ACA Efforts Result in Federal Agency's Clarification of PPACA Language on Access to Non-MD/DO Providers
From an ACA Release of June 3, 2016, Arlington, Va. - At the urging of the American Chiropractic Association (ACA), the Centers for Medicare & Medicaid Services (CMS) has clarified a section of the Patient Protection and Affordable Care Act (PPACA) that led some states to improperly limit patient access to chiropractic physicians and other qualified non-MD/DO health care providers.
You could be owed money from Nationwide or Titan or Victoria Select Insurance Companies if you were paid less than the amount billed between January 1, 2008 and July 23, 2012 (12/31/14 for Titan and Victoria) or if you contend the Carrier(s) miscalculated the deductible on your medical charges. Read further to learn how to submit a claim and to learn how I can recover settlement funds for you at no cost.
Just another reminder: Infinedi EDI recently provided a well-stated reminder of new claim requirements noticed by Florida Blue Cross and Blue Shield to providers in November of 2014. The new requirements are for claims with dates of service on or after January 1, 2015. The reminder reiterates that new requirements will impact secondary claims and any claim that contains an accident diagnosis (such as any ICD-9 code in the 800 series).
The FCA was recently
notified by Florida Blue that those doctors currently participating in the
Florida Blue networks have received or will soon receive a notice informing
that, effective April 1, 2015, American Specialty Health Group, Inc.(ASH) will
manage chiropractic network services for Florida Blue. This applies to most, but, not all of the Florida Blue networks. The notice is posted on fcachiro.org for your reference.
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