Inovalon-Horizon Update

Inovalon-Horizon Update As we have previously reported to you, Inovalon is a company that is collecting patient records to perform risk adjustment reviews on behalf of Horizon.  Risk adjustment reviews are reports required by and provided to the government as...

Patient Financial Responsibility Form Example

03/11/2020Patient Financial Responsibility Form Example With the continual expansion of utilization management many members have asked for information on how to create a form for patients to sign acknowledging that they may be financially responsible for care deemed...

UnitedHealthcare/Optum Discount Plan

In mid-January Optum sent a notice to providers of a new discount plan program.  The plan allows any UnitedHealthcare members who either have exhausted their benefits for chiropractic and complementary and alternative medicine (CAM) services or who do not have...

Medicare Acupuncture Update

02/11/2020Medicare Acupuncture Update We had previously advised membership that Medicare had begun covering acupuncture in certain specified situations as of Jan. 21, 2020.  Acupuncture is to be allowed for chronic low back pain for 12 visits with an additional...