Jun 27, 2025 | Insurance News, News for Members
Dear ANJC Members, CMS has identified a fraud scheme targeting Medicare providers and suppliers. Scammers are impersonating CMS and sending phishing fax requests for medical records and documentation, falsely claiming to be part of a Medicare audit. Important: CMS...
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 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...
Apr 10, 2025 | Insurance News, News for Members
Horizon 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 Blue Shield Association (a...
Mar 11, 2025 | Insurance News
Medicare 2025 Medicare Fee Schedule Update Despite initial bipartisan support, the proposal to provide relief from 2025 Medicare physician payment cuts was ultimately dropped due to political pressure and broader concerns about government spending. Therefore, the...
