WASHINGTON – The Trump administration on Monday proposed a plan to cover acupuncture for Medicare patients with chronic low back pain, framing it as a step that could safely treat pain without supplying more patients with opioids. “Defeating our country’s Read more…
The latest update for 2020 Blue Shield of California ASH Plans, directly from ASH 1. The Blue Shield PPO plans to move to ASH January 1, 2020, are as follows: ⢠Individual and Family Plans (IFP): on-exchange and mirrored. This Read more…
Medicare will begin a national coverage analysis for the use of acupuncture for chronic low back pain In response to the U.S. opioid crisis, HHS is focused on preventing opioid use disorder and providing more evidence-based non-pharmacologic treatment options for Read more…
The latest information is indicating that the visit threshold will be 5 visits whether a provider is in our out of network and allowances will be the same for in and out of network services. Patients may have lesser copays Read more…
ASH Blue Shield of CA Update Blue Shield of CA will begin to utilize ASH for a âsignificantâ number of their PPO plans January 1, 2020. But the use of âsignificant numberâ is not clear as to what plans they Read more…
1. It is not all BS plans but specific PPO plans only. Note several plans currently do this but ASH is just the gatekeeper for medical necessity and does not follow ASH rates. 2. These plans will still have out Read more…
Did you know the VA Community Care programs have timely filing limits for claims? The deadline for submitting claims for authorized care is 120 days from the date of service (DOS). With the recent transitions and changes to programs, VA Read more…
As Federal funding for the Veterans Choice Program ends, VA will no longer use Choice to furnish community care to Veterans. All community care will transition to the Patient-Centered Community Care (PC3) program effective June 6, 2019. The PC3 program Read more…
The Labor and Industry Commission of Washington state is ending the pilot program for acupuncture and treatment of low back for injured workers and now welcoming all licensed acupuncture providers to treat workerâs compensation patients for lower back pain June Read more…
Where to Send Medical Documentation Changes May 1! Starting May 1, 2019, the Department of Veterans Affairs (VA) will begin requiring providers to send medical documentation to their authorizing VA Medical Center (VAMC) instead of TriWest. This change will affect Read more…