Insurance Updates

Anthem

January 25, 2022 – Insurance Update for Chiropractors

The KAC leadership continues to work hard on your behalf. Many of these updates were given in-person at our 2022 LB Payne Insurance Update. We wanted to send a follow up email reminding KAC members of these changes.Remember, if you are experiencing any issues, please...

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Humana

January 25, 2022 – Insurance Update for Chiropractors

The KAC leadership continues to work hard on your behalf. Many of these updates were given in-person at our 2022 LB Payne Insurance Update. We wanted to send a follow up email reminding KAC members of these changes.Remember, if you are experiencing any issues, please...

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96/97 Modifier

The KAC is working on issues providers are having with Humana Commercial plans.  One area we have had consistent complaints with is the 96/97 modifiers.  Humana has informed us that these modifiers are only necessary when it is...

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WellCare

No Changes To PreAuthorization

WellCare sent out communication on 2/28/2019 stating there “would be an increase focus on ensuring that our providers follow our existing pre-service authorization and notification requirements.”  This does not change what services you will need to...

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Passport

January 25, 2022 – Insurance Update for Chiropractors

The KAC leadership continues to work hard on your behalf. Many of these updates were given in-person at our 2022 LB Payne Insurance Update. We wanted to send a follow up email reminding KAC members of these changes.Remember, if you are experiencing any issues, please...

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Humana Medicaid

GP Modifier

Providers have reached out to the KAC regarding denials for therapy codes (97XXX) when billing Humana Caresource.  It appears they are now requesting these codes be billed with the GP modifier.  You can rebill any denied claims as corrected and attach the GP modifier...

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Aetna Better Health

Children Under 3

We continue working with Aetna on a variety of issues including Medicare crossover claims and denials for care given to children under three.  We have sent requested information to Aetna on both these issues and will update members as soon as we have more...

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Children Under 3

  The Insurance Relations Committee recently met with ABH representatives regarding several issues our members have brought to the KAC.  At this time, ABH continues to deny claims for children under three years of age.  We discussed the...

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Medicare

Important reminder: The correct original claim number must be included if submitting a corrected claim

UPDATED 2024 Medicare Fee Schedule for Chiropractors

Each year CMS updates their fees. The current fees are reflected below. Most chiropractors are in a non-facility setting. MARCH 12, 2024 NOTE: THIS PAGE HAS BEEN UPDATED WITH THE NEW FEE SCHEDULE EFFECTIVE 3.9.2024 Medicare Fees Increase by 1.68% as of March 9, 2024...

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Important Medicare Notice

Important Medicare Notice

CMS reported that a data breach in May 2023 occurred with one of CMS’ contractors.  As a result, about 612,000 Medicare beneficiaries were affected.  CMS is contacting the affected Medicare beneficiaries to change their Medicare MBI number and...

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Miscellaneous

New Medicaid MCO Contracts Awarded

On May 29th, Governor Beshear announced the new Medicaid MCO contracts that will take effect on January 1st, 2021. There will continue to be five MCO's with Aetna Better Health, Humana, and Wellcare having their contracts renewed. Molina Healthcare and...

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Medicaid License Update

You will need to send your updated license to Medicaid prior to May 1, 2020. Medicaid now has a provider portal you will use to update your license. Some providers have reported this is not an easy process. The address for the Portal is located at the Partner...

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