Aetna chiropractor

Aetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!

If you are an Aetna chiropractor, receiving payment for many of your services may now be in jeopardy thanks to three of their recent policy updates: one for chiropractic services and one for complementary and alternative medicine (both updated in June) and physical therapy services (updated earlier this year). The bad news is that this will affect all chiropractors – …

adminAetna Chiropractor? Your Payments Are in Jeopardy if You Adjust, Do Rehab or Don’t Follow Their Latest Policy Updates!
united healthcare chiropractor

(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat

If you are a United Healthcare® chiropractor (regardless of whether you are in or out of network), beware of their new limitations of what you cannot treat (at least if you want to be paid).  UHC’s June 2018 policy update on spinal manipulation provides a very significant and admittedly strange entry into their widening “experimental and investigational services” category. Of course, …

admin(Policy Update) If You’re a United Healthcare Chiropractor, Here’s What You Can No Longer Treat
stop chiropractic pre-authorization

Getting Around a Payer’s Chiropractic Pre-Authorizations: Are There Possible Exceptions?

Patients, providers and staff alike are frequently frustrated by chiropractic pre-authorizations.  But unfortunately, the process is likely here to stay and, in many states, getting much more common. After all, by installing chiropractic pre-authorizations, insurance payers create an effective way to block the patients from truly accessing the benefits they have paid for and, simultaneously, setting you (the contracted provider) …

adminGetting Around a Payer’s Chiropractic Pre-Authorizations: Are There Possible Exceptions?

Virtual Credit Cards: A Chiropractic Convenience or Payors Dipping Into Your Pockets?

If it appears that insurance payers unleash new rules, regulations, policies and even payment methods so quickly, you are not the only one left with your head spinning and your staff scrambling to keep up. Over the last several months, we’ve been getting more questions from chiropractors about an increasingly common payment method health insurers are offering: virtual credit cards. …

adminVirtual Credit Cards: A Chiropractic Convenience or Payors Dipping Into Your Pockets?

Successfully Handling Minor Impact Soft Tissue Cases For Your Chiropractic Patients

Most chiropractors who have dealt with minor impact soft tissue cases (MIST) as a result of a motor vehicle collision know that there is a definitive bias against these claims from auto insurance payers.  Put simply, the payers operate with the erroneous belief that amount of vehicle damage is somehow proportionate to the amount of injuries that can be sustained. …

adminSuccessfully Handling Minor Impact Soft Tissue Cases For Your Chiropractic Patients

How the “Narrow Network” Trend is Affecting Chiropractors

Despite the promises of the Affordable Care Act, here’s the stark reality: there has been no documented rise in new patients or visits for chiropractors; but there has been a decrease in reimbursements and increase in the number of “narrow networks” that we are dealing with. Yes, I understand that President Obama publicly promised that patients could keep their current …

adminHow the “Narrow Network” Trend is Affecting Chiropractors

Beneath the Surface Chiropractic Billing Problems & Opportunities

Most chiropractors have a wealth of problems (and opportunities) bubbling beneath the surface of their chiropractic billing department (regardless of whether it is in-house or outsourced). I’m not peeking over your shoulder at the moment so I can’t say for certain which specific problems your chiropractic practice is experiencing. Generally speaking though, there’s a finite number of mischievous players who …

adminBeneath the Surface Chiropractic Billing Problems & Opportunities

6 Things Chiropractic Insurance Payers Won’t Tell You

I frequently get asked the question “should I take XYZ insurance?” by new chiropractors or veterans that are contemplating a change. While it’s difficult to give a stock answer for everyone, everywhere there are definitely some considerations you need to make with respect to insurance participation — regardless of whether you are thinking of getting in or getting out. These things …

admin6 Things Chiropractic Insurance Payers Won’t Tell You

Why A _ _ _ a May Be Dangerous to Your Chiropractic Practice

As many of you loyal blog readers over the years have come to realize, I have an unusual pastime of watching the activities of insurance payers and reporting on their shenanigans to the chiropractic community.  In performing some of my recent watchdog rounds, I stumbled upon a video blurb (3 minutes) from the CEO of Aetna who was seriously slopping on some …

adminWhy A _ _ _ a May Be Dangerous to Your Chiropractic Practice

Obamacare Results in NO Increase in Chiropractic Visits (& What to Do About It)

  This may not come as a surprise to those of you who are not fans of the Affordable Care Act (Obamacare) plans, but the data regarding your bottom line is in. I’ve no political agenda to report here as I believe that our health care system has been crumbling long before Obama stepped in, but at the same time, …

adminObamacare Results in NO Increase in Chiropractic Visits (& What to Do About It)