The Government Accountability Office (GAO) released a report on July 31 which was, in essence, following up on several directives issued to the Centers for Medicare & Medicaid Services (CMS) in the 2015 MACRA law (Medicare Access and CHIP Reauthorization Act).
Originally taking effect on June 1, 2018, United amended their policy on manipulative therapy (including chiropractic and osteopathic manipulation) to consider the treatment “unproven and/or not medically necessary for treating . . . headaches.” Immediately, the ANJC reached out to United/Optum to contest the policy. The ANJC also signed on to a letter from the ACA to United contesting the policy change along with 40 other chiropractic associations.
As you are aware, on June 1, 2018, Governor Murphy signed into law the Out-of-Network Consumer Protection, Transparency, Cost Containment and Accountability Act. The main components of the bill were designed to protect patients from unexpected out-of-network bills for providers operating at in-network hospitals or other healthcare facilities. There are however several new disclosure requirements that apply to all out-of-network providers, including chiropractic physicians.
Summer Edition - Vol. 14 No. 3
September 6, 2018
Presenter: Kathleen Baumgardner, DC, DACBSP
Days Hotel East Brunswick - 195 NJ-18, East Brunswick, NJ, 08816 - (800) 225-3297
September 12, 2018
Presented By: Jeffrey Randolph, Esq.
Forsgate Country Club - 375 Forsgate Dr, Monroe Township, NJ 08831 Phone: 732-521-0070
September 13, 2018