News

AcuCode updates to Insurance Coverage Policies

There have been updates in the AcuCode Document Library. Updated coverage guidelines for Aetna, CIGNA, Evicore, and Health Partners for 2020. Note these documents provide the specific diagnoses codes that are reimbursed for acupuncture related services. You should review your common code lists and verify whether the code you are

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Telemedicine Update for California Workers’ Compensation

Telemedicine Update for California Workers’ Compensation California workers’ compensation will pay for telemedicine visits. Providers should bill with an office visit code 99211 to 99215 with modifier 95. However, the place of service for California workers’ compensation claims would remain 11. Also, they have added the following codes for reimbursement

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CIGNA Policy for Virtual Care Telemedicine

CIGNA Virtual Care Guidelines In an effort to remove barriers for our customers to access timely and safe care, while ensuring that providers can continue to deliver necessary services in necessary settings, Cigna will allow providers to bill a standard face-to-face visit for all virtual care services, including those not

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Anthem Policy for Telemedicine

There is confusion relating to the ability to use and be reimbursed for telemedicine as some have interpreted improperly the payment policy for Anthem related to chiropractic and other licensed providers. For telephonic only there is exclusion of payment to these provider types but not for “telemedicine -video+audio” This information

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Definition of Health care Operations that can stay open

Definition of Health care Operations that can stay open: Health care operations include hospitals, clinics, dentists, pharmacies, pharmaceutical and biotechnology companies; other health care facilities, health care suppliers, home health care services providers, mental health providers, public health, or any related and/or ancillary health care services. Health Care Operations also

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10 things to do while your office is open during COVID-19

Take temperatures of all incoming patients [ and staff if possible ] each day; Anyone who has a high temperature and or shows signs of the potential virus are recommended to self-quarantine and get tested; Federal and state authorities are ramping up extensive drive-by testing. When it is available, everyone

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On-Line Digital Evaluation & Management Services (New 2020)

Updated 3-19-2020 On-Line Digital Evaluation & Management Services (New 2020) Providers who have patients that cannot make appointments due to need for isolation, quarantine, or social distancing may still need your management and when done as an online evaluation or phone call there are two code sets that may fit

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No out of network benefits United Health Care

UHC has announced they will no longer offer any benefits for out of network providers  for chiropractic, acupuncture, and physical medicine. To maintain payment providers must now enroll with UHC to maintain payments for any of the above services. For chiropractic providers typical enrollment is through Optum Health.

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CMS (Medicare) coverage for Acupuncture clarification

There is no direct payment to an LAc at this time and Medicare will not register any LAc to the Medicare program. However, this unprecedented ruling does now include acupuncture under Medicare. But with the following protocols. 1. The LAc would have to be employed and work incident to an

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