ACA has recently heard from members in a few states that some Blue Cross Blue Shield plans are automatically denying claims that contain the -25 and -59 modifiers. The states we have heard from to date include Illinois, Oklahoma and Texas. The Blues plans in these states are owned by Health Care Service Corporation (HCSC), an umbrella company that also owns the Blues plans in Montana and New Mexico. ACA has since learned that a new code-auditing enhancement is the source of the denials.
The American Chiropractic Association (ACA) hosted a historic Stakeholder Collaborative Forum on Jan. 26 at Northwestern Health Sciences University to delve deeper into the current market need for chiropractors in combating the opioid crisis as well as issues related to chiropractors working within or in collaboration with hospitals and health systems. Michele Maiers, DC, PhD, facilitated the meeting with the primary goal to identify industry trends and how to position members to be successful. Several qualities were identified and work groups were established to help guide ACA in the creation of toolkits we can provide for our members.
Estate planning is one of the most common topics of discussion between financial planners and their clients. The first step toward ensuring that the wealth you build and enjoy during your lifetime will enhance the lives of your children or other recipients for decades to come is having a basic understanding of the options available to you for distributing your assets after death.
*Member-Exclusive Content* The federal tax bill approved by Congress today—and on its way now to the president's desk for his signature—contains several provisions that may affect chiropractic clinics and chiropractic students. Among the massive rework of the federal tax code is language that deals with “pass through” business tax, student loans and changes to the Affordable Care Act.
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As 2017 ends and 2018 begins, this may be a great time to reevaluate your financial health. For many, 2017 proved to be a financial market bonanza, depending on whether you participated in the financial arena and how your investments were allocated. Prior to year end, there may be time to review profits and losses with the tax implications of selling and netting, or keeping and carrying over into 2018.
Practice compliance and success are not diametrically opposed!
After serving as the president of the North Carolina Chiropractic Association, Kevin Sharp, DC, a presenter at NCLC2018, realized that many of the chiropractors in his state lacked a clear understanding of how to effectively code and manage the business side of their practices. Since then, he has devoted himself to teaching thousands of doctors and their staff how to effectively code, document and be compliant in their practices in a way that motivates them. "When you can break down the barriers of this aspect of what we do, doctors can free themselves up to focus on patient care," he writes. "In addition, I show doctors how a compliant practice can be profitable—which many think is diametrically opposed! You can run a compliant practice and make it profitable at the same time."