Jun 4, 2025 | Insurance News, News for Members, The Back Channel
Horizon Horizon Class Action Settlement Claim notices have recently been sent out regarding a recent class action settlement for which chiropractors are potentially in the class of physicians that are encompassed by the settlement. By way of background, the Blue Cross...
Jun 4, 2025 | Insurance News, News for Members, The Back Channel
Under federal law, the self-referral law, codified at 42 CFR section 411.353, also known as the “Stark law” after its original proponent, Congressman Pete Stark: i) Prohibits a physician from referring patients for certain “designated health services” (“DHS”) payable...
Apr 21, 2025 | ANJC News & Updates, News for Members
Payer denials based on diagnosis coding are a significant challenge for healthcare Providers. Every rejected claim leads to revenue loss, additional administrative work, and overall frustration. However, understanding denial and claim rejection reasons can help...
Apr 21, 2025 | ANJC News & Updates, News for Members
By Jeffrey Randolph, Esq., ANJC General Counsel Q: Is it Within the New Jersey Chiropractic Scope of Practice to Treat a Patient’s Ears? A: Yes, provided it is consistent with techniques taught in chiropractic college or accredited continuing education programs. I...
Apr 17, 2025 | Insurance News, News for Members
Dear ANJC Members:There appears to be some confusion as to the process of submitting prior authorization requests to UHC for Medicare Beneficiaries.Most providers are aware that UHC implemented these prior authorization requirements back in September 2024. Since that...
