Through the efforts of its Health Policy and Advocacy Committee, the American Chiropractic Association (ACA) has updated many of its coding and documentation guidance resources in recent years with review and approval from the American Medical Association (AMA). That’s important...
ACA Tag: claims
CMT Added to Prior Authorization for Multiple Medicare Advantage Plans
and John Falardeau As Medicare Advantage (MA) plans become increasingly popular, now covering more beneficiaries than traditional Medicare, prior authorization (PA) has expanded to include chiropractic services. Since late July, UnitedHealthcare (UHC), Optum Health Care Solutions (Optum), and Humana have...
Blues Plans Issuing Denials for Certain Modifiers
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...
