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...
Jan 20, 2025 | Insurance News, News for Members, The Back Channel
December 20, 2024 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 published fee...
Nov 22, 2024 | The Back Channel
Bill introduced to provide a Medicare payment increase in 2025 Source: U.S. Congressman Gregory F. Murphy, M.D. The American Chiropractic Association put its support behind The Medicare Patient Access and Practice Stabilization Act of 2024 (H.R. 10073). Introduced by...
Nov 22, 2024 | The Back Channel
Horizon – NJ Health Horizon NJ Health providers, make sure you’re enrolled in ERAs. Beginning November 15, all unregistered ERA users will have their remittance preference changed to print Explanation of Payments (EOP). There is still time to enroll in ERAs,...
Sep 26, 2024 | The Back Channel
Horizon RESOLVED: Horizon Rejections for Paper Claims The ANJC received an update from our counterpart at Horizon that the issue of incorrect rejections for paper claims has been internally resolved. According to Horizon’s investigation, the rejections were a result...