Filtered by tag: Insurance - Major Medical Remove Filter

News from the NIC - Summer 2022

As you prepare for your holiday weekend, the NYSCA Insurance Committee (the NIC) would like to provide you with the following reminders and updates which encompasses three topics: Workers' Compensation, MVP, and Highpoint BlueCross Blue Shield of Western New York. More detailed information and news related to other insurance issues will be disseminated in the next several weeks.

Read More

New Federal Mandate: Good Faith Estimates

As you may be aware, the No Surprises Act was passed at the end of 2020 as a part of the Consolidated Appropriations Act of 2021. Initially most experts believed this act applied only to facility-based providers. However, the recent finalization of Part II of the rules has a specific portion that applies to all health care providers.

Read More

Attention: Network providers for American Specialty Health (ASH)

Your office may have received a notice from American Specialty Health (ASH) titled REMOVAL FROM PARTICIPATION FOR SPECIFIC CLIENT SOURCES. The letter indicates that your office has been terminated from participation in Medicare specific Client Summaries as allowed in your ASH Practitioner Services Agreement.

Read More

NYSCA Question of the week: Treating patients who have attended protests

A NYSCA member asks: A patient just called to make an appointment; however, they attended a protest a few days ago. Can I see them if they have not demonstrated Covid-19 symptoms?

Read More

UHC Updates Telemedicine Policy to Include Chiropractic

The NYSCA Officers thank the insurance committee for their work in continuing this conversation and assisting in bringing more options to New York's chiropractors and chiropractic patients.  Updates to the United HealthCare policies allowing chiropractors to utilize telemedicine services to care for their patients is below.

Read More

Telemedicine Coding and Coverage

During the COVID-19 crisis, telemedicine and telehealth services will allow you to continue to care for your patients from a distance.  The NYSCA Insurance Committee continues to interact with various NYS offices, commercial carriers and TPAs to discuss and seek their guidelines relative to the application and coverage of telemedicine services for doctors of chiropractic.

Read More

UnitedHealthcare requires 'GP' Always Therapy Modifier effective April 1, 2020

UnitedHealthcare will require the use of a 'GP' modifier for all billed physical medicine services effective 04/01/2020. 

Read More

ASH contracts with Suffolk County employees through BCBS

Please note the following notification from American Specialty Health (ASH) relative to employees of Suffolk County.

Read More

Further Aetna Updates

The following information has been received from Aetna to assist in your transition to the new program.

Read More