by Staff Writer | Oct 18, 2021 | Members Only, Q&A

Q: What are the specific laws/regulations/requirements for naming a chiropractic practice in NYS? Does the term chiropractic or chiropractor need to be in the name of the clinic? Does a DBA have to include it? A: The Rules of Conduct of the New York State Board of...

NYS WCB OnBoard Limited Release Update

by Insurance Committee | Oct 3, 2021 | Insurance Updates, Members Only, Workers' Compensation

Recap: This first phase, OnBoard Limited Release, will allow providers to easily submit Prior Authorization Requests (PAR) for care, as well as a Request for Decision on Unpaid Medical Bill(s) (Form HP-1.0). Once implemented, carriers must respond to...

GHI EmblemHealth Reimbursement Issues

by Insurance Committee | Oct 3, 2021 | Commercial Insurance, EmblemHealth, GHI, Insurance Updates, Members Only

Several NYSCA members have again reached out to The NIC to inform us that they are not being reimbursed by GHI / Emblem. Unfortunately The NIC had to again request assistance from the NYS Department of Financial Services, with whom we have developed an excellent...

Recent BCBS Notices

by Insurance Committee | Oct 3, 2021 | Commercial Insurance, Insurance Updates, Members Only

As some of you are aware, Empire BCBS sent a ‘collaborative and educational’ notice to those providers who billed CPT code 97110 (therapeutic exercise, direct one-on-one patient care, 15 minutes) ‘outside of the average...

ICD Coding Reminder

by Insurance Committee | Oct 3, 2021 | Billing and Coding, Insurance Updates, Members Only

M54.50, Low back pain, unspecified M54.51: Vertebrogenic low back pain M54.59: Other low back pain As previously reported, CMS has deleted ICD Code M54.5 Low Back Pain effective October 1, 2021 and replaced with the following three ICD10 Codes to offer additional...

Advertising a Pain Relief Center without mentioning a chiropractic connection

by Staff Writer | Sep 20, 2021 | Members Only, Q&A

A member recently called and asked if it is illegal for a chiropractor to do an advertisement for a pain relief center and not mention they are a chiropractor or include D.C. [in the advertisement]. Q1: May a chiropractor advertise a pain relief center and not mention...