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BLUE CROSS BLUE SHIELD UPDATE:
Friday, 04 June 2010

JUDGE DENIES BLUE CROSS’ ATTEMPT TO DISMISS ERISA AND FLORIDA INSURANCE EQUALITY LAW CLASS ACTION

      The Florida Chiropractic Association and FCA Member Peri Dwyer, D.C., through Class Counsel and FCA Assistant General Counsel Kim Driggers of the law firm of Brooks, LeBoeuf, Bennett, Foster & Gwartney, joined 18 individual plaintiffs and four other chiropractic associations in a class action against 22 leading Blue Cross Blue Shield (“BCBS”) insurers across the country.  The suit challenges BCBS’ abusive practices in using post-payment audits and reviews and improper payment demands, to pressure providers to repay substantial sums that BCBS previously paid as health insurance benefits for services provided to BCBS subscribers.  The suit also seeks damages and an order requiring Blue Cross Blue Shield of Florida (“BCBSF”) to cease violating Florida’s Insurance Equality Laws.  The Complaint alleges BCBSF violated Florida’s Insurance Equality Laws by limiting coverage for certain chiropractic services by covering only a single physical modality or procedure code per patient per day and limiting the number of spinal manipulations that are covered in a calendar year.

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State Farm's use of Medicare NCCI Edit
Monday, 12 April 2010
           The FCA is aware that State Farm continues to impose the Medicare NCCI (National Correct Coding Initiative) edits on PIP bills.
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Health Care Reform Update
Friday, 20 November 2009
The following are important excerpts from the American Chiropractic Association’s latest update on Health Care Reform, issued today.  Remember to stay alert and make your patients aware of their opportunity to influence health care reform legislation by enrolling at www.chirovoice.org
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ACA National Health Care Reform Update
Tuesday, 03 November 2009

Ross Letter in Support of Provider Non-Discrimination Garners Additional Support in U.S. House

Speaker Pelosi Unveils Merged House Bill – Ross Amendment and Public Plan with Negotiated Rates Included -- House Floor Action Predicted by Mid-November

House Bill also Includes Insurance Industry Anti-Trust Reform

Bill Introduced in the House to Address Medicare Payment System

Harkin Provider Non-Discrimination Provision to be Preserved in Blended Senate Bill 

Support for CHIROVOICE and CHAMP Needed

Become a Chiropractic CHAMPion

Watch Health Reform Updates on Your Computer via YouTube 

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FCA Joins Class Action Suit Against Blue Cross Blue Shield Association
Tuesday, 03 November 2009
               The Florida Chiropractic Association has retained class counsel to pursue litigation in the Illinois class action suit vs. Blue Cross Blue Shield Association.  The FCA joins with three other state associations – the Pennsylvania Chiropractic Association, New York Chiropractic Council and the Association of New Jersey Chiropractors – to challenge the Defendants’ abusive practices in using post-payment audits and reviews, and improper repayment demands, to pressure providers to repay substantial sums that have previously properly been paid as health insurance benefits for services provided to BCBS subscribers.  Below is a news release provided by class counsel – Pomerantz Haudek Grossman & Gross LLP – to initially announce the litigation on September 10, 2009 (“Health Care Providers and Associations Sue Blue Cross Blue Shield Association and 22 Related BCBS Entities”). 
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