As occurs every October 1 there are additions and deletions to the ICD10 code set that is effective on October 1, 2021. Though these are 2022 codes the effective date is October 2021. There are now 72, 748 ICD10 diagnosis codes, and this year there were 159 new codes added Read more…
Just as was the case for vaccine mandates under the VA which did not include acupuncturists or community providers the newest Federal mandate announced by President Biden on September 10, 2021, does NOT include acupuncture providers or offices. This new mandate is for Medicare facility providers such as hospitals and Read more…
The VA has given further guidance concerning vaccines for community providers and has clarified that there are no mandatory vaccines for community providers. This includes acupuncture providers who treat VA authorized patients in their own offices. Here is their statement- VA is not requiring community providers in their network to Read more…
Department of Health has issued mandatory vaccines for doctor’s offices. However, this order does have exemptions which include acupuncture offices. See the link below for full details. https://www.cdph.ca.gov/Programs/CID/DCDC/Pages/COVID-19/Unvaccinated-Workers-in-High-Risk-Settings-State-Public-Health-Order-FAQ.aspx What facilities/offices are not covered under this Order? Acupuncture office Chiropractic office Naturopathic doctor office Occupational therapy office Optometry office Outpatient physical, speech, occupational Read more…
July 26 Department of Veterans Affairs Secretary Denis McDonough announced he will make COVID-19 vaccines mandatory for Title 38 VA health care personnel — including physicians, dentists, podiatrists, optometrists, registered nurses, physician assistants, expanded-function dental auxiliaries, and chiropractors — who work in Veterans Health Administration facilities, visit VHA facilities or Read more…
TriWest Healthcare Alliance’s (TriWest) new claims processor – PGBA – will start accepting and processing all Department of Veterans Affairs (VA) Community Care Network (CCN) health care claims and any remaining Patient-Centered Community Care (PC3) claims effective June 9, 2021 VA claims must now be submitted under a new Payer Read more…
Cigna and ASH have now updated that the date to join their network to maintain being “in-network” which was June 1, 2021, has now been extended to September 1, 2021. (Note this does not apply to California, Oregon, Washington, and Tenessee.) But most surprising is the new fee schedules. As Read more…
Modifier GP is being adopted by additional carriers as a requirement for reimbursement of physical medicine services. This always therapy modifier is required by United Health and its affiliates since 2020. The modifier GP is also required for VA claims and Medicare and Medicare Advantage plans. However, as reported in Read more…
Anthem has updated its professional reimbursement policy. This policy change requires that claims with physical medicine services 97010-97799 will require modifier GP. The modifier is required for dates of service after April 1, 2021. Any PT now billed to Anthem will require the GP modifier. Note this modifier may be Read more…
Itâs official: California workersâ compensation has a new Medical-Legal Fee Schedule (MLFS). These new fees and codes took effect on April 1, 2021. This will affect all QMEâs of course but also a provider who is providing a report for a disputed medical fact. The updates are substantially different from Read more…